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Sex and Gender Differences in Cardiovascular-Renal-Metabolic Physiology and Pathophysiology : Sex, Gender and Function / Jane Reckelhoff, Licy L. Yanes Cardozo, and Noha Shawky, editors.

Elsevier ScienceDirect eBook - Biomedical Science 2024 Available online

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Format:
Book
Contributor:
Reckelhoff, Jane, editor.
Yanes Cardozo, Licy L., editor.
Shawky, Noha, editor.
Series:
Fundamentals of Physiology Series
Language:
English
Subjects (All):
Cardiovascular system.
Human physiology.
Physical Description:
1 online resource (314 pages)
Edition:
First edition.
Place of Publication:
London, England : Academic Press, [2025]
Summary:
Sex and Gender Differences in Cardiovascular-Renal-Metabolic Physiology and Pathophysiology: Sex, Gender and Function, the latest release in the Fundamentals of Physiology series, provides a fundamental overview on sex and gender differences in all aspects of physiology.
Contents:
Front Cover
SEX AND GENDER DIFFERENCES IN CARDIOVASCULAR-RENAL-METABOLIC PHYSIOLOGY AND PATHOPHYSIOLOGY
Editorial advisory board
Copyright
Contents
Contributors
Preface
References
1 - Sex differences in cardiovascular, renal, and metabolic responses to androgens
Androgen biosynthesis, actions, and quantification
Androgen excess in women
Polycystic Ovary Syndrome (PCOS)
PCOS diagnosis
Androgen excess and cardiovascular diseases in women
The adipose tissue is a key organ that mediates sex differences in cardiometabolic diseases
The interplay between androgens and adipose tissue
Cardiometabolic complications caused by an excess of androgens in female rodents
Androgen excess and blood pressure regulation
Mechanisms implicated in androgen-mediated increases in blood pressure: The renin-angiotensin system
Insulin resistance and androgens
Mechanisms mediating insulin resistance in androgen excess
Adiponectin
Leptin
β-cell dysfunction
Endogenous opioid signaling
Oxidative stress and low-grade inflammation
Other conditions associated with elevated androgen levels in women
Androgen deficits in women
Cardiometabolic management in PCOS
Lifestyle interventions
Insulin sensitizers
Antiandrogens
Myo-inositol
Androgens in men and transmen
Estrogen production and action
Conclusions
Funding
2 - Long-term cardiovascular adaptations in women and her offspring following a pregnancy complicated by preeclamps ...
Introduction
Physiological adaptations during pregnancy
Cardiovascular risk during pregnancy: Introduction to preeclampsia
Risk factors for preeclampsia
Etiology of preeclampsia.
Long-term cardiovascular adaptations and risk: Maternal outcomes
Clinical studies
Preclinical studies
Summary and perspectives
Long-term cardiovascular adaptations and risk: Offspring
Maternal interventions
Author contributions
3 - Cardiovascular consequences in offspring of women with polycystic ovary syndrome. Does sex matter?
Intrauterine environment in PCOS pregnancies
Birth weight in PCOS offspring. Is it a risk factor for later CVD?
PCOS and lactation
Animal models of hyperandrogenemic intrauterine environment
Considerations for studying the impact of maternal PCOS on offspring health using experimental models
Do experimental models of maternal PCOS also have abnormal birth weight offspring?
Cardiovascular diseases in PCOS daughters and sons
Mechanisms for increased BP in animal models of female offspring exposed to in-utero hyperandrogenemia
Mechanisms for increased BP in animal models of male offspring exposed to in-utero hyperandrogenemia
Conclusion
4 - Physiology of exercise at environmental extremes: Sex as a biological variable
Physiological responses to environmental heat and cold stress
Sex differences in physiological and pathophysiological responses to environmental heat stress
Physiological responses to cold exposure
Behavioral responses to cold exposure
Sex differences in physiological and pathophysiological responses to cold exposure
Peripheral vascular responses to cold exposure
Biophysical/anthropometric aspects of thermoregulation
Metabolic responses to cold exposure
Nonshivering thermogenesis - brown adipose tissue.
Nonshivering thermogenesis - skeletal muscle
Thermal behavior
Pathophysiology and cold injury
Sex differences in the pathophysiology of cold injury
Physiological responses and adaptations to high terrestrial altitude
Sex differences in physiological and pathophysiological responses to altitude exposure
Ventilatory responses
Cardiovascular and exercise performance
Hemoglobin, hematocrit, and erythropoiesis
Sympathoadrenal responses
Acute mountain sickness and altitude pathophysiology
Overall summary &amp
