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Published on: June 7, 2013
Novel mechanisms responsible for postmenopausal hypertension
Jane F Reckelhoff1, Lourdes A Fortepiani
1Department of Physiology and Biophysics, University of Mississippi Medical Center, 2500 N. State Street, Jackson, MS 39216, USA. jreckelhoff@physiology.umsmed.edu
Insights
Postmenopausal hypertension is common, but its causes are unclear. The aging female spontaneously hypertensive rat offers a model to study mechanisms like hormonal changes and the renin-angiotensin system (RAS).
Area of Science:
- Cardiovascular Physiology
- Endocrinology
- Hypertension Research
Background:
- Postmenopausal women frequently experience elevated blood pressure, a significant risk factor for cardiovascular disease.
- The precise mechanisms driving this postmenopausal hypertension remain incompletely understood.
- Potential contributing factors include hormonal shifts, increased endothelin and oxidative stress, renin-angiotensin system (RAS) activation, obesity, type II diabetes, and sympathetic nervous system activity.
Purpose of the Study:
- To review potential mechanisms underlying postmenopausal hypertension.
- To discuss the utility of the aging female spontaneously hypertensive rat (SHR) as a model for studying these mechanisms.
Main Methods:
- Review of existing literature on postmenopausal hypertension.
- Characterization of the aging female SHR as a relevant animal model.
Main Results:
- Several humoral systems and physiological changes are implicated in postmenopausal hypertension.
- The aging female SHR displays characteristics mirroring human postmenopausal hypertension, suggesting its suitability as a research model.
Conclusions:
- Further research is needed to fully elucidate the mechanisms of postmenopausal hypertension.
- The aging female SHR provides a valuable platform for investigating therapeutic strategies and understanding the pathophysiology of this condition.
Abstract:
Blood pressure increases in many women after menopause. Hypertension is one of the major risk factors for cardiovascular disease. However, the mechanisms responsible for the postmenopausal increase in blood pressure are yet to be elucidated. Various humoral systems have been proposed to play a role in postmenopausal hypertension, such as changes in estrogen/androgen ratios, increases in endothelin and oxidative stress, and activation of the renin-angiotensin system (RAS). In addition, obesity, type II diabetes, and activation of the sympathetic nervous system are common in postmenopausal women and may also play important roles. However, progress in elucidating the mechanisms responsible for postmenopausal hypertension has been hampered by the lack of a suitable animal model. The aging female spontaneously hypertensive rat (SHR) exhibits many of the characteristics found in postmenopausal women. In this review, some of the possible mechanisms that could play a role in postmenopausal hypertension are discussed, as well as the characteristics of the aged female SHR as a model to study.
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