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Article
Gender differences in the development of uremic cardiomyopathy following partial nephrectomy: Role of progesterone
Biochemistry and Microbiology
  • Christopher A. Drummond
  • George Buddny
  • Steven T. Haller
  • Jiang Liu, Marshall University
  • Yanling Yan, Marshall University
  • Zijian Xie, Marshall University
  • Deepak Malhotra
  • Joseph I. Shapiro, MD, Marshall University
  • Jiang Tian
Document Type
Article
Publication Date
1-1-2013
Abstract
Gender difference has been suggested as a risk factor for developing cardiovascular and renal diseases in humans and experimental animals. As a major sex hormone, progesterone was reported to compete with cardiotonic steroid binding to Na/K-ATPase. Our previous publication demonstrated that cardiotonic steroids (e.g., marinobufagenin) play an important role in the development of experimental uremic cardiomyopathy. We also observed that the putative mineralocorticoid antagonists, spironolactone and its major metabolite canrenone, antagonize binding of cardiotonic steroids to Na/K-ATPase in a competitive manner and also ameliorate experimental uremic cardiomyopathy induced by partial nephrectomy. In the following studies, we noted that progesterone displayed competitive inhibition of cardiotonic steroid binding to Na/K-ATPase and partially inhibited collagen synthesis induced by marinobufagenin in cultured cardiac fibroblasts. Therefore, we sought to examine whether female rats displayed less uremic cardiomyopathy than male rats when subjected to partial nephrectomy. Although partial nephrectomy caused the induction of smaller increases in blood pressure of female rats, they appeared to be similarly susceptible to cardiac remodeling induced by partial nephrectomy in terms of hypertrophy and fibrosis as age-matched male rats. The possible explanations for our findings are therefore discussed.
Comments

The version of record is available from the publisher at http://dx.doi.org/10.4172%2F2167-1095.1000109 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Copyright: © 2013 Drummond CA, et al. DOI: 10.4172/2167-1095.1000109

Citation Information
Drummond CA, Buddny G, Haller ST, Liu J, Yan Y, Molhotra D, Shapiro JI and Tian J. 2013. Gender differences in the development of uremic cardiomyopathy following partial nephrectomy: Role of progesterone. J Hypertens 2:109. doi:. PMID:24404431.