Risk factors for cardiovascular disease in women: Relationship to lipid peroxidation and oxidative stress
Abstract
Many risk factors that promote cardiovascular disease (CVD) have been identified. These include hypertension, hypercholesterolemia, diabetes, decreased estrogen in post-menopausal women, increased homocysteine, and cigarette smoking. It has recently become clear that a mechanism common to these risk factors is oxidative stress. CVD risk factors specific to women are parity, oophorectomy, pre-eclampsia, and menopause. There are several proposed mechanisms to explain these women-specific associations, such as reduced lifetime exposure to estrogen and insulin resistance, but the underlying mechanism is still unclear. One fact that did not receive much attention is the role of the oxidation hypothesis in these reproductive factors-CVD associations. In fact, pregnant, oophorectomized, and post-menopausal women exhibit higher levels of lipid peroxidation than non-pregnant, non-oophorectomized and pre-menopausal women, respectively. We propose that the increased levels of lipid peroxidation during these states are responsible, at least in part, for their increased risk of CVD. This review extends the concept of the oxidation hypothesis of CVD to reproductive risk factors in women. It also addresses the potential role of oxidative stress in the hyperthyroidism-CVD relationship, as hyperthyroidism is a common disorder that most frequently occurs in women. We also discuss how screening human populations for reactive oxygen species (ROS) levels could help identify groups with a high level of ROS that may be at risk of developing CVD.
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The oxidation hypothesis may partly explain the association between reproductive risk factors, including endometriosis and increased CVD risk.
“Fourth, the oxidation hypothesis may partly explain the association between reproductive risk factors, including endometriosis and increased CVD risk. 40”
From Risk of cardiovascular outcomes among women with endometriosis in the United Kingdom: a retrospective matched cohort study (2021) · cites this paper as [40]
The oxidation hypothesis explains that low-density lipoprotein is not atherogenic on its own; for atherosclerosis to occur, reactive oxygen species must oxidise low-density lipoproteins leading to cell formation, a dysfunctional endothelium and finally atherogenesis.
“The hypothesis explains that low-density lipoprotein is not atherogenic on its own; for atherosclerosis to occur, reactive oxygen species must oxidise low-density lipoproteins leading to cell formation, a dysfunctional endothelium and finally atherogenesis.”
From Risk of cardiovascular outcomes among women with endometriosis in the United Kingdom: a retrospective matched cohort study (2021) · cites this paper as [40]
A recent UK study showed that 94% of patients with a diagnosis for endometriosis in UK primary care had at least one diagnostic procedure performed, including ultrasound, magnetic resonance imaging, laparoscopy and histology, before diagnosis.
“First, a recent UK study showed that 94% of patients with a diagnosis for endometriosis in UK primary care had at least one diagnostic procedure performed, including ultrasound, magnetic resonance imaging, laparoscopy and histology, before diagnosis. 40”
From Risk of cardiovascular outcomes among women with endometriosis in the United Kingdom: a retrospective matched cohort study (2021) · cites this paper as [40]
Cites
Epstein, F. H., Steinberg, D. I., Parthasarathy, S., Carew, T. E., Khoo, J. C., & Witztum, J. L. (1989) · New England Journal of Medicine · doi:10.1056/nejm198904063201407 · Cited by 6,425 · see citing works
(1994) · New England Journal of Medicine · doi:10.1056/nejm199404143301501 · Cited by 4,737 · see citing works
THE SPECTRUM OF THYROID DISEASE IN A COMMUNITY: THE WHICKHAM SURVEY
Tunbridge, W. M. G., Evered, D. C., Hall, R., Appleton, D. R., BREWIS, M., CLARK, F., Evans, J. G., Young, E. T., Bird, T., & Smith, P. (1977) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1977.tb01340.x · Cited by 2,665 · see citing works
Vitamin E Consumption and the Risk of Coronary Heart Disease in Men
Rimm, E. B., Stampfer, M. J., Ascherio, A., Giovannucci, E. L., Colditz, G. A., & Willett, W. C. (1993) · New England Journal of Medicine · doi:10.1056/nejm199305203282004 · Cited by 2,335 · see citing works
The role of lipid peroxidation and antioxidants in oxidative modification of LDL
Esterbauer, H., Gebicki, J. M., Puhl, H., & Jürgens, G. (1992) · Free Radical Biology and Medicine · doi:10.1016/0891-5849(92)90181-f · Cited by 2,307 · see citing works
Thyroid hormone and the cardiovascular system.
