Department of Psychology, The University of Iowa, Iowa, USA.
Am J Physiol Regul Integr Comp Physiol. 2013 Sep;305(5):R459-63. doi: 10.1152/ajpregu.00222.2013. Epub 2013 Jul 24.
Premenopausal women have lower blood pressure and a reduced incidence of cardiovascular disease compared with age-matched men. Similar sex differences have been seen across species and in multiple animal models of hypertension. While important progress over the last decade has been made in elucidating some of the mechanisms underlying these differences, there are still significant gaps in our knowledge. Understanding the cellular and molecular mechanisms responsible for sex differences in hypertension will be important for developing sex-specific therapies targeted toward the prevention and treatment of hypertension. Female sex hormones, especially estrogen, have been demonstrated to modulate the renin-angiotensin-aldosterone system (RAAS) and to have beneficial effects on cardiovascular function through actions not only on the kidney, heart, and vasculature, but also on the central nervous system (CNS). This review primarily focuses on the central regulatory actions of estrogen on brain nuclei involved in blood pressure regulation and the interactions between estrogen and the RAAS in the CNS by which estrogen plays an important protective role against the development of hypertension.
绝经前女性的血压低于同龄男性,心血管疾病的发病率也更低。在不同物种和多种高血压动物模型中都观察到了类似的性别差异。尽管在过去十年中,人们在阐明这些差异背后的一些机制方面取得了重要进展,但我们的知识仍存在重大空白。了解导致高血压性别差异的细胞和分子机制对于开发针对高血压预防和治疗的性别特异性疗法非常重要。女性性激素,尤其是雌激素,已被证明可调节肾素-血管紧张素-醛固酮系统(RAAS),并通过不仅对肾脏、心脏和血管,而且对中枢神经系统(CNS)的作用对心血管功能产生有益影响。这篇综述主要关注雌激素对参与血压调节的脑核的中枢调节作用,以及雌激素与 CNS 中 RAAS 之间的相互作用,雌激素通过这些作用对高血压的发展发挥重要的保护作用。
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