Estrogen vascular protection describes the physiological benefits conferred by estrogen, primarily $17beta$-estradiol, on the structure and function of the arterial system. This protective role involves maintaining endothelial health and vascular tone regulation. It is a key factor in understanding sex differences in cardiovascular disease risk.
Origin
Estrogen is derived from the Greek for “odor” and “generate,” reflecting its role as a primary female sex hormone. Vascular protection denotes safeguarding the blood vessel system from pathological remodeling. This concept is central to reproductive endocrinology’s impact on cardiovascular health.
Mechanism
Estrogen exerts its protective effects by stimulating endothelial nitric oxide synthase (eNOS) activity, leading to increased production of nitric oxide, a potent vasodilator. Furthermore, estrogen modulates vascular smooth muscle cell proliferation and reduces inflammatory cytokine expression within the vessel wall. These actions collectively promote favorable arterial compliance and reduced atherosclerotic plaque formation.
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