Journal of Applied Physiology AJP: Lung Cellular and Molecular Physiology
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J Appl Physiol 91: 2776-2784, 2001;
8750-7587/01 $5.00
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Vol. 91, Issue 6, 2776-2784, December 2001

HIGHLIGHTED TOPICS
Genome and Hormones: Gender Differences in Physiology
Invited Review: Pharmacogenetics of estrogen replacement therapy

David M. Herrington and Karen Potvin Klein

Department of Internal Medicine/Cardiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157

There are a number of genetic factors that likely modulate both the beneficial and adverse effects of estrogen. An important domain of consideration is the relationship of estrogen and thrombosis risk. Gene polymorphisms among the key elements of the coagulation and fibrinolytic cascade appear to influence the effects of estrogen on risk for venous thromboembolic events and possibly arterial thrombosis as well. Emerging data also suggest that allelic variants in the estrogen receptor-alpha may modulate estrogen's effects, especially with respect to bone and lipid metabolism.

estrogen receptor-alpha ; polymorphisms; postmenopausal women; thrombosis; risk factors





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