Review Article

Gender, Estrogen, and Obliterative Lesions in the Lung

Table 2

Models of PAH that support female sex bias and/or detrimental effect of estrogen.

ModelSpeciesFindingsReferences

Chronic Hx + E2RatFemale develops hypoxic pulmonary hypertension; E2 detrimental[89, 90]
SuHxRat, mouseMale and female develop PAH; aromatase inhibition protective[32, 92, 93]
DexfenfluramineMouseFemale only develops PAH; Ovx protective[95]
4,4′-MethylenedianilineRatFemale only develops PAH[62]
Mts1+MousePAH in female > male
Ovx protective
[96]
SERT+MouseFemale only develops PAH Ovx protective; E2 detrimental[97]

Hx: Hypoxia; E2: 17β-Estradiol; SuHx: Sugen 5416 plus hypoxia; Mts1+: Overexpression of calcium-binding protein S100A4/Mts1; SERT+: Overexpression of serotonin transporter; Ovx: Ovariectomized.