Klein, I., & Ojamaa, K. (2001) · New England Journal of Medicine · doi:10.1056/nejm200102153440707 · Cited by 2,300 · see citing works
Stephens, N. G., Parsons, A., Brown, M. J., Schofield, P. M., Kelly, F., Cheeseman, K., & Mitchinson, M. (1996) · The Lancet · doi:10.1016/s0140-6736(96)90866-1 · Cited by 2,148 · see citing works
Vitamin E Consumption and the Risk of Coronary Disease in Women
Stampfer, M. J., Hennekens, C. H., Manson, J. E., Colditz, G. A., ROSNER, B. A., & Willett, W. C. (1993) · New England Journal of Medicine · doi:10.1056/nejm199305203282003 · Cited by 2,085 · see citing works
(1999) · PubMed · Cited by 2,062 · see citing works
Vitamin E Supplementation and Cardiovascular Events in High-Risk Patients
(2000) · New England Journal of Medicine · doi:10.1056/nejm200001203420302 · Cited by 1,957 · see citing works
Ylä‐Herttuala, S., Palinski, W., Rosenfeld, M. E., Parthasarathy, S., Carew, T. E., Butler, S. S., Witztum, J. L., & Steinberg, D. H. (1989) · Journal of Clinical Investigation · doi:10.1172/jci114271 · Cited by 1,877 · see citing works
Steinbrecher, U. P., Parthasarathy, S., Leake, D. S., Witztum, J. L., & Steinberg, D. I. (1984) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.81.12.3883 · Cited by 1,626 · see citing works
ABC of breast diseases. Breast cancer-epidemiology, risk factors, and genetics
McPherson, K. (2000) · BMJ · doi:10.1136/bmj.321.7261.624 · Cited by 1,570 · see citing works
The role of oxidized lipoproteins in atherogenesis
Berliner, J. A., & Heinecke, J. W. (1996) · Free Radical Biology and Medicine · doi:10.1016/0891-5849(95)02173-6 · Cited by 1,365 · see citing works
Antioxidants and Atherosclerotic Heart Disease
Diaz, M. N., Frei, B. B., Vita, J. A., & Keaney, J. F. (1997) · New England Journal of Medicine · doi:10.1056/nejm199708073370607 · Cited by 1,353 · see citing works
Estrogen and coronary heart disease in women
Barrett-Connor, E. (1991) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1991.03460140089033 · Cited by 1,241 · see citing works
McConnell, J. M. L., Shelley, P., Heales, S., John, C., Jensen, R. I., Khan, I. Y., Taylor, P. D., & Poston, L. (2005) · Cited by 1,235 · see citing works
Irgens, H. U., Roberts, J. M., Reisæter, L., Irgens, L. M., & Lie, R. T. (2001) · BMJ · doi:10.1136/bmj.323.7323.1213 · Cited by 1,040 · see citing works
Smith, G. C. S., Pell, J. P., & Walsh, D. (2001) · The Lancet · doi:10.1016/s0140-6736(00)05112-6 · Cited by 981 · see citing works
Sattar, N. A., & Greer, I. A. (2002) · BMJ · doi:10.1136/bmj.325.7356.157 · Cited by 818 · see citing works
Oxidized Phospholipids, Lp(a) Lipoprotein, and Coronary Artery Disease
Tsimikas, S., Brilakis, E. S., Miller, E. R., McConnell, J. P., Lennon, R. J., Kornman, K. S., Witztum, J. L., & Berger, P. B. (2005) · New England Journal of Medicine · doi:10.1056/nejmoa043175 · Cited by 782 · see citing works
Malondialdehyde-Altered Protein Occurs in Atheroma of Watanabe Heritable Hyperlipidemic Rabbits
Haberland, M. E., Fong, D., & Cheng, L. (1988) · Science · doi:10.1126/science.2455346 · Cited by 748 · see citing works
Wilson, B. J., Watson, M. S., Prescott, G. J., Sunderland, S., Campbell, D. M., Hannaford, P., & Smith, W. C. S. (2003) · BMJ · doi:10.1136/bmj.326.7394.845 · Cited by 723 · see citing works
Sex Differences in Coronary Heart Disease
Barrett-Connor, E. L. (1997) · Circulation · doi:10.1161/01.cir.95.1.252 · Cited by 648 · see citing works
Thrombosis in pregnancy: maternal and fetal issues
Greer, I. A. (1999) · The Lancet · doi:10.1016/s0140-6736(98)10265-9 · Cited by 603 · see citing works
Rosenfeld, M. E., Palinski, W., Ylä‐Herttuala, S., Butler, S. S., & Witztum, J. L. (1990) · Arteriosclerosis An Official Journal of the American Heart Association Inc · doi:10.1161/01.atv.10.3.336 · Cited by 474 · see citing works
