The influence of estrogen on myocardial post-translational modifications and cardiac function in women

The lifetime risk of heart failure (HF) is comparable in men and women; nevertheless, disparities exist in our understanding of how HF differs between sexes. Several differences in cardiac physiology exist between men and women including the propensity to develop specific HF phenotypes. Men are more likely to be diagnosed with HF failure with reduced ejection fraction, while women have a greater propensity to develop HF with preserved ejection fraction. The mechanisms responsible for these differences remain unclear. Post-translational modifications (PTMs) of myofilament proteins likely contribute to these sex-specific propensities. The role of PTMs in heart disease is an expanding field with immense potential therapeutic targets. However, numerous PTMs remain underexplored, particularly in the context of the female heart. Estrogen, a key gonadal hormone, cardioprotective in pre-menopausal women and its loss with menopause likely contributes to disease in aging women. However, how estrogen regulates PTMs to contribute to HF development is not fully clear. This review outlines key sex differences in HF along with characterizing the contributions of novel myocardial PTMs in cardiac physiology and their regulation by estrogen. Collectively, we highlight the necessity for further investigation into women's heart health and the distinctive mechanisms distinguishing women from men.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Canadian journal of physiology and pharmacology - (2024) vom: 24. Jan.

Sprache:

Englisch

Beteiligte Personen:

Shorthill, Samantha K [VerfasserIn]
Jones, Timothy L M [VerfasserIn]
Woulfe, Kathleen C [VerfasserIn]
Cherrington, Brian D [VerfasserIn]
Bruns, Danielle R [VerfasserIn]

Links:

Volltext

Themen:

Cardiac
Citrullination
Estrogen
Heart failure
Journal Article
Posttranslational modifications
Review
Sex differences

Anmerkungen:

Date Revised 26.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1139/cjpp-2023-0412

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367566591