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Cited by 527

The DOI matches its Crossref record; 174 of the 174 references it cites were found in a registry or an index.

Role of Estrogens in the Regulation of Liver Lipid Metabolism

Open access
Palmisano, Brian T., Zhu, Lin, Stafford, John M.·2017·Advances in Experimental Medicine and Biology

Abstract

Before menopause, women are protected from atherosclerotic heart disease associated with obesity relative to men. Sex hormones have been proposed as a mechanism that differentiates this risk. In this review, we discuss the literature around how the endogenous sex hormones and hormone treatment approaches after menopause regulate fatty acid, triglyceride and cholesterol metabolism to influence cardiovascular risk. The important regulatory functions of estrogen signaling pathways with regard to lipid metabolism have been in part obscured by clinical trials with hormone treatment of women after menopause, due to different formulations, routes of delivery, and pairings with progestins. Oral hormone treatment with several estrogen preparations increase VLDL triglyceride production. Progestins oppose this effect by stimulating VLDL clearance in both humans and animals. Transdermal estradiol preparations do not increase VLDL production or serum triglycerides. Many aspects of sex-differences in atherosclerotic heart disease risk are influenced by the distributed actions of estrogens in muscle, adipose and liver. In humans, 17β estradiol (E2) is the predominant circulating estrogen, and signals through Estrogen Receptor alpha (ERα), Estrogen Receptor beta (ER β) and G-protein coupled Estrogen Receptor (GPER). Over 1000 human liver genes display a sex-bias in their expression, and the top biological pathways are in lipid metabolism and genes related to cardiovascular disease. Many of these genes display variation depending on estrus cycling in the mouse. Future directions will likely rely on targeting estrogens to specific tissues, or specific aspects of the signaling pathways in order to recapitulate the protective physiology of pre-menopause therapeutically after menopause.

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Metadata

Authors
Palmisano, B. T., Zhu, L., & Stafford, J. M.
Venue
Advances in Experimental Medicine and Biology
Published
2017
Volume
1043
Pages
227-256
ISSN
  • 0065-2598 (ISSN-L)
  • 2214-8019
OpenAlex
W2774259180
Cited by
527
References
174
FWCI
77.45
Type
book chapter
Language
en
Open access
green

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CoChat. (2026). Citation check: Role of Estrogens in the Regulation of Liver Lipid Metabolism. https://app.cochat.ai/papers/10.1007/978-3-319-70178-3_12
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Palmisano, B. T., Zhu, L., & Stafford, J. M. (2017). Role of Estrogens in the Regulation of Liver Lipid Metabolism. Advances in Experimental Medicine and Biology. https://doi.org/10.1007/978-3-319-70178-3_12

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.