Editorial: Sex hormones and cardiovascular-renal health: mechanisms, consequences, and therapeutic insights - Summary - MDSpire

Editorial: The Role of Sex Hormones in Cardiovascular and Renal Health: Mechanisms, Implications, and Treatment Perspectives

  • By

  • Prerna Kumar

  • Evangeline Deer

  • Noha Shawky Elsayed

  • July 21, 2026

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Objective:

To explore the effects of sex hormone signaling on cardiovascular and renal health across different life stages.

Approach:
  • Study on Perimenopausal and Postmenopausal Women: Investigated clinical parameters between perimenopausal women with CVD and postmenopausal women with CVD, reporting higher BMI, waist-to-hip ratio, and blood pressure in postmenopausal women.
  • Meta-Analysis on eGDR and CVD Risk: Analyzed the prognostic utility of estimated glucose disposal rate (eGDR) in relation to cardiovascular disease risk, finding higher baseline eGDR levels associated with reduced risk of CVD, stroke, and CHD.
  • Study on Atrial Fibrillation and Corin Biomarkers: Examined corin as a potential biomarker for left atrial reverse remodeling in patients with atrial fibrillation post-catheter ablation, noting sex differences in corin concentrations.
  • Review of Progesterone's Role: Summarized the unclear contributions of progesterone compared to estrogen and testosterone on cardiovascular and renal health.
  • Study on Gender-Affirming Hormonal Therapy: Conducted echocardiographic assessments in transgender individuals undergoing gender-affirming hormonal therapy, highlighting the need for further research on long-term cardiovascular effects.
Key Findings:
  • Postmenopausal women exhibit higher BMI, waist-to-hip ratio, and blood pressure compared to perimenopausal women.
  • Higher baseline eGDR levels are associated with reduced risk of CVD, stroke, and CHD.
  • Corin concentrations differ by sex in relation to left atrial reverse remodeling after catheter ablation.
  • The role of progesterone in cardiovascular and renal health remains poorly understood.
  • Long-term effects of gender-affirming hormonal therapy on cardiovascular health in transgender individuals require further study.
Interpretation:

Further research is needed on the roles of sex hormones in cardiovascular and renal health, particularly in women during menopause and in transgender individuals.

Limitations:
  • Key molecular mechanisms and clinical implications of sex hormones are still poorly understood.
  • Limited studies exist on the long-term effects of gender-affirming hormonal therapy on cardiovascular health.
Conclusion:

Further investigation is required to clarify the roles of sex hormones in cardiovascular and renal health.

Sources:

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