Estrogen metabolites in a small cohort of patients with idiopathic pulmonary arterial hypertension
Denver, Nina and Homer, Natalie Z.M. and Andrew, Ruth and Harvey, Katie Y. and Morrell, Nicholas and Austin, Eric D. and MacLean, Margaret R. (2020) Estrogen metabolites in a small cohort of patients with idiopathic pulmonary arterial hypertension. Pulmonary Circulation, 10 (1). ISSN 2045-8940
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Abstract
Increased risk and severity of idiopathic pulmonary arterial hypertension (iPAH) is associated with elevated plasma estradiol (E2) in both men and postmenopausal women, suggesting that E2 is not ovarian-derived. Aromatase is responsible for the synthesis of E2. Remodelled pulmonary arteries, lesions and human pulmonary artery smooth muscle cells (hPASMCs) from PAH patients have high levels of aromatase. CYP1B1 can convert E2 to mitogenic 16-hydroxy-estrogens (16OHEs) and this enzyme is over-expressed in diseased pulmonary arteries from PAH patients. Existing assays have not been sensitive or specific enough to detect levels of many E2 metabolites in PAH patient blood. Using a newly developed liquid chromatography tandem mass spectrometry (LC-MS/MS) assay, here we investigate the profile of several E2 metabolites in iPAH patients.
Item type: Article ID code: 71537 Dates: DateEvent13 February 2020Published13 February 2020Published Online1 February 2020AcceptedKeywords: idiopathic pulmonary arterial hypertension (iPAH), plasma estradiol (E2), postmenopausal women, estrogen, Therapeutics. Pharmacology, Pulmonary and Respiratory Medicine, Pharmacology (medical) Subjects: Medicine > Therapeutics. Pharmacology Department: Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences Depositing user: Pure Administrator Date deposited: 24 Feb 2020 09:54 Last modified: 05 Mar 2021 04:32 URI: https://strathprints.strath.ac.uk/id/eprint/71537