Evidence mapPaperPMID 41654946Full record

ArticleBiology of sex differences2026

Sex differences in human umbilical vein endothelial cells following ox-LDL injury.

Camilla Cittadini, Elisabetta Straface, Ilaria Campesi, Lucrezia Gambardella, Giampiero Capobianco, Letizia Barbieri, Laura Doro, Flavia Franconi, Giulio Testone, Rosa Vona

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Article in Biology of sex differences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Camilla CittadiniCenter for Gender-Specific Medicine, Italian National Institute of Health, Viale Regina Elena, Rome, 299-00161, Italy.
Elisabetta StrafaceCenter for Gender-Specific Medicine, Italian National Institute of Health, Viale Regina Elena, Rome, 299-00161, Italy. elisabetta.straface@iss.it.
Ilaria CampesiDepartment of Biomedical Sciences, University of Sassari, Viale San Pietro 43, Sassari, 07100, Italy.
Lucrezia GambardellaCenter for Gender-Specific Medicine, Italian National Institute of Health, Viale Regina Elena, Rome, 299-00161, Italy.
Giampiero CapobiancoDepartment of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro 43, Sassari, 07100, Italy.
Letizia BarbieriDepartment of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro 43, Sassari, 07100, Italy.
Laura DoroDepartment of Biomedical Sciences, University of Sassari, Viale San Pietro 43, Sassari, 07100, Italy.
Flavia FranconiLaboratory of Gender Pharmacology and Medicine, National Institute of Biostructures and Biosystems, Sassari, 07100, Italy.
Giulio TestoneInstitute for Biological Systems, National Research Council (CNR), Via Salaria Km 29,300, Monterotondo, Rome, 00015, Italy.
Rosa VonaCenter for Gender-Specific Medicine, Italian National Institute of Health, Viale Regina Elena, Rome, 299-00161, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNumerous sex differences has been described in aterosclerosis including in endothelial dysfunction. Oxidized low-density lipoproteins (ox-LDL) contribute to the formation of atherosclerotic plaque by binding to a membrane glycoprotein expressed by endothelial cells. Ox-LDL also play a key role in mediating endothelial dysfunction during pregnancy. Elevated maternal ox-LDL levels can lead to oxidative stress, inflammation and apoptosis in placental and fetal endothelial cells. The aim of this study was to investigate sex-related differences in the response to ox-LDL-induced damage in human umbilical vein endothelial cells (HUVECs) isolated from male and female newborns.

methodsIn our study, the effects of 100 µg/ml ox-LDL on HUVECs, obtained from umbilical cords of healthy newborns of both sexes, were analyzed. By flow cytometry, fluorescence microscopy, and Western blotting techniques, mitochondrial function, cell survival, and autophagy were studied.

resultsSex differences in cell motility and fate have been detected after ox-LDL treatment. Indeed, following ox-LDL treatment, male HUVECs (MHUVECs) exhibited reduced motility and a significant increase in adhesion molecules ICAM-1 and VCAM-1, in contrast to female HUVECs (FHUVECs). Furthermore, MHUVECs exhibited higher levels of fission proteins (DRP1 and Fis1), superoxide anion (O₂⁻), and earlier mitochondrial membrane (MM) hyperpolarization, while FHUVECs showed higher levels of fusion proteins (OPA1 and MFN2), hydrogen peroxide (H₂O₂), and delayed MM changes. These findings were consistent with a greater propensity for apoptosis in MHUVECs. In contrast, FHUVECs exhibited higher levels of Survivin, making them less susceptible to apoptosis and more susceptible to the autophagy process.

conclusionsOur findings reveal significant sex-related variations in endothelial responses to oxidative stress. The enhanced survival and repair capacity of FHUVECs suggests that female cells are more resilient to ox-LDL-induced damage.

Indexed as

Human Umbilical Vein Endothelial CellsLipoproteins, LDLSex CharacteristicsApoptosisAutophagyCell MovementCells, CulturedCell SurvivalFemaleHumansMaleLipoproteins, LDLoxidized low density lipoproteinAtherosclerosisCardiovascular diseasesEndothelial dysfunctionFemale human umbilical vein endothelial cells (FHUVECs)Male human umbilical vein endothelial cells (MHUVECs)Oxidized low-density lipoproteins (ox-LDL)Sex differences

Identifiers

PMID41654946
PMCPMC12977849

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.