Key result
Healthy women exhibit ~38% higher plasma angiotensin 1-7 concentrations than men.
Why the study?
Are there sex differences in circulating concentrations of angiotensin (1-7) in healthy humans?
Cross-Sectional (n=42)
No
Are there sex differences in circulating concentrations of angiotensin (1-7) in healthy humans?
Healthy women exhibit significantly higher plasma concentrations of ANG-(1-7) compared with men, suggesting a sex-dependent relationship between ANG-(1-7), vascular function, and blood pressure.
Answers are grounded in this paper and cite their sources.
Higher ANG-(1-7) in women should not change practice; hypothesis-generating for sex-specific renin-angiotensin effects on vascular function.
UNLABELLED: In experimental animal models of hypertension, angiotensin (1-7) [ANG-(1-7)] is higher in females compared with males; however, it is less clear whether the same applies to humans. Therefore, this study sought to compare circulating concentrations of ANG-(1-7) in apparently healthy men and women under normal physiological conditions. With the use of a cross-sectional experimental design, blood was collected in EDTA anticoagulant from 42 volunteers (21 men and 21 women; and age range, 19-48 yr) for analysis of plasma concentrations of ANG-(1-7) and ANG II. Blood pressure was measured and vascular endothelial function was determined (n = 25) using the brachial artery flow-mediated dilation (FMD) test. As a result, women exhibited a higher circulating concentration of ANG-(1-7) (P = 0.04) compared with men, whereas values of ANG II were similar between groups. Baseline arterial diameter, peak diameter, and shear rate were significantly greater (P < 0.02) in men compared with women. No significant differences in FMD, FMD normalized for shear, or time to peak dilation were observed between men and women. In addition, a positive correlation between ANG-(1-7) and FMD (P = 0.04) and negative association between ANG-(1-7) with ANG II (P = 0.01) were only identified in men, whereas a positive relationship between ANG-(1-7) and diastolic blood pressure (P = 0.03) was observed in women. IN In addition, this study describes a relationship between ANG-(1-7), vascular function, and diastolic blood pressure that appears to be sex dependent.
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Sullivan et al. (2015) conducted a cross-sectional in Healthy volunteers (n=42). Female sex vs. Male sex was evaluated on Plasma concentration of ANG-(1-7) (fmol/ml) (p=0.04). Healthy women exhibited significantly higher plasma concentrations of ANG-(1-7) compared with men (49.5 vs 35.9 fmol/ml, P=0.04).
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