Effects of 17β-estradiol and equilin on atherosclerosis development in female Apoe shl mice

Abstract The effects of conjugated equine estrogens (CEE) and 17β-estradiol-based hormone replacement therapy (HRT) on atherosclerosis development remain controversial. Here, we investigated the effects of equilin, a major compound in CEE, and 17β-estradiol on atherosclerosis development in an ather...

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Main Authors: Akiyo Kakibuchi, Fumitake Ito, Osamu Takaoka, Nanami Tahara, Mari Kawamata, Kazuya Yabumoto, Akihisa Katayama, Yuko Izumi, Eiko Maeda, Taisuke Mori
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-10494-0
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Summary:Abstract The effects of conjugated equine estrogens (CEE) and 17β-estradiol-based hormone replacement therapy (HRT) on atherosclerosis development remain controversial. Here, we investigated the effects of equilin, a major compound in CEE, and 17β-estradiol on atherosclerosis development in an atherosclerotic mouse model. Female B6.KOR/StmSlc-Apoe shl mice were ovariectomized and fed a high-fat diet for 9 and 12 weeks (early and late groups, respectively) and then treated with 17β-estradiol or equilin. Atherosclerotic lesions in the aortic arch and brachiocephalic artery (BCA) were assessed at the end of the experimental period. Compared with placebo, equilin and 17β-estradiol significantly inhibited atherosclerotic lesion formation in the aortic arch and BCA in both groups. However, 17β-estradiol had a significantly greater inhibitory effect than equilin in the late group. Although 17β-estradiol significantly inhibited atherosclerosis progression in the aortic root, no significant difference was observed between the equilin and placebo groups. Additionally, compared with equilin, 17β-estradiol significantly inhibited atherosclerotic plaque formation in the aortic root. Moreover, 17β-estradiol exerted a stronger inhibitory effect on atherogenesis than equilin and control. Both 17β-estradiol and equilin protect against atherosclerotic plaque formation in the vascular endothelium, with 17β-estradiol exhibiting a superior effect.
ISSN:2045-2322