Skip to main content
Top
Published in: Journal of Gastroenterology 8/2017

01-08-2017 | Original Article-Alimentary Tract

Effects of estrogen on esophageal function through regulation of Ca2+-related proteins

Authors: Kipung Kim, Dongoh Lee, Changhwan Ahn, Hee Young Kang, Beum-Soo An, Yeon Hee Seong, Eui-Bae Jeung

Published in: Journal of Gastroenterology | Issue 8/2017

Login to get access

Abstract

Background

The calcium ion is important for physiological functions in all tissues and organs and essential to many vital functions, including hormone secretion and muscle contraction. The intracellular concentration of calcium is regulated by calcium related proteins such as CaBP-9k, PMCA1, and NCX1. In this study, we investigated the relationship between calcium regulation and esophageal functions such as mucin secretion and smooth muscle contraction.

Methods

To evaluate the influence of sex steroid hormones, immature rats were treated for 3 days with estradiol (E2), progesterone (P4), and their antagonists (ICI 182,780, and RU486). Esophageal function, transcription level, and localization of CaBP-9k, PMCA1, NCX1, ERα, and MUC2 were examined in the esophagus.

Results

Transcriptional level of Cabp-9k and Muc2 was increased by E2, but not by P4. CaBP-9k, PMCA1, and MUC2 were mainly localized in the mucosal layer. Acidic mucosubstances in the esophagus were increased by E2 and recovered by ICI treatment. Unlike the expression of Cabp-9k, mRNA levels of Pmca1, Ncx1, and Erα were only decreased in response to E2, and recovered by ICI co-treatment group. The contraction of the esophagus and mRNA level of Mylk were reduced by E2. Overall, E2 upregulated mucus secretion, but downregulated muscle contraction in the esophagus through regulation of the expression of calcium related genes and the resultant intracellular calcium level.

