Influence of oral contraceptive use on endothelial t-PA release in healthy premenopausal women

We determined the influence of oral contraceptives (OC) on the capacity of the endothelium to release tissue-type plasminogen activator (t-PA). Twenty-three healthy premenopausal women were studied: 12 nonusers and 11 users of OC. Net endothelial release rates of t-PA were calculated as the product of the arteriovenous concentration gradient and forearm plasma flow in response to intra-arterial bradykinin (BK: 12.5-50 ng x 100 ml tissue-1 x min-1) and sodium nitroprusside (SNP: 1.0-4.0 mug x 100 ml tissue-1 x min-1). Net release of t-PA antigen and increment in t-PA activity across the forearm to BK increased (P < 0.01) in a dose-dependent fashion and to similar extents in the nonusers and users of OC. At the highest BK dose, net release of t-PA antigen was 64.5 plus or minus 8.2 and 66.2 plus or minus 15.4 ng x 100 ml tissue-1 x min-1 in the nonusers and users of OC, whereas the net increment in t-PA activity was 18.6 plus or minus 3.0 and 16.0 plus or minus 2.0 IU x 100 ml tissue-1 x min-1, respectively. There was no effect of SNP on t-PA release in either group. These results indicate that endothelial t-PA release is not altered in premenopausal women who use oral contraception.