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Sexual Dimorphism in Cardiometabolic Diseases: The Role of AMPK
Miroslava Kvandova1, Angelika Puzserova1, Peter Balis1
1Institute of Normal and Pathological Physiology, Centre of Experimental Medicine, Slovak Academy of Sciences, 841 04 Bratislava, Slovakia.
Insights
Sex hormones influence metabolic syndrome and cardiovascular diseases (CVDs). Understanding the cross-talk between AMP-dependent protein kinase (AMPK) and sex hormones offers insights into sex-specific prevention and treatment strategies for CVDs.
Area of Science:
- Endocrinology
- Cardiology
- Metabolic Health
Background:
- Cardiovascular diseases (CVDs) are a leading cause of mortality globally.
- Metabolic syndrome, characterized by obesity and related factors like hypertension and dysregulated glucose/lipid metabolism, significantly increases CVD risk.
- Sex hormones play a role in metabolic regulation and sex-specific susceptibility to obesity, necessitating tailored management approaches.
Purpose of the Study:
- To review the interplay between AMP-dependent protein kinase (AMPK) and sex hormones.
- To explore the role of this interaction in cardiometabolic disease development and progression.
- To identify potential therapeutic targets for human diseases.
Main Methods:
- Literature review of existing research on AMPK, sex hormones, and cardiometabolic health.
- Analysis of studies investigating the regulatory mechanisms between AMPK and sex hormones.
- Synthesis of findings related to cardiovascular protection and anti-diabetic properties.
Main Results:
- AMPK exhibits protective effects in the cardiovascular system and possesses anti-diabetic properties.
- Sex hormones regulate AMPK activity, influencing metabolic processes.
- The cross-talk between AMPK and sex hormones is a critical factor in cardiometabolic disease.
Conclusions:
- AMPK activation holds potential cardiometabolic benefits.
- Understanding the sex-specific regulation of AMPK by sex hormones is crucial for developing targeted therapies.
- This interaction represents a promising target for the primary and secondary prevention of cardiovascular diseases.
Abstract:
Cardiovascular diseases (CVDs) are the leading cause of mortality and disability among both males and females. The risk of cardiovascular diseases is heightened by the presence of a risk factor cluster of metabolic syndrome, covering obesity and obesity-related cardiometabolic risk factors such as hypertension, glucose, and lipid metabolism dysregulation primarily. Sex hormones contribute to metabolic regulation and make women and men susceptible to obesity development in a different manner, which necessitates sex-specific management. Identifying crucial factors that protect the cardiovascular system is essential to enhance primary and secondary prevention of cardiovascular diseases and should be explicitly studied from the perspective of sex differences. It seems that AMP-dependent protein kinase (AMPK) may be such a factor since it has the protective role of AMPK in the cardiovascular system, has anti-diabetic properties, and is regulated by sex hormones. Those findings highlight the potential cardiometabolic benefits of AMPK, making it an essential factor to consider. Here, we review information about the cross-talk between AMPK and sex hormones as a critical point in cardiometabolic disease development and progression and a target for therapeutic intervention in human disease.
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