Table 2. Known mechanisms mediating sex difference in BP in SHR and supporting literatures.
Mechanism mediating sex difference in BP | Male SHR | Female SHR | Reference number |
---|---|---|---|
1- Sex hormones | |||
A- Androgen | ↑ BP | [12,14,22,43,44] | |
B- Estrogen | ↓ BP | [37–40] | |
2- Renin–angiotensin system | |||
A- Classical RAS | ↑ BP | [20,22,60,61,63,64] | |
B- Non classical RAS | ↓ BP | [20,61,62] | |
3- Oxidative stress | ↑ BP | [21,22,70,75,76] | |
4- Nitric oxide | ↓ BP | [16,86–89,91] | |
5- Sympathetic tone | |||
A- presynaptic α2 receptor | ↓ BP | [53] | |
B- postsynaptic renal α2β | ↑ BP | [54] | |
C- β1 and β3 receptor | ↓ BP | [55,56] | |
6- Immune cells | |||
A- Th17 cells | ↑ BP | [110–113] | |
B- Tregs | ↓ BP | [110–113] | |
7- Cellular necrosis | ↑ BP | [114] |