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Science 308 (5728): 1583-1587

Copyright © 2005 by the American Association for the Advancement of Science

Molecular and Cellular Basis of Cardiovascular Gender Differences

Michael E. Mendelsohn*, and Richard H. Karas

Abstract: Cardiovascular diseases (CVDs), the major cause of morbidity and mortality for both men and women, occur uncommonly in premenopausal women, but their incidence rises sharply after the menopausal transition. Cardiovascular gender differences are apparent long before CVDs appear in men and women, and improved understanding of the biology underlying these differences has the potential to advance the diagnosis and treatment of CVDs in both sexes. This review considers gender differences in the molecular and cellular physiology of the heart and blood vessels in health and disease, highlighting understudied areas that can help resolve the current controversy regarding hormone replacement therapy and improve cardiovascular health in women.

Molecular Cardiology Research Institute, Department of Medicine, and Division of Cardiology, New England Medical Center Hospitals and Tufts University School of Medicine, Boston, MA 02111, USA.

* To whom correspondence should be addressed. Molecular Cardiology Research Institute, Tufts–New England Medical Center, Tufts University School of Medicine, 750 Washington Street, Box 80, Boston, MA 02111, USA. E-mail: mmendelsohn{at}tufts-nemc.org


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Tyrosine Hydroxylase, the Rate-Limiting Enzyme in Catecholamine Biosynthesis: Discovery of Common Human Genetic Variants Governing Transcription, Autonomic Activity, and Blood Pressure In Vivo.
F. Rao, L. Zhang, J. Wessel, K. Zhang, G. Wen, B. P. Kennedy, B. K. Rana, M. Das, J. L. Rodriguez-Flores, D. W. Smith, et al. (2007)
Circulation 116, 993-1006
   Abstract »    Full Text »    PDF »
Hormone Replacement Therapy and Atherosclerosis in Postmenopausal Women: Does Aging Limit Therapeutic Benefits?.
M. Barton, M. R. Meyer, and E. Haas (2007)
Arterioscler Thromb Vasc Biol 27, 1669-1672
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Drospirenone increases endothelial nitric oxide synthesis via a combined action on progesterone and mineralocorticoid receptors.
T. Simoncini, X-D. Fu, A. Caruso, S. Garibaldi, C. Baldacci, M.S. Giretti, P. Mannella, M.I. Flamini, A.M. Sanchez, and A.R. Genazzani (2007)
Hum. Reprod. 22, 2325-2334
   Abstract »    Full Text »    PDF »
The impact of sex and sex hormones on lung physiology and disease: lessons from animal studies.
M. A. Carey, J. W. Card, J. W. Voltz, D. R. Germolec, K. S. Korach, and D. C. Zeldin (2007)
Am J Physiol Lung Cell Mol Physiol 293, L272-L278
   Abstract »    Full Text »    PDF »
Loss-of-Function Deletion of the Steroid Receptor Coactivator-1 Gene in Mice Reduces Estrogen Effect on the Vascular Injury Response.
Y. Yuan and J. Xu (2007)
Arterioscler Thromb Vasc Biol 27, 1521-1527
   Abstract »    Full Text »    PDF »
Oestrogen affects the cardiovascular and central responses to isoproterenol of female rats.
E. G. Krause, K. S. Curtis, J. P. Markle, and R. J. Contreras (2007)
J. Physiol. 582, 435-447
   Abstract »    Full Text »    PDF »
Direct Interactions with G{alpha}i and G{beta}{gamma} Mediate Nongenomic Signaling by Estrogen Receptor {alpha}.
P. Kumar, Q. Wu, K. L. Chambliss, I. S. Yuhanna, S. M. Mumby, C. Mineo, G. G. Tall, and P. W. Shaul (2007)
Mol. Endocrinol. 21, 1370-1380
   Abstract »    Full Text »    PDF »
Estrogen Receptors {alpha} and {beta} Mediate Distinct Pathways of Vascular Gene Expression, Including Genes Involved in Mitochondrial Electron Transport and Generation of Reactive Oxygen Species.
R. O'Lone, K. Knorr, I. Z. Jaffe, M. E. Schaffer, P. G. V. Martini, R. H. Karas, J. Bienkowska, M. E. Mendelsohn, and U. Hansen (2007)
Mol. Endocrinol. 21, 1281-1296
   Abstract »    Full Text »    PDF »

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