conclusions
Disclaimer
Further reading
5 - Dietary sodium, mineralocorticoid receptor, and sex differences in endothelial function
Abbreviations
Sex discrepancy in salt sensitivity, clinical and interventional studies
Impaired renal function and salt handling: Predominance in males
Vaso-dysfunction theory: Predominance in females
Sex-specific vascular endothelial dysfunction &amp
female prevalence of endothelial MR expression
6 - Sex differences in the cardiometabolic consequences of maternal weight loss in the offspring
Scientific pregnancy investigations
Sex as a biological variable
Models of diet induced obesity
Early intervention of maternal weight loss
Offspring outcomes from adverse pregnancies
Effect of maternal weight loss in a sex-dependent manner
Rodent models of maternal cardiometabolic disease and offspring outcomes
Pregnancy and offspring microbiome
Microbial changes with maternal weight loss and effects on cardiometabolic disease
7 - Sex differences in relaxin responses in adults and with aging
Expression of RLN family peptide receptors
RLN signal transduction pathways
RLN and tissue fibrosis.
Stimulation of NO production
Inhibition of TGF-beta 1 signaling
Upregulation of MMPs
RLN and vasodilation
Vasodilatory action of RLN in animal models of disease
The vasodilatory actions of RLN directly affect renal function
Interaction between estrogen, RLN and the RAS
RLN and the AT2R in females
Reinstating the RLN-RXFP1-AT2R axis in aged, hypertensive female rats
Serelaxin clinical trials for heart failure
Development of RLN mimetics
Summary
8 - Sex-biased mechanisms of metabolic syndrome-induced cardiovascular and retinal complications
Metabolic syndrome
Definition and prevalence
Risk factors
Pathophysiology
Insulin resistance
Chronic inflammation
Oxidative stress
Sex-biased mechanisms of MetS
Sex-biased mechanisms in MetS-induced cardiovascular complications
Sex-biased mechanisms in MetS-induced retinal complications
9 - Cardiovascular consequences of androgen gender affirming therapy in transmasculine individuals
Highlighting the concern
Quick definitions of terms
Pharmacological use of androgens in people assigned female at birth (AFAB)
Testosterone in gender-affirming hormone therapy (testo-GAHT)
Cardiovascular effects of testo-GAHT
Cardiovascular risk markers
Blood pressure
Changes in lipid metabolism
Immunological components and hematological parameters
End-organ damage
Cardiovascular outcomes
Potential mechanisms involved in the harmful cardiovascular effects induced by testo-GAHT
Direct mechanisms whereby testosterone produces cardiovascular damage/dysfunction
Effects on the heart
Effects on the vasculature
Indirect mechanisms whereby testosterone impacts cardiovascular performance
Activation of the central and sympathetic nervous system
Oxidative stress.
Renin-angiotensin-aldosterone system
Immune mechanisms
Lipid metabolism
Research challenges on the impact of testo-GAHT in the cardiovascular system
Final remarks and future directions
10 - Sex differences in stroke
Definition
Epidemiology
Risk factors of stroke
Age
Atrial fibrillation
Sex-specific risk factors
Pregnancy
Oral contraceptive and hormone therapy in menopause
Nonhormonal biological intrinsic sex differences
Acute stroke management
Symptoms
Stroke severity
Intravenous thrombolysis
Endovascular thrombectomy
Treatment of carotid artery stenosis
Postacute stroke management
Secondary prevention
Rehabilitation
Stroke outcome
Disparity in clinical trials and the academic field
Acknowledgments
11 - Cardiovascular diseases in menopause
Physiopatology mechanisms in menopause
Factors contributing to hypertension in postmenopausic women
Hypertension and cardiovascular disease in menopause
Treatment
Coronary heart disease and CV risk in women
Dyslipidemias and women
12 - Androgens and acid-base homeostasis
Renal ammonia metabolism overview
Sex differences in renal ammonia metabolism
Sexual dimorphisms in the response to acid challenges
Testosterone alters renal ammonia metabolism
Renal androgen receptor localization
Role of the androgen receptor in renal ammonia metabolism
Renal structure sexual dimorphisms and the role of androgens
What is still needed in the field
13 - Sex differences in hypertension
Hypertension is age- and sex-dependent
Age of onset
Higher CVD risk at lower blood pressure thresholds
Differences in awareness.
Sex-specific risk factors for hypertension.
Notes:
Includes bibliographical references and index.
Description based on publisher supplied metadata and other sources.
Description based on print version record.
ISBN:
9780443222672
0443222673
OCLC:
1477219270

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