Cited by 1,268Renin-Angiotensin System StudiesBlood Pressure and Hypertension StudiesHormonal and reproductive studies

Gender differences in the regulation of blood pressure

Reckelhoff, Jane F.·2001·Hypertension

Abstract

Men are at greater risk for cardiovascular and renal disease than are age-matched, premenopausal women. Recent studies using the technique of 24-hour ambulatory blood pressure monitoring have shown that blood pressure is higher in men than in women at similar ages. After menopause, however, blood pressure increases in women to levels even higher than in men. Hormone replacement therapy in most cases does not significantly reduce blood pressure in postmenopausal women, suggesting that the loss of estrogens may not be the only component involved in the higher blood pressure in women after menopause. In contrast, androgens may decrease only slightly, if at all, in postmenopausal women. In this review the possible mechanisms by which androgens may increase blood pressure are discussed. Findings in animal studies show that there is a blunting of the pressure-natriuresis relationship in male spontaneously hypertensive rats and in ovariectomized female spontaneously hypertensive rats treated chronically with testosterone. The key factor in controlling the pressure-natriuresis relationship is the renin-angiotensin system (RAS). The possibility that androgens increase blood pressure via the RAS is explored, and the possibility that the RAS also promotes oxidative stress leading to production of vasoconstrictor substances and reduction in nitric oxide availability is proposed.

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  1. Weiner CP, Lizasain I, Baylis SA, Knowles RG, Charles IG, Moncada S. Induction of calcium dependent NO synthase by sex hormones. Proc Natl Acad Sci U S A. 1994;91:5212-5216.
  2. Reckelhoff JF, Zhang H, Srivastava K. Gender differences in the devel- opment of hypertension in SHR: role of the renin-angiotensin system. Hypertension. 2000;35:480 -483.
  3. Hennington BS, Henegar L, Sinning AR, Granger JP, Reckelhoff JF. Localization of androgen receptors in the kidney of male rats. Hyper- tension. 1997;30:510. Abstract.
  4. Takahashi K, Nammour TM, Fukunaga M, Ebert J, Morrow JD, Roberts ILJ, Hoover RL, Badr KF. Glomerular action of a free radical generated novel prostaglandin, 8-epi-prostaglandin F 2-alpha , in the rat. J Clin Invest. 1992;90:136 -141.
  5. Harrison-Bernard LM, Raij L. Post-ovariectomy hypertension is linked to upregulation of renal angiotensin II type I (AT1) receptors and increased salt-sensitivity. Hypertension. 1999;34:36. Abstract.
  6. Raij L, Jaimes E, Hayakawa H. Development of post-ovariectomy hyper- tension is linked to salt sensitivity. Hypertension. 1998;32:601. Abstract.

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Authors
Reckelhoff, J. F.
Affiliations
University of Mississippi Medical Center (US)
Corresponding author
Reckelhoff, Jane F.
Venue
Hypertension
Published
2001-05
Volume
37
Issue
5
Pages
1199-1208
ISSN
  • 0194-911X (ISSN-L)
  • 1524-4563
OpenAlex
W2041781505
Cited by
1,268
References
96
Citations by year
2026: 45 · 2025: 71 · 2024: 71 · 2023: 78 · 2022: 76 · 2021: 67 · 2020: 62 · 2019: 50 · 2018: 71 · 2017: 66 · 2016: 70 · 2015: 53 · 2014: 44 · 2013: 45 · 2012: 49
FWCI
5.90
Type
journal article
Language
en
Open access
closed
Locations
  • Hypertension (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • American Heart Association
  • National Institutes of Health (51971, HL-51971)
  • National Heart, Lung, and Blood Institute (HL‐51971, P01HL051971)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
Keywords
sex differences in blood pressure, postmenopausal hypertension, androgens, estrogen loss, renin-angiotensin system, spontaneously hypertensive rats, ovariectomy, testosterone, oxidative stress, nitric oxide, hormone replacement therapy
MeSH terms
Androgens, Animals, Blood Pressure, Estrogens, Female, Humans, Hypertension, Male, Renin-Angiotensin System, Sex Characteristics, Testosterone, Postmenopause, Oxidative Stress, Hormone Replacement Therapy

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