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Updated: May 13, 2026

An In Vivo Estrogen Deficiency Mouse Model for Screening Exogenous Estrogen Treatments of Cardiovascular Dysfunction After Menopause
Published on: August 13, 2019
GPER: a novel target for non-genomic estrogen action in the cardiovascular system
1Women's Health Division, Michael E. DeBakey Institute, College Station, TX 77843, USA. ghan@cvm.tamu.edu
Abstract:
A key to harnessing the enormous therapeutic potential of estrogens is understanding the diversity of estrogen receptors and their signaling mechanisms. In addition to the classic nuclear estrogen receptors (i.e., ERα and ERβ), over the past decade a novel G-protein-coupled estrogen receptor (GPER) has been discovered in cancer and other cell types. More recently, this non-genomic signaling mechanism has been found in blood vessels, and mediates vasodilatory responses to estrogen and estrogen-like agents; however, downstream signaling events involved acute estrogen action remain unclear. The purpose of this review is to discuss the latest knowledge concerning GPER modulation of cardiovascular function, with a particular emphasis upon how activation of this receptor could mediate acute estrogen effects in the heart and blood vessels (i.e., vascular tone, cell growth and differentiation, apoptosis, endothelial function, myocardial protection). Understanding the role of GPER in estrogen signaling may help resolve some of the controversies associated with estrogen and cardiovascular function. Moreover, a more thorough understanding of GPER function could also open significant opportunities for the development of new pharmacological strategies that would provide the cardiovascular benefits of estrogen while limiting the potentially dangerous side effects.
Insights
Estrogen
Area of Science:
- Cardiovascular Science
- Endocrinology
- Molecular Biology
Background:
- Estrogens exert therapeutic effects via nuclear estrogen receptors (ERα, ERβ) and a novel G-protein-coupled estrogen receptor (GPER).
- GPER mediates non-genomic signaling, including vasodilatory responses in blood vessels, but downstream pathways remain unclear.
- Understanding estrogen receptor signaling is crucial for its therapeutic applications.
Purpose of the Study:
- To review current knowledge on GPER's role in cardiovascular function.
- To emphasize GPER's mediation of acute estrogen effects in the heart and blood vessels.
- To explore GPER's potential in developing targeted therapies.
Main Methods:
- Literature review of studies investigating GPER and cardiovascular effects.
- Analysis of GPER signaling pathways in vascular tone, cell growth, apoptosis, endothelial function, and myocardial protection.
- Synthesis of current understanding of GPER's contribution to estrogen's cardiovascular actions.
Main Results:
- GPER activation influences vascular tone, cell growth, apoptosis, endothelial function, and myocardial protection.
- GPER mediates rapid, non-genomic estrogen signaling in the cardiovascular system.
- GPER's precise downstream signaling events require further elucidation.
Conclusions:
- GPER plays a significant role in mediating acute estrogen effects on the cardiovascular system.
- Understanding GPER function may resolve controversies surrounding estrogen and cardiovascular health.
- Targeting GPER offers potential for developing cardiovascular therapies with reduced side effects.
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