Sex-dependent myocardial necrosis-like signaling in rats with heart failure due to chronic pressure overload

This study identifies necroptosis as a key pathomechanism in pressure overload-induced heart failure, with sex-dependent, prodeath molecular events. Novel findings indicate distinct pronecroptotic triggers: in males, necroptosis is driven by oxidative stress and mitochondrial DNA damage, whereas in females, a proinflammatory pathway involving tumor necrosis factor and compensatory mitochondrial biogenesis predominates. Pyroptosis and ferroptosis do not appear to be prominent. These sex-specific molecular necrosis-like divergences are important for developing personalized therapeutic strategies for heart failure.

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Publication Details

Journal
American Journal of Physiology-Heart and Circulatory Physiology
Published
2026-04-16
DOI
https://doi.org/10.1152/ajpheart.00064.2026
Primary Topic
Cell death mechanisms and regulation
Type
article
Field-Weighted Citation Impact
0.00

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article

Sex-dependent myocardial necrosis-like signaling in rats with heart failure due to chronic pressure overload

Jaroslav Hrdlička, Jan Neckář, Csaba Horváth, Izabela Jarabicová et al.
American Journal of Physiology-Heart and Circulatory Physiology
Cell death mechanisms and regulation
article

Sex-dependent myocardial necrosis-like signaling in rats with heart failure due to chronic pressure overload

Jaroslav Hrdlička, Jan Neckář, Csaba Horváth, Izabela Jarabicová, Eva Nekvindová, Veronika Olejníčková, Adriana Adameová, Andrea Marciníková
article en

Abstract

This study identifies necroptosis as a key pathomechanism in pressure overload-induced heart failure, with sex-dependent, prodeath molecular events. Novel findings indicate distinct pronecroptotic triggers: in males, necroptosis is driven by oxidative stress and mitochondrial DNA damage, whereas in females, a proinflammatory pathway involving tumor necrosis factor and compensatory mitochondrial biogenesis predominates. Pyroptosis and ferroptosis do not appear to be prominent. These sex-specific molecular necrosis-like divergences are important for developing personalized therapeutic strategies for heart failure.

American Journal of Physiology-Heart and Circulatory PhysiologyVol. 330(5)
Czech Academy of Sciences (CZ), Slovak Academy of Sciences (SK), Charles University (CZ), Comenius University Bratislava (SK)
Grantová Agentura České Republiky, Agentúra na Podporu Výskumu a Vývoja, Vedecká Grantová Agentúra MŠVVaŠ SR a SAV, Agentura Pro Zdravotnický Výzkum České Republiky, Farmaceutická fakulta, Univerzita Komenského v Bratislave, NextGenerationEU
Good health and well-being
Openalex Percentile: Top 22%
Cell death mechanisms and regulation
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