Sex-biased and sex hormone-dependent regulation of apolipoprotein A1

IF 2.5 Q2 PHYSIOLOGY Current Opinion in Physiology Pub Date : 2023-06-01 DOI:10.1016/j.cophys.2023.100654
Anja Angelov , Paul J Connelly , Christian Delles , Georgios Kararigas
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Abstract

Pronounced sex differences in the development and outcome of cardiovascular diseases (CVD) exist. Apolipoprotein A1 (APOA1), the basic structural protein of high-density lipoprotein (HDL), is involved in key metabolic processes. However, its role in the pathogenesis of CVD is incompletely understood. The effects of biological sex on factors influencing the APOA1-lipid balance and the underlying mechanisms are also poorly understood. Here, we summarize evidence supporting sex-biased and sex hormone-dependent regulation of APOA1. In particular, we discuss sex-biased APOA1 genetic variation, sex differences in APOA1 regulation and cardiovascular physiology, and sex hormone-dependent regulation of APOA1 in cis- and transgender individuals. We put forward that studying the effects of biological sex will contribute to a better understanding of the role of APOA1 in cardiovascular physiology and its sex-biased association with CVD. Importantly, in situations of sex hormone therapy or inhibition, more sex-stratified data are required to inform clinical management of APOA1-related cardiovascular risk in a sex-dependent manner.

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载脂蛋白A1的性别偏向性和性激素依赖性调控
心血管疾病(CVD)的发展和结果存在明显的性别差异。载脂蛋白A1(APOA1)是高密度脂蛋白(HDL)的基础结构蛋白,参与关键的代谢过程。然而,它在心血管疾病发病机制中的作用尚不完全清楚。生物学性别对影响APOA1脂质平衡的因素的影响及其潜在机制也知之甚少。在此,我们总结了支持APOA1的性别偏见和性激素依赖性调节的证据。特别是,我们讨论了性别偏见的APOA1基因变异、APOA1调节和心血管生理学的性别差异,以及顺式和转基因个体中APOA1的性激素依赖性调节。我们提出,研究生物性别的影响将有助于更好地理解APOA1在心血管生理学中的作用及其与CVD的性别偏见关系。重要的是,在性激素治疗或抑制的情况下,需要更多的性别分层数据来以性别依赖的方式告知APOA1相关心血管风险的临床管理。
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来源期刊
Current Opinion in Physiology
Current Opinion in Physiology Medicine-Physiology (medical)
CiteScore
5.80
自引率
0.00%
发文量
52
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