Steroid receptors are essentially transcription factors. When estrogens activate estrogen receptors (ERs) and aldosterone activates the mineralocorticoid receptor (MR) these steroid-receptor complexes enter the nucleus. On entry, these complexes bind to their respective response elements leading to the regulation of gene expression. This transcriptional regulation of key genes in target tissues yields relevant reproductive and endocrine functions. Because ER and MR are expressed in cardiac myocytes, fibroblasts, and vascular cells, genes essential to cardiovascular function and cardiovascular pathophysiology are regulated by aldosterone and estrogens. 1,2 The consensus from research on cardiovascular tissue focusing on estrogens is that ER activation is beneficial. Specifically, ER activation has been suggested to attenuate mitogen-activated protein kinase growth signaling in response to pressure overload, increase endothelial NO synthesis, reduce vascular cell proliferation, and decrease endothelin expression. 1 In addition, blunted hypertrophic responses in female mice lacking the ryanodine receptor-associated protein and guanylyl cyclase-A receptor suggest that estrogens may attenuate calcineurin/nuclear factor-activated T-cell signaling and or mediate downstream signaling in the atrial natriuretic peptide-guanylyl cyclase cascade. 3,4 Whereas ER activation with specific and nonspecific estrogen agonists produce molecular responses favoring cardiovascular protection, the contrary has been demonstrated with studies examining MR activation. 2 The deleterious nature of excessive MR activation was evidenced by the Randomized Aldactone Evaluation Study. 2 The Randomized Aldactone Evaluation Study demonstrated improved outcomes in patients with heart failure being treated with the MR antagonist spironolactone. The rationale for the use of spironolactone in heart failure was based on the ability of aldosterone, via the genomic pathway, to initiate cardiac fibrosis and inflammation in animal models. 2 Although the Randomized Aldactone Evaluation Study improved our understanding of the pathophysiology of heart failure and its therapeutic strategies, studies demonstrating myocardial aldosterone synthesis and the absence of fibrosis in normal rat hearts containing elevated myocardial aldosterone concentrations raised questions regarding direct actions of aldosterone in the heart. 5 Particularly, in the continuum between health and disease, it was unclear how an essential steroid vital to normal cardiovascular function and pressurevolume regulation could become so deleterious. This notion prompted speculation that the myocardium was protected from the physiological effects of aldosterone and that loss of this protection gives way to the pathological aldosterone-MR-mediated actions. To this end, the work by Arias-Loza et al, 6 appearing in this issue of Hypertension, presents data that may provide an initial explanation of how ER activation may protect the cardiovascular system from the deleterious actions of excessive MR...