Pulmonary Arterial Hypertension and the Sex Hormone Paradox

被引：48

作者：

Foderaro, Andrew ^{[1
,2
]}

Ventetuolo, Corey E. ^{[1
,2
,3
]}

机构：

[1] Brown Univ, Div Pulm Crit Care & Sleep, Providence, RI 02912 USA

[2] Brown Univ, Dept Med, Providence, RI 02912 USA

[3] Brown Univ, Hlth Serv Policy & Practice, Providence, RI 02912 USA

来源：

CURRENT HYPERTENSION REPORTS | 2016年 / 18卷 / 11期

关键词：

Pulmonary hypertension; Right ventricle; Sex hormones; Estrogen paradox; RIGHT-VENTRICULAR STRUCTURE; ESTROGEN-RECEPTOR-ALPHA; LONG-TERM SURVIVAL; PORTOPULMONARY HYPERTENSION; PREDICTING SURVIVAL; SYSTEMIC-SCLEROSIS; CHINESE PATIENTS; RISK-FACTORS; REGISTRY; ESTRADIOL;

D O I：

10.1007/s11906-016-0689-7

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Purpose of Review Prevalence and outcome differences between women and men with pulmonary arterial hypertension (PAH) raise questions about the role of sex hormones in disease pathobiology. This review will summarize the current understanding of sex and sex hormone pathways and their influence on heart-lung function in health and in disease. Recent Findings Female sex has been shown to be a risk factor for the development of PAH, but women have improved survival compared to men with PAH. These paradoxical observations are likely driven in part by complex sex hormone signaling and processing pathways and their interaction with the pulmonary vasculature and the right ventricle. These relationships may vary depending on an individual's underlying sex, age, and/or genetic substrate. Summary The study of the connections between sex, sex hormones, the pulmonary circulation, and the right ventricle may improve our understanding of disease epidemiology and outcomes and lead to new treatment strategies for PAH.

引用

页数：8

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