The Role of Androgens in Angiogenesis and Endothelial Progenitor Cell Mobilisation

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The Role of Male Sex Hormones in Regulating New Blood Vessel Growth AIMS This proposed project seeks to investigate the role that male sex hormones (androgens) play in: 1) Regulating new blood vessel growth 2) Mobilising cells from the bone marrow which assist in blood vessel repair and growth. BACKGROUND Increasing evidence indicates that the heart and blood vessels are able to repair themselves in response to disease. For example, when a coronary artery becomes severely narrow as a result of disease, the body can partially compensate by making new blood vessels in a process termed angiogenesis. Recently, cells circulating in the blood stream have been found to have the ability to assist in angiogenesis and in blood vessel repair. These cells, which come from the bone marrow, are called endothelial progenitor cells. Endothelial progenitor cells are therefore an important part of the cardiovascular system's ability to repair and maintain itself. While men are more likely to develop coronary artery disease than women, men are also more likely to have a favourable outcome after a heart attack compared to women. This gender difference after heart attacks, suggests that sex hormones such as the androgens, may play a role in the reparative response after a heart attack. In fact, there is evidence from some studies in cells and in animals that androgens increase blood vessel formation. RESEARCH PLAN We will study the effects of androgens on angiogenesis and in mobilising endothelial progenitor cells using human cells, animal studies and in a human clinical trial SIGNIFICANCE This research will help us further understand the differences between men and women in heart disease. It will also help us understand more about the risks-benefits of androgen replacement in older men.