Conclusions

The regulation of E2 in the function of esophagus may be applied to treat esophageal diseases such as reflux esophagitis, achalasia, and esophageal cancer.
Literature
1.
go back to reference Kim KM, Cho YK, Bae SJ, et al. Prevalence of gastroesophageal reflux disease in Korea and associated health-care utilization: a national population-based study. J Gastroenterol Hepatol. 2012;27(4):741–5.CrossRefPubMed Kim KM, Cho YK, Bae SJ, et al. Prevalence of gastroesophageal reflux disease in Korea and associated health-care utilization: a national population-based study. J Gastroenterol Hepatol. 2012;27(4):741–5.CrossRefPubMed
2.
go back to reference Masaka T, Iijima K, Endo H, et al. Gender differences in oesophageal mucosal injury in a reflux oesophagitis model of rats. Gut. 2013;62(1):6–14.CrossRefPubMed Masaka T, Iijima K, Endo H, et al. Gender differences in oesophageal mucosal injury in a reflux oesophagitis model of rats. Gut. 2013;62(1):6–14.CrossRefPubMed
3.
go back to reference Traube M, Dubovik S, Lange RC, et al. The role of nifedipine therapy in achalasia: results of a randomized, double-blind, placebo-controlled study. Am J Gastroenterol. 1989;84(10):1259–62.PubMed Traube M, Dubovik S, Lange RC, et al. The role of nifedipine therapy in achalasia: results of a randomized, double-blind, placebo-controlled study. Am J Gastroenterol. 1989;84(10):1259–62.PubMed
4.
go back to reference Bianco SD, Peng JB, Takanaga H, et al. Marked disturbance of calcium homeostasis in mice with targeted disruption of the Trpv6 calcium channel gene. J Bone Miner Res. 2007;22(2):274–85.CrossRefPubMedPubMedCentral Bianco SD, Peng JB, Takanaga H, et al. Marked disturbance of calcium homeostasis in mice with targeted disruption of the Trpv6 calcium channel gene. J Bone Miner Res. 2007;22(2):274–85.CrossRefPubMedPubMedCentral
5.
go back to reference Frick KK, Bushinsky DA. Molecular mechanisms of primary hypercalciuria. J Am Soc Nephrol. 2003;14(4):1082–95.CrossRefPubMed Frick KK, Bushinsky DA. Molecular mechanisms of primary hypercalciuria. J Am Soc Nephrol. 2003;14(4):1082–95.CrossRefPubMed
6.
go back to reference Poburko D, Potter K, van Breemen E, et al. Mitochondria buffer NCX-mediated Ca2+ -entry and limit its diffusion into vascular smooth muscle cells. Cell Calcium. 2006;40(4):359–71.CrossRefPubMed Poburko D, Potter K, van Breemen E, et al. Mitochondria buffer NCX-mediated Ca2+ -entry and limit its diffusion into vascular smooth muscle cells. Cell Calcium. 2006;40(4):359–71.CrossRefPubMed
7.
go back to reference Maiti A, Beckman MJ. Extracellular calcium is a direct effecter of VDR levels in proximal tubule epithelial cells that counter-balances effects of PTH on renal Vitamin D metabolism. J Steroid Biochem Mol Biol. 2007;103(3–5):504–8.CrossRefPubMed Maiti A, Beckman MJ. Extracellular calcium is a direct effecter of VDR levels in proximal tubule epithelial cells that counter-balances effects of PTH on renal Vitamin D metabolism. J Steroid Biochem Mol Biol. 2007;103(3–5):504–8.CrossRefPubMed
8.
go back to reference Yang H, Choi KC, Hyun SH, et al. Coexpression and estrogen-mediated regulation of TRPV6 and PMCA1 in the human endometrium during the menstrual cycle. Mol Reprod Dev. 2011;78(4):274–82.CrossRefPubMed Yang H, Choi KC, Hyun SH, et al. Coexpression and estrogen-mediated regulation of TRPV6 and PMCA1 in the human endometrium during the menstrual cycle. Mol Reprod Dev. 2011;78(4):274–82.CrossRefPubMed
9.
go back to reference Ahn C, An BS, Jeung EB. Streptozotocin induces endoplasmic reticulum stress and apoptosis via disruption of calcium homeostasis in mouse pancreas. Mol Cell Endocrinol. 2015;412:302–8.CrossRefPubMed Ahn C, An BS, Jeung EB. Streptozotocin induces endoplasmic reticulum stress and apoptosis via disruption of calcium homeostasis in mouse pancreas. Mol Cell Endocrinol. 2015;412:302–8.CrossRefPubMed
10.
go back to reference Winslow RL, Walker MA, Greenstein JL. Modeling calcium regulation of contraction, energetics, signaling, and transcription in the cardiac myocyte. Wiley Interdiscip Rev Syst Biol Med. 2016;8(1):37–67.CrossRefPubMed Winslow RL, Walker MA, Greenstein JL. Modeling calcium regulation of contraction, energetics, signaling, and transcription in the cardiac myocyte. Wiley Interdiscip Rev Syst Biol Med. 2016;8(1):37–67.CrossRefPubMed