Factors Associated with Oxidative Stress in Human Populations
Block, G. (2002) · American Journal of Epidemiology · doi:10.1093/aje/kwf029 · Cited by 470 · see citing works
Heinecke, J. W. (1998) · Atherosclerosis · doi:10.1016/s0021-9150(98)00173-7 · Cited by 466 · see citing works
Salganik, R. I. (2001) · Journal of the American College of Nutrition · doi:10.1080/07315724.2001.10719185 · Cited by 401 · see citing works
Greater Oxidative Stress in Healthy Young Men Compared With Premenopausal Women
Ide, T., Tsutsui, H., Ohashi, N., Hayashidani, S., Suematsu, N., Tsuchihashi, M., Tamai, H., & Takeshita, A. (2002) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/hq0302.104515 · Cited by 356 · see citing works
Biondi, B. (2000) · Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.85.12.4701 · Cited by 356 · see citing works
Number of Pregnancies and the Subsequent Risk of Cardiovascular Disease
Ness, R. B., Harris, T. B., Cobb, J. L., Flegal, K. M., Kelsey, J. L., Balanger, A., Stunkard, A. J., & D’Agostino, R. B. (1993) · New England Journal of Medicine · doi:10.1056/nejm199305273282104 · Cited by 317 · see citing works
Mortality after the Treatment of Hyperthyroidism with Radioactive Iodine
Franklyn, J. A., Maisonneuve, P., Sheppard, M. C., Betteridge, J., & Boyle, P. (1998) · New England Journal of Medicine · doi:10.1056/nejm199803123381103 · Cited by 308 · see citing works
Dixon, J. M. (2012) · Medical Entomology and Zoology · Cited by 287 · see citing works
Death rates from ischemic heart disease in women with a history of hypertension in pregnancy
Sjónsdóttir, L., Arngrı́msson, R., Geirsson, R. T., Slgvaldason, H., & Slgfússon, N. (1995) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.3109/00016349509021195 · Cited by 282 · see citing works
Cardiovascular sequelae of toxaemia of pregnancy.
Hannaford, P. C., Ferry, S., & Hirsch, S. (1997) · Heart · doi:10.1136/hrt.77.2.154 · Cited by 255 · see citing works
Estrogen and Sex Hormone-Binding Globulin Levels in Nulliparous and Parous Women 2
Bernstein, L., Pike, M. C., Ronald K. Ross, M. D., et al. (1985) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/74.4.741 · Cited by 222 · see citing works
Sex matters: secular and geographical trends in sex differences in coronary heart disease mortality
Lawlor, D. A., Ebrahim, S., & Smith, G. D. (2001) · BMJ · doi:10.1136/bmj.323.7312.541 · Cited by 213 · see citing works
Sattar, N. A., Greer, I. A., Louden, J., Lindsay, G., McConnell, M., Shepherd, J., & Packard, C. J. (1997) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.82.8.4126 · Cited by 193 · see citing works
The Role of Placental Oxidative Stress and Lipid Peroxidation in Preeclampsia
Gupta, S., Agarwal, A. K., & Sharma, R. K. (2005) · Obstetrical & Gynecological Survey · doi:10.1097/01.ogx.0000193879.79268.59 · Cited by 176 · see citing works
The Oxidation of Lipoproteins by Monocytes-Macrophages
Chisolm, G. M., Hazen, S. L., Fox, P. L., & Cathcart, M. K. (1999) · Journal of Biological Chemistry · doi:10.1074/jbc.274.37.25959 · Cited by 174 · see citing works
Mortality in women in relation to their childbearing history.
Green, A., Beral, V., & Moser, K. A. (1988) · BMJ · doi:10.1136/bmj.297.6645.391 · Cited by 164 · see citing works
Measuring Circulating Oxidized Low-Density Lipoprotein to Evaluate Coronary Risk
Tsimikas, S., & Witztum, J. L. (2001) · Circulation · doi:10.1161/01.cir.103.15.1930 · Cited by 155 · see citing works
The Association of Thyroid Function with Cardiac Mass and Left Ventricular Hypertrophy
Dörr, M., Wolff, B., Robinson, D. M., John, U., Lüdemann, J., Meng, W., Felix, S. B., & Völzke, H. (2005) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-1554 · Cited by 140 · see citing works
Is normal pregnancy atherogenic?
