Age-dependent effects of testosterone in experimental stroke

J Cereb Blood Flow Metab. 2009 Mar;29(3):486-94. doi: 10.1038/jcbfm.2008.138. Epub 2008 Nov 12.

Abstract

Although male sex is a well-recognized risk factor for stroke, the role of androgens in cerebral ischemia remains unclear. Therefore, we evaluated effects of testosterone on infarct size in both young adult and middle-aged rats (Wistar, 3-month versus 14-month old) and mice (C57/BL6, 3-month versus 12-month old) subjected to middle cerebral artery occlusion. In young adult groups, castrates displayed less ischemic damage as compared with intact males and castrates with testosterone replacement (Cortex: 24% in castrates versus 42% in intact versus 40% with testosterone; Striatum: 45% versus 73% versus 70%) at 22 h reperfusion. Surprisingly, supplementing testosterone in middle-aged rats to the physiologic levels ordinarily seen in young males reduced infarction (Cortex: 2% with testosterone versus 31%; Striatum: 38% with testosterone versus 68%). Testosterone effects on infarct size were blocked by the androgen receptor (AR) antagonist flutamide and further confirmed in young versus middle-aged mice. Baseline cerebral aromatase mRNA levels and activity were not different between young and middle-aged rats. Aromatase activity increased in ischemic tissue, but only in young males. Lastly, stroke damage was not different in aging aromatase knockout mice versus wild-type controls. Our findings indicate that testosterone's effects in experimental stroke are age dependent, mediated via AR, but not cerebral aromatase.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aging / metabolism*
  • Androgen Antagonists / pharmacology
  • Animals
  • Aromatase / biosynthesis
  • Aromatase / genetics
  • Castration
  • Flutamide / pharmacology
  • Infarction, Middle Cerebral Artery / complications
  • Infarction, Middle Cerebral Artery / enzymology
  • Infarction, Middle Cerebral Artery / metabolism
  • Infarction, Middle Cerebral Artery / pathology
  • Male
  • Mice
  • Mice, Knockout
  • Polymerase Chain Reaction
  • Rats
  • Rats, Wistar
  • Sex Factors
  • Stroke / enzymology
  • Stroke / etiology
  • Stroke / metabolism*
  • Stroke / pathology
  • Testosterone / metabolism*
  • Testosterone / pharmacology

Substances

  • Androgen Antagonists
  • Testosterone
  • Flutamide
  • Aromatase