11.
go back to reference Yang H, Kuang SJ, Rao F, et al. Species-specific differences in the role of L-type Ca(2)(+) channels in the regulation of coronary arterial smooth muscle contraction. Naunyn-Schmiedeberg’s Arch Pharmacol. 2016;389(2):151–7.CrossRef Yang H, Kuang SJ, Rao F, et al. Species-specific differences in the role of L-type Ca(2)(+) channels in the regulation of coronary arterial smooth muscle contraction. Naunyn-Schmiedeberg’s Arch Pharmacol. 2016;389(2):151–7.CrossRef
12.
go back to reference Jeung EB, Krisinger J, Dann JL, et al. Molecular cloning of the full-length cDNA encoding the human calbindin-D9k. FEBS Lett. 1992;307(2):224–8.CrossRefPubMed Jeung EB, Krisinger J, Dann JL, et al. Molecular cloning of the full-length cDNA encoding the human calbindin-D9k. FEBS Lett. 1992;307(2):224–8.CrossRefPubMed
13.
go back to reference Ko SH, Choi KC, Oh GT, et al. Effect of dietary calcium and 1,25-(OH)2D3 on the expression of calcium transport genes in calbindin-D9k and -D28k double knockout mice. Biochem Biophys Res Commun. 2009;379(2):227–32.CrossRefPubMed Ko SH, Choi KC, Oh GT, et al. Effect of dietary calcium and 1,25-(OH)2D3 on the expression of calcium transport genes in calbindin-D9k and -D28k double knockout mice. Biochem Biophys Res Commun. 2009;379(2):227–32.CrossRefPubMed
14.
go back to reference Tinnanooru P, Dang VH, Nguyen TH, et al. Estrogen regulates the localization and expression of calbindin-D9k in the pituitary gland of immature male rats via the ERalpha-pathway. Mol Cell Endocrinol. 2008;285(1–2):26–33.CrossRefPubMed Tinnanooru P, Dang VH, Nguyen TH, et al. Estrogen regulates the localization and expression of calbindin-D9k in the pituitary gland of immature male rats via the ERalpha-pathway. Mol Cell Endocrinol. 2008;285(1–2):26–33.CrossRefPubMed
15.
go back to reference Yu SP, Choi DW. Na(+)-Ca2 + exchange currents in cortical neurons: concomitant forward and reverse operation and effect of glutamate. Eur J Neurosci. 1997;9(6):1273–81.CrossRefPubMed Yu SP, Choi DW. Na(+)-Ca2 + exchange currents in cortical neurons: concomitant forward and reverse operation and effect of glutamate. Eur J Neurosci. 1997;9(6):1273–81.CrossRefPubMed
16.
go back to reference Yang H, Kim TH, Lee HH, et al. Distinct expression of the calcium exchangers, NCKX3 and NCX1, and their regulation by steroid in the human endometrium during the menstrual cycle. Reprod Sci. 2011;18(6):577–85.CrossRefPubMed Yang H, Kim TH, Lee HH, et al. Distinct expression of the calcium exchangers, NCKX3 and NCX1, and their regulation by steroid in the human endometrium during the menstrual cycle. Reprod Sci. 2011;18(6):577–85.CrossRefPubMed
17.
go back to reference Herrmann S, Lipp P, Wiesen K, et al. The cardiac sodium-calcium exchanger NCX1 is a key player in the initiation and maintenance of a stable heart rhythm. Cardiovasc Res. 2013;99(4):780–8.CrossRefPubMed Herrmann S, Lipp P, Wiesen K, et al. The cardiac sodium-calcium exchanger NCX1 is a key player in the initiation and maintenance of a stable heart rhythm. Cardiovasc Res. 2013;99(4):780–8.CrossRefPubMed
18.
go back to reference Iwamoto T. Sodium-calcium exchange inhibitors: therapeutic potential in cardiovascular diseases. Future Cardiol. 2005;1(4):519–29.CrossRefPubMed Iwamoto T. Sodium-calcium exchange inhibitors: therapeutic potential in cardiovascular diseases. Future Cardiol. 2005;1(4):519–29.CrossRefPubMed
19.
go back to reference Iwamoto T, Watanabe Y, Kita S, et al. Na+/Ca2+ exchange inhibitors: a new class of calcium regulators. Cardiovasc Hematol Disord. 2007;7(3):188–98.CrossRef Iwamoto T, Watanabe Y, Kita S, et al. Na+/Ca2+ exchange inhibitors: a new class of calcium regulators. Cardiovasc Hematol Disord. 2007;7(3):188–98.CrossRef
20.
go back to reference Azuma YT, Nishiyama K, Kita S, et al. Na(+)/Ca(2 +) exchanger 2-heterozygote knockout mice display decreased acetylcholine release and altered colonic motility in vivo. Neurogastroenterol Motil. 2012;24(12):e600–10.CrossRefPubMed Azuma YT, Nishiyama K, Kita S, et al. Na(+)/Ca(2 +) exchanger 2-heterozygote knockout mice display decreased acetylcholine release and altered colonic motility in vivo. Neurogastroenterol Motil. 2012;24(12):e600–10.CrossRefPubMed
