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Vascular Pathways of Testosterone: Clinical Implications
Margarida Lorigo1, Melissa Mariana1, Nelson Oliveira2
1CICS-UBI - Centro de Investigação em Ciências da Saúde, University of Beira Interior, 6200-506, Covilhã, Portugal.
Abstract:
Cardiovascular diseases (CVD) are one of the leading causes of death worldwide. Testosterone (T) is an important sex hormone that triggers several genomic and non-genomic pathways, leading to improvements of several cardiovascular risk factors and quality of life in men. At the vascular level, the key effect of T is the vasorelaxation. This review discusses the molecular pathways and clinical implications of T in the vascular system. Firstly, the mechanisms involved in the T vasodilator effect will be presented. Then, it will be discussed the association of T with the main risks for CVD, namely metabolic syndrome, type 2 diabetes mellitus, obesity, atherosclerosis, dyslipidaemia and hypertension. Several studies have shown a correlation between low T levels and an increased prevalence of several CVD. These observations suggest that T has beneficial effects on the cardiovascular system and that testosterone replacement therapy may become a therapeutic reality for some of these disorders. Graphical abstract .
Insights
Testosterone (T) improves cardiovascular health by promoting vasodilation and mitigating risk factors like obesity and hypertension. Low T levels correlate with increased cardiovascular disease (CVD) prevalence, suggesting potential therapeutic benefits.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Molecular Biology
Background:
- Cardiovascular diseases (CVD) are a major global health concern.
- Testosterone (T) plays a crucial role in male health, influencing cardiovascular risk factors.
- T exerts beneficial vascular effects, primarily through vasodilation.
Purpose of the Study:
- To review the molecular mechanisms underlying testosterone's vasodilator effects.
- To examine the association between testosterone levels and major CVD risk factors.
- To discuss the clinical implications of testosterone in cardiovascular health.
Main Methods:
- Literature review of studies on testosterone and the vascular system.
- Analysis of molecular pathways involved in testosterone's vascular actions.
- Examination of epidemiological data linking testosterone levels to CVD prevalence and risk factors.
Main Results:
- Testosterone induces vasodilation through various genomic and non-genomic pathways.
- Low testosterone levels are correlated with increased prevalence of metabolic syndrome, type 2 diabetes, obesity, atherosclerosis, dyslipidaemia, and hypertension.
- Evidence suggests a protective role for testosterone in the cardiovascular system.
Conclusions:
- Testosterone has significant beneficial effects on cardiovascular health.
- Testosterone replacement therapy may represent a future therapeutic strategy for specific cardiovascular conditions.
- Understanding T's vascular mechanisms is key to its clinical application in CVD management.
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