Key result
Female human endothelial cells expressed approximately 2-fold higher eNOS mRNA and protein levels compared to male cells, resulting in higher enzymatic activity and nitric oxide production.
Effect estimate: 2-fold higher
p-value: p=<0.001
This study demonstrates intrinsic sexual dimorphism in human endothelial cells, with female cells relying more heavily on eNOS for migration and angiogenesis compared to male cells.
Sex differences in endothelial eNOS may underlie CVD disparities; leaves open whether they inform sex-specific prevention or trials.
Clinical and epidemiological data show that biological sex is one of the major determinants for the development and progression of cardiovascular disease (CVD). Impaired endothelial function, characterized by an imbalance in endothelial Nitric Oxide Synthase (eNOS) activity, precedes and accelerates the development of CVD. However, whether there is any sexual dimorphism in eNOS activity and function in endothelial cells (ECs) is still unknown. Here, by independently studying human male and female ECs, we found that female ECs expressed higher eNOS mRNA and protein levels both in vitro and ex vivo. The increased eNOS expression was associated to higher enzymatic activity and nitric oxide production. Pharmacological and genetic inhibition of eNOS affected migratory properties only in female ECs. In vitro angiogenesis experiments confirmed that sprouting mostly relied on eNOS-dependent migration in female ECs. At variance, capillary outgrowth from male ECs was independent of eNOS activity but required cell proliferation. In this study, we found sex-specific differences in the EC expression, activity, and function of eNOS. This intrinsic sexual dimorphism of ECs should be further evaluated to achieve more effective and precise strategies for the prevention and therapy of diseases associated to an impaired endothelial function such as CVD and pathological angiogenesis.
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Cattaneo et al. (2017) studied Healthy endothelial cells. Female biological sex vs. Male biological sex was evaluated on eNOS mRNA and protein expression (2-fold higher, p=<0.001). Female human endothelial cells expressed approximately 2-fold higher eNOS mRNA and protein levels compared to male cells, resulting in higher enzymatic activity and nitric oxide production.
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