2018
DOI: 10.1152/ajpheart.00194.2018
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Sex differences in the vascular function and related mechanisms: role of 17β-estradiol

Abstract: The incidence of cardiovascular disease (CVD) is lower in pre-menopausal women but increases with age and menopause compared to similar-aged men. Based on the prevalence of CVD in the post-menopausal women, sex hormone-dependent mechanisms have been postulated to be the primary factors responsible for the protection from CVD in pre-menopausal women. Recent Women's Health Initiative studies, Cochrane review, ELITE and KEEPS studies suggest that beneficial effects of hormone replacement therapy (HRT) are seen in… Show more

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Cited by 69 publications
(55 citation statements)
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References 274 publications
(363 reference statements)
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“…It is known that the estrogens differently influence the function of VSMCs and ECs, depending on sex, and the distribution and expression of estrogen receptors seem to be one of the most important factors. Estradiol increases the production of NO and PGI2 and inhibits the release of TXA2 and superoxide in the endothelium, while in VSMCs, it regulates the function of K + channels [29]. It is known that estrogens may modulate the activity of a vascular purinergic system, although there was no evidence of estrogen participation in the control of the extracellular nucleotide metabolism specifically in the aorta.…”
Section: Discussionmentioning
confidence: 99%
“…It is known that the estrogens differently influence the function of VSMCs and ECs, depending on sex, and the distribution and expression of estrogen receptors seem to be one of the most important factors. Estradiol increases the production of NO and PGI2 and inhibits the release of TXA2 and superoxide in the endothelium, while in VSMCs, it regulates the function of K + channels [29]. It is known that estrogens may modulate the activity of a vascular purinergic system, although there was no evidence of estrogen participation in the control of the extracellular nucleotide metabolism specifically in the aorta.…”
Section: Discussionmentioning
confidence: 99%
“…Estrogens can also act through non-genomic actions mediated by membrane-bound ERα (mERα) and ERβ (mERβ), as well as the membrane-bound G-proteincoupled estrogen receptor GPER1 (also known as GPR30) [15][16][17]. Even though estrogens' effects on the NVU are the most well described [18], we will focus on androgens in this review and would like to refer the readers to Robison et al 2019 for more details on estrogen effects [19].…”
Section: Androgens' Modes Of Actionmentioning
confidence: 99%
“…In general, women at ages before the beginning of menopause are less vulnerable than men to present cardiovascular diseases (Pabbidi et al, 2018). K Ca 1.1 channels are key elements in the modulation of the vascular smooth muscle tone.…”
Section: Cardiovascular Systemmentioning
confidence: 99%