Cardiovascular and Metabolic Consequences of Testosterone Supplements in Young and Old Male Spontaneously Hypertensive Rats: Implications for Testosterone.

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Cardiovascular and Metabolic Consequences of Testosterone Supplements in Young and Old Male Spontaneously Hypertensive Rats: Implications for Testosterone Supplements in Men by Carolina Dalmasso, Chetan N. Patil, Licy L. Yanes Cardozo, Damian G. Romero, and Rodrigo O. Maranon J Am Heart Assoc Volume 6(10):e007074 October 17, 2017 © 2017 Carolina Dalmasso et al.

Serum testosterone and body weight in aging rats. Serum testosterone and body weight in aging rats. A, Endogenous serum testosterone levels decrease with age in male SHR, (n=6/group). *P<0.05 compared with rats aged 3 and 5 mo; #P<0.05, compared with rats, aged 7 to 14 mo; $P<0.05, compared with rats aged 18 mo. B, Body weight increases with aging until 18 mo of age or later (n=6/group). *P<0.05, compared with rats, aged 3 mo; #P<0.05 compared with rats aged 5 mo; $P<0.05, compared with rats, aged 7–12 mo; @P<0.05 vs 14 mo; &P<0.05 vs 18 mo. SHR indicates spontaneously hypertensive rats. Carolina Dalmasso et al. J Am Heart Assoc 2017;6:e007074 © 2017 Carolina Dalmasso et al.

Serum testosterone and body weight in young and old male rats treated with testosterone supplements. Serum testosterone and body weight in young and old male rats treated with testosterone supplements. A, Testosterone supplements increase serum testosterone by 2‐fold in young male SHR (YMSHR‐T), but by 4‐fold in old male SHR (OMSHR‐T). *P<0.05 vs YMSHRP; #P<0.05 vs YMSHR‐T; &P<0.05 vs OMSHR‐P. B, Testosterone supplements decreased body weight in YMSHR‐T but not OMSHR‐T. *P<0.05 vs placebo treated rats. OMSHR‐P indicates old male SHR with placebo; OMSHR‐T, old male SHR with testosterone; SHR, spontaneously hypertensive rats; YMSHR‐P, young male SHR with placebo; YMSHR‐T, young male SHR with testosterone. Carolina Dalmasso et al. J Am Heart Assoc 2017;6:e007074 © 2017 Carolina Dalmasso et al.

Age‐related differences in fat mass and lean mass in young and old males given testosterone supplements. Age‐related differences in fat mass and lean mass in young and old males given testosterone supplements. Testosterone supplements reduced fat mass (A) and lean mass (B) in young male spontaneously hypertensive rats (SHR)—testosterone (YMSHR‐T) compared with controls young male SHR—placebo (YMSHR‐P), but had no effect on either lean mass (C) or fat mass (D) in old male SHR—testosterone (OMSHR‐T). *P<0.05 vs YMSHR‐P. Carolina Dalmasso et al. J Am Heart Assoc 2017;6:e007074 © 2017 Carolina Dalmasso et al.

Plasma estradiol and leptin levels in young and old male SHR with or without testosterone supplements. Plasma estradiol and leptin levels in young and old male SHR with or without testosterone supplements. A, Testosterone supplements increased plasma estradiol in young male SHR (YMSHR) but had no effect in old male SHR (OMSHR). *P<0.05 vs YMSHR‐P (placebo); #P<0.05 vs YMSHR‐T (testosterone). B, Testosterone supplements reduced plasma leptin in YMSHR but had no effect on OMSHR. *P<0.05 vs YMSHR‐P. SHR indicates spontaneously hypertensive rats. Carolina Dalmasso et al. J Am Heart Assoc 2017;6:e007074 © 2017 Carolina Dalmasso et al.

Mean arterial pressure (MAP) in young and old male SHR with and without testosterone supplements. Mean arterial pressure (MAP) in young and old male SHR with and without testosterone supplements. MAP was higher in old male SHR—placebo (OMSHR‐P) than young male SHR—placebo (YMSHR‐P, A). Testosterone supplements increased MAP in young male SHR—testosterone (YMSHR‐T) compared with YMSHR‐P (B), but reduced MAP in old male SHR—testosterone (OMSHR‐T) compared with OMSHR‐P (C). A, *P<0.05 for OMSHR‐P vs YMSHR‐P; B, *P<0.05, OMSHR‐P vs OMSHR‐T; C, *P<0.05, YMSHR‐T vs YMSHR‐P. SHR indicates spontaneously hypertensive rats. Carolina Dalmasso et al. J Am Heart Assoc 2017;6:e007074 © 2017 Carolina Dalmasso et al.

Enalapril reduced mean arterial pressure (MAP) in both young male SHR—placebo (YMSHR‐P) and young male SHR—testosterone (YMSHR‐T), but had a greater effect in YMSHR‐T. *P<0.05, vs YMSHR‐T. Enalapril reduced mean arterial pressure (MAP) in both young male SHR—placebo (YMSHR‐P) and young male SHR—testosterone (YMSHR‐T), but had a greater effect in YMSHR‐T. *P<0.05, vs YMSHR‐T. SHR indicates spontaneously hypertensive rats. Carolina Dalmasso et al. J Am Heart Assoc 2017;6:e007074 © 2017 Carolina Dalmasso et al.