Single Cell High Dimensional Analysis of Human Peripheral Blood Mononuclear Cells Reveals Unique Intermediate Monocyte Subsets Associated with Sex Differences in Coronary Artery Disease DOI Open Access

Nandini Chatterjee,

Ravi K. Komaravolu, Christopher P. Durant

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(5), P. 2894 - 2894

Published: March 1, 2024

Monocytes are associated with human cardiovascular disease progression. segregated into three major subsets: classical (cMo), intermediate (iMo), and nonclassical (nMo). Recent studies have identified heterogeneity within each of these main monocyte classes, yet the extent to which subsets contribute heart progression is not known. Peripheral blood mononuclear cells (PBMC) were obtained from 61 subjects Coronary Assessment Virginia (CAVA) Cohort. atherosclerosis severity was quantified using Gensini Score (GS). We employed high-dimensional single-cell transcriptome protein methods define how monocytes differ in low severe coronary artery disease. analyzed 487 immune-related genes 49 surface proteins at level Antibody-Seq (Ab-Seq). six myeloid (cMo, iMo, nMo, plasmacytoid DC, DC3) based on proteins, we (CAD) incidence score (GS) subject. Only frequencies iMo high CAD (GS > 32), adj.p = 0.024. Spearman correlation analysis GS subject revealed a positive (r 0.314, p 0.014) further showed robust sex-dependent female 0.663, 0.004). cMo did correlate severity. Key gene pathways differed among between males females. Further PBMC, distinguished by expression HLA-DR, CXCR3, CD206. found that frequency immunoregulatory iMo_HLA-DR+CXCR3+CD206+ (adj.p 0.006). The subset positively correlated both females 0.660, 0.004) 0.315, 0.037). Cell interaction analyses strong interactions CD4+ effector/memory T Tregs same subjects. This study shows importance suggests may important functional roles modulating risk, particularly

Language: Английский

Myocardial ischemia/reperfusion: Translational pathophysiology of ischemic heart disease DOI Creative Commons
Gerd Heusch

Med, Journal Year: 2024, Volume and Issue: 5(1), P. 10 - 31

Published: Jan. 1, 2024

Ischemic heart disease is the greatest health burden and most frequent cause of death worldwide. Myocardial ischemia/reperfusion pathophysiological substrate ischemic disease. Improvements in prevention treatment have reduced mortality developed countries over last decades, but further progress now stagnant, morbidity from developing are increasing. Significant problems remain to be resolved require a better understanding. The present review attempts briefly summarize state art myocardial research, with view on both its coronary vascular aspects, define cutting edges where mechanistic knowledge needed facilitate translation clinical practice.

Language: Английский

Citations

67

Sex and gender differences in intensive care medicine DOI Creative Commons
Hamid Merdji, Micah T. Long, Marlies Ostermann

et al.

Intensive Care Medicine, Journal Year: 2023, Volume and Issue: 49(10), P. 1155 - 1167

Published: Sept. 7, 2023

Despite significant advancements in critical care medicine, limited attention has been given to sex and gender disparities management outcomes of patients admitted the intensive unit (ICU). While "sex" pertains biological physiological characteristics, such as reproductive organs, chromosomes hormones, "gender" refers more sociocultural roles human behavior. Unfortunately, data on gender-related topics ICU are lacking. Consequently, differences admission ICU, clinical course, length stay, mortality, post-ICU burdens, often inconsistent. Moreover, when examining specific diagnoses variations can be observed epidemiology, pathophysiology, presentation, severity, treatment response due distinct impact hormones immune cardiovascular systems. In this narrative review, we highlight influence management, most encountered conditions, addition potential co-existence unconscious biases which may also illness. Diagnoses with a known predilection will discussed within context underlying physiology, anatomy, pharmacology goal identifying areas where improvement is needed. To optimize patient outcomes, it crucial comprehend address setting personalize accordingly ensure equitable, patient-centered care. Future research should focus elucidating mechanisms driving disparities, well exploring targeted interventions mitigate these improve for all critically ill patients.

Language: Английский

Citations

51

Hearts apart: sex differences in cardiac remodeling in health and disease DOI Creative Commons
Thomas G. Martin, Leslie A. Leinwand

Journal of Clinical Investigation, Journal Year: 2024, Volume and Issue: 134(13)

Published: June 30, 2024

Biological sex is an important modifier of physiology and influences pathobiology in many diseases. While heart disease the number one cause death worldwide both men women, differences exist at organ cellular scales, affecting clinical presentation, diagnosis, treatment. In this Review, we highlight baseline cardiac structure, function, signaling discuss contribution hormones chromosomes to these characteristics. The a remarkably plastic rapidly responds physiological pathological cues by modifying form function. nature extent remodeling response stimuli are often dependent on biological sex. We organ- molecular-level adaptive from pressure volume overload, ischemia, genetic disease. Finally, offer perspective key future directions for research into differences.

Language: Английский

Citations

18

Sex- and gender-related disparities in chest pain syndromes: the feminine mystique of chest pain DOI
Francesco Angeli, Fabrizio Ricci, Federica Moscucci

et al.