Martin, U., DAVIES, C., Hayavi, S., Hartland, A. J., & Dunne, F. (1999) · Clinical Science · doi:10.1042/cs0960421 · Cited by 140 · see citing works
Pereira, B. J., Rosa, L. F. B. P. C., Safi, D. A., et al. (1994) · Journal of Endocrinology · doi:10.1677/joe.0.1400073 · Cited by 132 · see citing works
Daugherty, A., Zweifel, B. S., Sobel, B. E., & Schonfeld, G. (1988) · Arteriosclerosis An Official Journal of the American Heart Association Inc · doi:10.1161/01.atv.8.6.768 · Cited by 129 · see citing works
Sattar, N. A. (1997) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.82.8.2483 · Cited by 127 · see citing works
Cardiovascular death in women who had hypertension in pregnancy: a case–control study
Arnadottir, G. A., Geirsson, R. T., Arngrı́msson, R., Jónsdóttir, L. S., & Ólafsson, Ö. (2005) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2004.00396.x · Cited by 120 · see citing works
Oxidative Stress and Anti-Oxidant Metabolites in Patients with Hyperthyroidism: Effect of Treatement
Bianchi, G., Solaroli, E., Zaccheroni, V., Grossi, G., Bargossi, A., Melchionda, N., & Marchesini, G. (1999) · Hormone and Metabolic Research · doi:10.1055/s-2007-978808 · Cited by 114 · see citing works
Role of Lipid Peroxidation in the Epidemiology and Prevention of Breast Cancer
Gago-Domínguez, M., Castelao, J. E., Pike, M. C., Sevanian, A., & Haile, R. W. (2005) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-05-0015 · Cited by 114 · see citing works
Self-citationOxidized amino acids: culprits in human atherosclerosis and indicators of oxidative stress
Heinecke, J. W. (2002) · Free Radical Biology and Medicine · doi:10.1016/s0891-5849(02)00792-x · Cited by 112 · see citing works
Effect of Thyroid Function on LDL Oxidation
Costantini, F., Pierdomenico, S. D., Cesare, D. D., et al. (1998) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/01.atv.18.5.732 · Cited by 110 · see citing works
Gonadal Function and the Development of Coronary Heart Disease
Ritterband, A. B., Jaffe, I. A., Densen, P. M., Magagna, J. F., & REED, E. (1963) · Circulation · doi:10.1161/01.cir.27.2.237 · Cited by 105 · see citing works
Cardiac Dysrhythmias and Thyroid Dysfunction - The Hidden Menace?
Osman, F., GAMMAGE, M. D., Sheppard, M. C., & Franklyn, J. A. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.87.3.8217 · Cited by 94 · see citing works
Reproductive History and Coronary Heart Disease Risk in Women
Ness, R. B., Schotland, H. M., Flegal, K. M., & Shofer, F. S. (1994) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a036155 · Cited by 94 · see citing works
Parental diabetes and birth weight of offspring: intergenerational cohort study
Hyppönen, E., Smith, G. D., & Power, C. (2003) · BMJ · doi:10.1136/bmj.326.7379.19 · Cited by 85 · see citing works
Koch's postulates for cholesterol
Brown, M. S., & Goldstein, J. L. (1992) · Cell · doi:10.1016/0092-8674(92)90346-e · Cited by 74 · see citing works
Number of Pregnancies and Risk of Cardiovascular Disease
Palmer, J. R., Rosenberg, L., & Shapiro, S. (1993) · New England Journal of Medicine · doi:10.1056/nejm199312163292515 · Cited by 68 · see citing works
Asayama, K., Dobashi, K., Hayashibe, H., et al. (1989) · Journal of Nutritional Science and Vitaminology · doi:10.3177/jnsv.35.407 · Cited by 64 · see citing works
Kupffer Cell Function in Thyroid Hormone-Induced Liver Oxidative Stress in the Rat
Tapiv, G., Pepper, I., Smok, G., et al. (1997) · Free Radical Research · doi:10.3109/10715769709097805 · Cited by 63 · see citing works
Morini, P., Casalino, E., Sblano, C., et al. (1991) · International Journal of Biochemistry · doi:10.1016/0020-711x(91)90140-i · Cited by 61 · see citing works
Cardiac Risks of Hyperthyroidism in the Elderly
Kahaly, G., Nieswandt, J., & Mohr-Kahaly, S. (1998) · Thyroid · doi:10.1089/thy.1998.8.1165 · Cited by 56 · see citing works
Adali, M., İnal-erden, Ṁ., Akalın, A., et al. (1999) · Clinical Biochemistry · doi:10.1016/s0009-9120(99)00024-7 · Cited by 54 · see citing works
Hubel, C. A., Shakir, Y., Gallaher, M. J., McLaughlin, M. K., & Roberts, J. M. (1998) · Journal of the Society for Gynecologic Investigation · doi:10.1177/107155769800500504 · Cited by 54 · see citing works
Postmenopausal Hormone Replacement Therapy and Cardiovascular Risk Reduction
Kafonek, S. D. (1994) · Drugs · doi:10.2165/00003495-199400472-00005 · Cited by 54 · see citing works
Is normal pregnancy atherogenic?
