Academic Journal

The sex-dependent response to psychosocial stress and ischaemic heart disease

التفاصيل البيبلوغرافية
العنوان: The sex-dependent response to psychosocial stress and ischaemic heart disease
المؤلفون: Tessa J. Helman, John P. Headrick, Nicolas J. C. Stapelberg, Nady Braidy
المصدر: Frontiers in Cardiovascular Medicine, Vol 10 (2023)
بيانات النشر: Frontiers Media S.A., 2023.
سنة النشر: 2023
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: sympathetic nervous system, takotsubo cardiomyopathy, chronic stress, sexual dimophism, glucocortcoids, coronary artery disease, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Stress is an important risk factor for modern chronic diseases, with distinct influences in males and females. The sex specificity of the mammalian stress response contributes to the sex-dependent development and impacts of coronary artery disease (CAD). Compared to men, women appear to have greater susceptibility to chronic forms of psychosocial stress, extending beyond an increased incidence of mood disorders to include a 2- to 4-fold higher risk of stress-dependent myocardial infarction in women, and up to 10-fold higher risk of Takotsubo syndrome—a stress-dependent coronary-myocardial disorder most prevalent in post-menopausal women. Sex differences arise at all levels of the stress response: from initial perception of stress to behavioural, cognitive, and affective responses and longer-term disease outcomes. These fundamental differences involve interactions between chromosomal and gonadal determinants, (mal)adaptive epigenetic modulation across the lifespan (particularly in early life), and the extrinsic influences of socio-cultural, economic, and environmental factors. Pre-clinical investigations of biological mechanisms support distinct early life programming and a heightened corticolimbic-noradrenaline-neuroinflammatory reactivity in females vs. males, among implicated determinants of the chronic stress response. Unravelling the intrinsic molecular, cellular and systems biological basis of these differences, and their interactions with external lifestyle/socio-cultural determinants, can guide preventative and therapeutic strategies to better target coronary heart disease in a tailored sex-specific manner.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2297-055X
Relation: https://www.frontiersin.org/articles/10.3389/fcvm.2023.1072042/full; https://doaj.org/toc/2297-055X
DOI: 10.3389/fcvm.2023.1072042
URL الوصول: https://doaj.org/article/6dcce0db950249dbbf0d8a7349dc6bea
رقم الانضمام: edsdoj.6dcce0db950249dbbf0d8a7349dc6bea
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2297055X
DOI:10.3389/fcvm.2023.1072042