Current Problems in Cardiology, Journal Year: 2024, Volume and Issue: 49(4), P. 102457 - 102457

Published: Feb. 9, 2024

Language: Английский

Citations

17

Sex differences in the association between composite dietary antioxidant index and hyperlipidemia: Insights from NHANES DOI Creative Commons
Xiaofan Miao, Bixia Li, Zhixian Zhu

et al.

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(1), P. e0316130 - e0316130

Published: Jan. 10, 2025

Background Previous studies have shown that both the composite dietary antioxidant index (CDAI) and sex are strongly associated with a variety of cardiovascular diseases, but differences between CDAI hyperlipidemia unknown. Objective This study utilized data from National Health Nutrition Examination Survey (NHANES) to investigate hyperlipidemia. Method We calculated six antioxidants using NHANES, explored relationship prevalence multivariate logistic regression analysis, analyzed for potential nonlinear associations restricted cubic spline. Finally, association was further in different genders. Results The included total 34,754 participants mean age 47.04 years, whom 49.37% were man. In fully adjusted multivariable binary model, negatively (OR = 0.99, 95% CI:0.98–0.99). addition, highest quartile had lower risk hyperlipidaemia compared lowest 0.83, 95%CI: 0.76–0.92). also found non-linear (non-linear P 0.003, Inflection point -0.179). we significantly stronger female population than male (P interaction <0.05). Conclusion Our highlights L-shaped general adult population. this more significant

Language: Английский

Citations

3

Global trends in the burden of ischemic heart disease based on the global burden of disease study 2021: the role of metabolic risk factors DOI Creative Commons
Yifei Wang, Qing Li, Lei Bi

et al.

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 24, 2025

Ischemic heart disease (IHD) remains a leading cause of mortality and morbidity globally. This study aims to evaluate the trends in IHD burden across different socioeconomic regions using data from Global Burden Disease Study 2021 (GBD 2021) understand impact metabolic risk factors on these trends. Data GBD was analyzed global age-standardized death rates (ASDR) disability-adjusted life years (ASRDALYs) linked IHD. Key evaluated included high systolic blood pressure (SBP), low-density lipoprotein cholesterol (LDLc), fasting plasma glucose (FPG), body mass index (BMI). Temporal were assessed estimated annual percentage changes (EAPCs), with further analysis by age, sex socio-demographic (SDI). Resource-abundant showed notable reductions ASDR ASRDALYs, largely due effective management SBP LDLc, resulting an EAPC -3.43 (95% CI: -3.32, -3.53). In contrast, resource-limited regions, particularly among males, experienced stagnation or even increases burden. The low-, low-middle-, middle-SDI ranged − 0.12 -0.04, -0.19) 0.16 0.09, 0.23). Among values 0.22 0.14, 0.29) 0.55 0.47, 0.62). increase primarily driven rising levels FPG BMI. Younger populations (15–49 years) disproportionately affected, showing increasing exposure risks. Regional disparities persist, factors. have benefitted control whereas face growing challenges, especially related use secondary database provides comprehensive perspective but may not fully capture local variations Targeted public health strategies early interventions are essential reduce vulnerable populations.

Language: Английский

Citations

3

From physiology to pathology: Emerging roles of GPER in cardiovascular disease DOI
Zixuan Wang, Jiayong Liu, Ying Chen

et al.

Pharmacology & Therapeutics, Journal Year: 2025, Volume and Issue: unknown, P. 108801 - 108801

Published: Jan. 1, 2025

Language: Английский

Citations

2

Sex/gender-related differences in inflammaging DOI Creative Commons
Fabiola Olivieri, Francesca Marchegiani, Giulia Matacchione

et al.

Mechanisms of Ageing and Development, Journal Year: 2023, Volume and Issue: 211, P. 111792 - 111792

Published: Feb. 17, 2023

Geroscience puts mechanisms of aging as a driver the most common age-related diseases and dysfunctions. Under this perspective, addressing basic will produce better understanding than each disease pathophysiology individually. Worldwide, despite greater functional impairment, life expectancy is higher in women men. Gender differences prevalence multimorbidity lead mandatory to underlying gender-related patterns disability-free expectancy. Extensive literature suggested that inflammaging at crossroad diseases. In review, we highlight main evidence on sex/gender foster inflammaging, i.e. age-dependent triggering innate immunity, modifications adaptive accrual senescent cells, underpinning some biomarkers show sex-related differences. framework "gender medicine perspective", also discuss how can affect sex COVID-19 severe outcomes.

Language: Английский

Citations

37

The genetic architecture of biological age in nine human organ systems DOI
Junhao Wen, Ye Tian,

Ioanna Skampardoni

et al.

Nature Aging, Journal Year: 2024, Volume and Issue: 4(9), P. 1290 - 1307

Published: June 28, 2024

Language: Английский

Citations

13

Sex-specific genetic architecture of blood pressure DOI
Min‐Lee Yang, Chang Xu, Trisha Gupte

et al.

Nature Medicine, Journal Year: 2024, Volume and Issue: 30(3), P. 818 - 828

Published: March 1, 2024

Language: Английский

Citations

12