21.
go back to reference van de Graaf SF, Hoenderop JG, Bindels RJ. Regulation of TRPV5 and TRPV6 by associated proteins. Am J Physiol Ren Physiol. 2006;290(6):F1295–302.CrossRef van de Graaf SF, Hoenderop JG, Bindels RJ. Regulation of TRPV5 and TRPV6 by associated proteins. Am J Physiol Ren Physiol. 2006;290(6):F1295–302.CrossRef
22.
go back to reference Wang W, Knosp E, Tai G, et al. Differential effects of estrogen and estrogen receptor antagonist, ICI 182 780, on the expression of calbindin-D9k in rat pituitary prolactinoma GH(3) cells. Int J Clin Exp Pathol. 2014;7(12):8498–505.PubMedPubMedCentral Wang W, Knosp E, Tai G, et al. Differential effects of estrogen and estrogen receptor antagonist, ICI 182 780, on the expression of calbindin-D9k in rat pituitary prolactinoma GH(3) cells. Int J Clin Exp Pathol. 2014;7(12):8498–505.PubMedPubMedCentral
23.
go back to reference Yang H, Lee GS, Yoo YM, et al. Sodium/potassium/calcium exchanger 3 is regulated by the steroid hormones estrogen and progesterone in the uterus of mice during the estrous cycle. Biochem Biophys Res Commun. 2009;385(2):279–83.CrossRefPubMed Yang H, Lee GS, Yoo YM, et al. Sodium/potassium/calcium exchanger 3 is regulated by the steroid hormones estrogen and progesterone in the uterus of mice during the estrous cycle. Biochem Biophys Res Commun. 2009;385(2):279–83.CrossRefPubMed
24.
go back to reference Krisinger J, Dann JL, Currie WD, et al. Calbindin-D9k mRNA is tightly regulated during the estrous cycle in the rat uterus. Mol Cell Endocrinol. 1992;86(1–2):119–23.PubMed Krisinger J, Dann JL, Currie WD, et al. Calbindin-D9k mRNA is tightly regulated during the estrous cycle in the rat uterus. Mol Cell Endocrinol. 1992;86(1–2):119–23.PubMed
25.
go back to reference Kimura J, Ono T, Sakamoto K, et al. Na+–Ca2+ exchanger expression and its modulation. Biol Pharm Bull. 2009;32(3):325–31.CrossRefPubMed Kimura J, Ono T, Sakamoto K, et al. Na+–Ca2+ exchanger expression and its modulation. Biol Pharm Bull. 2009;32(3):325–31.CrossRefPubMed
26.
go back to reference Lee GS, Jeung EB. Uterine TRPV6 expression during the estrous cycle and pregnancy in a mouse model. Am J Physiol Endocrinol Metab. 2007;293(1):E132–8.CrossRefPubMed Lee GS, Jeung EB. Uterine TRPV6 expression during the estrous cycle and pregnancy in a mouse model. Am J Physiol Endocrinol Metab. 2007;293(1):E132–8.CrossRefPubMed
27.
go back to reference An BS, Ahn HJ, Kang HS, et al. Effects of estrogen and estrogenic compounds, 4-tert-octylphenol, and bisphenol a on the uterine contraction and contraction-associated proteins in rats. Mol Cell Endocrinol. 2013;375(1–2):27–34.CrossRefPubMed An BS, Ahn HJ, Kang HS, et al. Effects of estrogen and estrogenic compounds, 4-tert-octylphenol, and bisphenol a on the uterine contraction and contraction-associated proteins in rats. Mol Cell Endocrinol. 2013;375(1–2):27–34.CrossRefPubMed
28.
go back to reference Dong XL, Zhang Y, Wong MS. Estrogen deficiency-induced Ca balance impairment is associated with decrease in expression of epithelial Ca transport proteins in aged female rats. Life Sci. 2014;96(1–2):26–32.CrossRefPubMed Dong XL, Zhang Y, Wong MS. Estrogen deficiency-induced Ca balance impairment is associated with decrease in expression of epithelial Ca transport proteins in aged female rats. Life Sci. 2014;96(1–2):26–32.CrossRefPubMed
29.
go back to reference Yang H, Ahn C, Jeung EB. Differential expression of calcium transport genes caused by COMT inhibition in the duodenum, kidney and placenta of pregnant mice. Mol Cell Endocrinol. 2015;401:45–55.CrossRefPubMed Yang H, Ahn C, Jeung EB. Differential expression of calcium transport genes caused by COMT inhibition in the duodenum, kidney and placenta of pregnant mice. Mol Cell Endocrinol. 2015;401:45–55.CrossRefPubMed
30.
go back to reference Loffing J, Loffing-Cueni D, Valderrabano V, et al. Distribution of transcellular calcium and sodium transport pathways along mouse distal nephron. Am J Physiol Ren Physiol. 2001;281(6):F1021–7.CrossRef Loffing J, Loffing-Cueni D, Valderrabano V, et al. Distribution of transcellular calcium and sodium transport pathways along mouse distal nephron. Am J Physiol Ren Physiol. 2001;281(6):F1021–7.CrossRef
31.
