دورية أكاديمية

The Neuro-Inflammatory-Vascular Circuit: Evidence for a Sex-Dependent Interrelation?

التفاصيل البيبلوغرافية
العنوان: The Neuro-Inflammatory-Vascular Circuit: Evidence for a Sex-Dependent Interrelation?
المؤلفون: Gebhard, Catherine, Bengs, Susan, Haider, Ahmed, Fiechter, Michael
المصدر: Frontiers in Neuroscience ; volume 14 ; ISSN 1662-453X
بيانات النشر: Frontiers Media SA
سنة النشر: 2020
المجموعة: Frontiers (Publisher - via CrossRef)
مصطلحات موضوعية: General Neuroscience
الوصف: Cardiovascular disease (CVD) is the leading cause of death worldwide with mortality rates in women currently exceeding those in men. To date, evidence is widely lacking for unique female determinants of CVD. However, strong associations with psychological stress, obesity or elevated inflammatory biomarkers with adverse cardiovascular outcomes in women have been identified in various studies. Interestingly, amygdalar metabolic activity, a central neural structure involved in emotional stress processing, has proven to be an independent predictor of major adverse cardiovascular events (MACE). Moreover, upregulated amygdalar metabolism was directly linked to myocardial injury in women, but not in men. This newly suggested sex-dependent brain-heart interrelation was further supported by the discovery that bone marrow activity, a surrogate parameter of inflammation, represents a potential bridging link between amygdalar activity and cardiovascular pathology by fueling inflammatory processes that promote atherosclerotic disease. Such malignant cascade of events might account, at least in part, for the excess female mortality seen in women with coronary artery disease and calls for sex-specific research toward pharmacologic or behavioral modulators to improve cardiovascular outcomes, particularly in women. This mini review summarizes recent advances in cardiovascular sex-specific medicine, thereby focusing on the interplay between the limbic system, autonomic regulation and inflammatory biomarkers, which may help to tailor CVD management toward the female cardiovascular phenotype.
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
DOI: 10.3389/fnins.2020.614345
DOI: 10.3389/fnins.2020.614345/full
الإتاحة: https://doi.org/10.3389/fnins.2020.614345Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.F777005
قاعدة البيانات: BASE