{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:09:03Z","timestamp":1740146943315,"version":"3.37.3"},"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T00:00:00Z","timestamp":1700092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002996","name":"Dutch Heart Foundation","doi-asserted-by":"crossref","award":["2016T064"],"award-info":[{"award-number":["2016T064"]}],"id":[{"id":"10.13039\/501100002996","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003246","name":"Dutch research council","doi-asserted-by":"crossref","award":["Veni Grant 2019"],"award-info":[{"award-number":["Veni Grant 2019"]}],"id":[{"id":"10.13039\/501100003246","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100013347","name":"European Society of Intensive Care Medicine","doi-asserted-by":"publisher","award":["Basic research Award 2021"],"award-info":[{"award-number":["Basic research Award 2021"]}],"id":[{"id":"10.13039\/501100013347","id-type":"DOI","asserted-by":"publisher"}]},{"name":"European Society of Anaesthesiology and Intensive Care","award":["Research project grant 2022"],"award-info":[{"award-number":["Research project grant 2022"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>The endothelial angiopoietin\/Tie2 system is an important regulator of endothelial permeability and targeting Tie2 reduces hemorrhagic shock-induced organ edema in males. However, sexual dimorphism of the endothelium has not been taken into account. This study investigated whether there are sex-related differences in the endothelial angiopoietin\/Tie2 system and edema formation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Adult male and female heterozygous Tie2 knockout mice (Tie2<jats:sup>+\/\u2212<\/jats:sup>) and wild-type controls (Tie2<jats:sup>+\/+<\/jats:sup>) were included (n = 9 per group). Renal and pulmonary injury were determined by wet\/dry weight ratio and H&amp;E staining of tissue sections. Protein levels were studied in plasma by ELISA and pulmonary and renal mRNA expression levels by RT-qPCR.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>In Tie2<jats:sup>+\/+<\/jats:sup> mice, females had higher circulating angiopoietin-2 (138%, p&lt;0.05) compared to males. Gene expression of angiopoietin-1 (204%, p&lt;0.01), angiopoietin-2 (542%, p&lt;0.001) were higher in females compared to males in kidneys, but not in lungs. Gene expression of Tie2, Tie1 and VE-PTP were similar between males and females in both organs. Renal and pulmonary wet\/dry weight ratio did not differ between Tie2<jats:sup>+\/+<\/jats:sup> females and males. Tie2<jats:sup>+\/+<\/jats:sup> females had lower circulating NGAL (41%, p&lt;0.01) compared to males, whereas renal NGAL and KIM1 gene expression was unaffected.<\/jats:p>\n<jats:p>Interestingly, male Tie2<jats:sup>+\/-<\/jats:sup> mice had 28% higher renal wet\/dry weight ratio (p&lt;0.05) compared to Tie2<jats:sup>+\/+<\/jats:sup> males, which was not observed in females nor in lungs. Partial deletion of Tie2 did not affect circulating angiopoietin-1 or angiopoietin-2, but soluble Tie2 was 44% and 53% lower in males and females, respectively, compared to Tie2<jats:sup>+\/+<\/jats:sup> mice of the same sex. Renal and pulmonary gene expression of angiopoietin-1, angiopoietin-2, estrogen receptors and other endothelial barrier regulators was comparable between Tie2<jats:sup>+\/-<\/jats:sup> and Tie2<jats:sup>+\/+<\/jats:sup> mice in both sexes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Female sex seems to protect against renal, but not pulmonary edema in heterozygous Tie2 knock-out mice. This could not be explained by sex dimorphism in the endothelial angiopoietin\/Tie2 system.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0293673","type":"journal-article","created":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T18:25:30Z","timestamp":1700159130000},"page":"e0293673","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Female sex protects against renal edema, but not lung edema, in mice with partial deletion of the endothelial barrier regulator Tie2 compared to male sex"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6552-0830","authenticated-orcid":true,"given":"Anoek L. 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H.","family":"Roelofs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matijs","family":"van Meurs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4147-6676","authenticated-orcid":true,"given":"Grietje","family":"Molema","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0886-1388","authenticated-orcid":true,"given":"Charissa E.","family":"van den Brom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,11,16]]},"reference":[{"key":"pone.0293673.ref001","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1016\/j.amjsurg.2015.03.021","article-title":"The influence of sex on outcomes in trauma patients: a meta-analysis","volume":"210","author":"T Liu","year":"2015","journal-title":"Am J Surg"},{"key":"pone.0293673.ref002","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/00024382-200301000-00006","article-title":"Age-related gender differential in outcome after blunt or penetrating trauma","volume":"19","author":"RL George","year":"2003","journal-title":"Shock"},{"key":"pone.0293673.ref003","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1097\/TA.0000000000001113","article-title":"Sex-based differences in the genomic response, innate immunity, organ dysfunction, and clinical outcomes after severe blunt traumatic injury and hemorrhagic shock","volume":"81","author":"MC Lopez","year":"2016","journal-title":"J Trauma Acute Care Surg"},{"key":"pone.0293673.ref004","doi-asserted-by":"crossref","first-page":"1838","DOI":"10.1097\/CCM.0b013e3181760c14","article-title":"Inflammation and the Host Response to Injury Investigators. 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