MARTIN, U., Davies, C. C., HAYAVI, S., et al. (1999) · Clinical Science · doi:10.1042/cs19980326 · Cited by 54 · see citing works
Acute Hyperlipidemia Increases Oxidative Stress More in African Americans Than in White Americans
Lopes, H. F. (2003) · American Journal of Hypertension · doi:10.1016/s0895-7061(03)00041-4 · Cited by 51 · see citing works
Mehrotra, S., Ling, K. L. E., Bekele, Y., Gerbino, E., & Earle, K. (2001) · Diabetic Medicine · doi:10.1046/j.1464-5491.2001.00416.x · Cited by 50 · see citing works
Haddock, B. L., Marshak, H. P. H., Mason, J. J., & Blix, G. (2000) · Sports Medicine · doi:10.2165/00007256-200029010-00004 · Cited by 49 · see citing works
Rumley, A. G., Woodward, M., Rumley, J., Rumley, J., & Lowe, G. D. O. (2004) · QJM · doi:10.1093/qjmed/hch130 · Cited by 46 · see citing works
Dinçer, Y., Ozen, E., Kadıoğlu, P., et al. (2001) · Endocrine Research · doi:10.1081/erc-100106008 · Cited by 32 · see citing works
Hubel, C. A., Shakir, Y. F., Gallaher, M. J., McLaughlin, M. K., & Roberts, J. M. (1998) · Journal of the Society for Gynecologic Investigation · doi:10.1016/s1071-5576(98)00022-7 · Cited by 27 · see citing works
Lawlor, D. A., Ebrahim, S., & Smith, G. D. (2002) · BMJ · doi:10.1136/bmj.325.7359.311 · Cited by 25 · see citing works
Seven, A., Taşan, E., Hatemi, H. H., et al. (1999) · PubMed · doi:10.18926/amo/31651 · Cited by 17 · see citing works
Dirican, M., & Taş, S. (1999) · PubMed · Cited by 13 · see citing works
Sarand�l, E., Dirican, M., & SERDAR, Z. A. (2003) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-003-0524-7 · Cited by 8 · see citing works
EFFECTS OF OXIDATIVE STRESS ON THE ERYTHROCYTE Na+,K+ATPase ACTIVITY IN FEMALE HYPERTHYROID PATIENTS
Konukoğlu, D., Yelke, H. K., Hatemi, H., et al. (2001) · Journal of Toxicology and Environmental Health · doi:10.1080/15287390151143677 · Cited by 7 · see citing works
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Fardet, A. (2010) · Nutrition Research Reviews · doi:10.1017/s0954422410000041 · Cited by 1,030 · see citing works
Okoth, K., Wang, J., Zemedikun, D., Thomas, G., Nirantharakumar, K., & Adderley, N. (2021) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.16692 · Cited by 88 · see citing works
- Authors
- Castelao, J. E., & Gago-Dominguez, M.
- Affiliations
- University of Southern California (US)
- Corresponding author
- Castelao, J. Esteban
- ORCID
- Castelao, J. Esteban
- Venue
- Medical Hypotheses
- Publisher
- Elsevier BV
- Published
- 2008-01
- Volume
- 71
- Issue
- 1
- Pages
- 39-44
- ISSN
- 0306-9877 (ISSN-L)
- OpenAlex
- W1977687854
- Cited by
- 79
- References
- 79
- Citations by year
- 2026: 3 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 4 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 5 · 2014: 3 · 2013: 5 · 2012: 6
- FWCI
- 5.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Hypotheses (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
- Keywords
- cardiovascular risk factors, women, lipid peroxidation, oxidative stress, parity, oophorectomy, menopause, preeclampsia, estrogen, insulin resistance, hyperthyroidism, reactive oxygen species, hypertension, hypercholesterolemia, homocysteine, smoking
- MeSH terms
- Cardiovascular Diseases, Female, Humans, Hypertension, Hyperthyroidism, Menopause, Models, Cardiovascular, Ovariectomy, Parity, Pregnancy, Pregnancy Complications, Cardiovascular, Risk Factors, Lipid Peroxidation, Reactive Oxygen Species, Oxidative Stress
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