Estrogens Effect on Right Ventricular Remodeling in Pulmonary Arterial Hypertension
Kristen Garcia
Kristen Garcia, Bioengineering Ph.D. Program, UC San Diego
Mentors: Daniela Valdez-Jasso (Bioengineering)
Seminar Information
Pulmonary arterial hypertension (PAH) is a life-threatening progressive disease that is characterized by pulmonary vascular remodeling and is represented by narrowing of blood vessels in the lungs. PAH effects females four times more likely than males, specifically females between the ages of 30-60 years old, leading to an interesting paradox known as the estrogen puzzle. Past research has resulted in contradicting conclusions; some of which show a protective effect of estrogen on PAH versus others showing a disease promoting effect. It is known that right ventricular (RV) function and morphology are important indicators of the severity of PAH. I am interested in determining the role that estrogen plays on the right ventricle during the progression of PAH. I hypothesize that estrogen plays a major role in the remodeling of the RV leading to an overall protective effect against right heart failure. I aim to quantify the hemodynamics of the right ventricle throughout the progression of PAH using a rat model and to identify the sex dependent effects of estrogen in the remodeling and mechanics of the RV. After the induction of PAH using a Sugen-Hypoxia protocol, terminal procedures are conducted, in which in vivo blood pressure-volume relationships are measured, with the goal of investigating changes due to pressure overload. I am currently focusing on these pressure volume loops for each subset of animals with the goal of finding patterns to describe the differences in the hearts function for males, non-ovariectomized females, and ovariectomized females. I am looking at the PV loop as a whole, the slope of the isovolumic contraction and relaxation phases, and am attempting to determine if we can expect to see a specific range of values for the PV curves for a given group. My future plans are to dive more into the estrogen component of RV remodeling in PAH and relate estrogen levels to PV loops and overall heart function.
The video of this presentation is available here.