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The serum levels of testosterone in coronary artery disease patients; relation to NO, eNOS, endothelin-1, and disease severity

  • Saeideh Akseh , Mohammad-Ali Karimi , Nasser Safaie , Amir Valizadeh , Dara Rahmanpour , Masoud Pezeshkian , Mohammad Nouri , Yousef Faridvand ORCID logo EMAIL logo and Ahmadreza Jodati ORCID logo EMAIL logo
Published/Copyright: September 9, 2021

Abstract

Objectives

The changes in testosterone level and its correlation with the endothelial nitric oxide systems balance in patients with coronary artery disease (CAD) remains uncertain. Therefore, in our study, we aimed to evaluate the levels of testosterone, endothelin-1 (ET-1), nitric oxide (NO), and endothelial NOS (eNOS) in CAD patients, and control group to find the relationship between these parameters and disease severity.

Methods

Forty-four patients as CAD group with significant (≥50%) stenosis confirmed by angiography was included in the study, and 40 healthy men were included as the control group. According to the number of vessels obstruction, CAD severity was determined. The serum indicated parameters were assessed to discriminate between patients and controls.

Results

It was found that testosterone levels in the CDA group were significantly lower than those of the control group (p<0.05). In addition, the level of ET-1 in the CAD group was higher than that in the control group, but levels of NO and eNOS in observation were significantly lower than those in the control group (p<0.05). The correlation analysis revealed that testosterone was passivity correlated with serum NO levels (r=0.550, p=0.001).

Conclusions

The current study reports that serum levels of testosterone are closely related to endothelial NO levels and might be of relevance to the pathogenesis of endothelial dysfunction and disease severity in CAD patients.


Corresponding authors: Yousef Faridvand, Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran; and Department of Biochemistry and Clinical Laboratories, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran, E-mail: ; and Ahmadreza Jodati, Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran, E-mail:

Funding source: Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Award Identifier / Grant number: 62625

  1. Research funding: This work was supported by the Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran (Award ID 62625).

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The study protocol was approved by the Local Ethical Committee of Tabriz Medical University.

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Received: 2021-03-19
Accepted: 2021-08-20
Published Online: 2021-09-09

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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