go back to reference Pan Q, Nicholson AM, Barr H, et al. Identification of lineage-uncommitted, long-lived, label-retaining cells in healthy human esophagus and stomach, and in metaplastic esophagus. Gastroenterology. 2013;144(4):761–70.CrossRefPubMed Pan Q, Nicholson AM, Barr H, et al. Identification of lineage-uncommitted, long-lived, label-retaining cells in healthy human esophagus and stomach, and in metaplastic esophagus. Gastroenterology. 2013;144(4):761–70.CrossRefPubMed
32.
go back to reference Gonzalez G, Huang Q, Mashimo H. Characterization of oncocytes in deep esophageal glands. Dis Esophagus. 2016;29(6):670–80CrossRefPubMed Gonzalez G, Huang Q, Mashimo H. Characterization of oncocytes in deep esophageal glands. Dis Esophagus. 2016;29(6):670–80CrossRefPubMed
33.
go back to reference Long JD, Orlando RC. Esophageal submucosal glands: structure and function. Am J Gastroenterol. 1999;94(10):2818–24.CrossRefPubMed Long JD, Orlando RC. Esophageal submucosal glands: structure and function. Am J Gastroenterol. 1999;94(10):2818–24.CrossRefPubMed
34.
go back to reference Glickman JN, Blount PL, Sanchez CA, et al. Mucin core polypeptide expression in the progression of neoplasia in Barrett’s esophagus. Hum Pathol. 2006;37(10):1304–15.CrossRefPubMed Glickman JN, Blount PL, Sanchez CA, et al. Mucin core polypeptide expression in the progression of neoplasia in Barrett’s esophagus. Hum Pathol. 2006;37(10):1304–15.CrossRefPubMed
35.
go back to reference Sun D, Wang X, Gai Z, et al. Bile acids but not acidic acids induce Barrett’s esophagus. Int J Clin Exp Pathol. 2015;8(2):1384–92.PubMedPubMedCentral Sun D, Wang X, Gai Z, et al. Bile acids but not acidic acids induce Barrett’s esophagus. Int J Clin Exp Pathol. 2015;8(2):1384–92.PubMedPubMedCentral
36.
go back to reference Lorinc E, Mellblom L, Oberg S. The immunophenotypic relationship between the submucosal gland unit, columnar metaplasia and squamous islands in the columnar-lined oesophagus. Histopathology. 2015;67(6):792–8.CrossRefPubMed Lorinc E, Mellblom L, Oberg S. The immunophenotypic relationship between the submucosal gland unit, columnar metaplasia and squamous islands in the columnar-lined oesophagus. Histopathology. 2015;67(6):792–8.CrossRefPubMed
37.
go back to reference Davison JM, Ellis ST, Foxwell TJ, et al. MUC2 expression is an adverse prognostic factor in superficial gastroesophageal adenocarcinomas. Hum Pathol. 2014;45(3):540–8.CrossRefPubMed Davison JM, Ellis ST, Foxwell TJ, et al. MUC2 expression is an adverse prognostic factor in superficial gastroesophageal adenocarcinomas. Hum Pathol. 2014;45(3):540–8.CrossRefPubMed
38.
go back to reference Rubio-Gayosso I, Sierra-Ramirez A, Garcia-Vazquez A, et al. 17Beta-estradiol increases intracellular calcium concentration through a short-term and nongenomic mechanism in rat vascular endothelium in culture. J Cardiovasc Pharmacol. 2000;36(2):196–202.CrossRefPubMed Rubio-Gayosso I, Sierra-Ramirez A, Garcia-Vazquez A, et al. 17Beta-estradiol increases intracellular calcium concentration through a short-term and nongenomic mechanism in rat vascular endothelium in culture. J Cardiovasc Pharmacol. 2000;36(2):196–202.CrossRefPubMed
39.
go back to reference Forstner G. Signal transduction, packaging and secretion of mucins. Annu Rev Physiol. 1995;57:585–605.CrossRefPubMed Forstner G. Signal transduction, packaging and secretion of mucins. Annu Rev Physiol. 1995;57:585–605.CrossRefPubMed
40.
go back to reference Zhang J, Ren C, Chen L, et al. Knockout of Na+/Ca2+ exchanger in smooth muscle attenuates vasoconstriction and L-type Ca2+ channel current and lowers blood pressure. Am J Physiol Heart Circ Physiol. 2010;298(5):H1472–83.CrossRefPubMedPubMedCentral Zhang J, Ren C, Chen L, et al. Knockout of Na+/Ca2+ exchanger in smooth muscle attenuates vasoconstriction and L-type Ca2+ channel current and lowers blood pressure. Am J Physiol Heart Circ Physiol. 2010;298(5):H1472–83.CrossRefPubMedPubMedCentral
41.
go back to reference Lieberman DA, Oehlke M, Helfand M. Risk factors for Barrett’s esophagus in community-based practice. GORGE consortium. Gastroenterology Outcomes Research Group in Endoscopy. Am J Gastroenterol. 1997;92(8):1293–7.PubMed Lieberman DA, Oehlke M, Helfand M. Risk factors for Barrett’s esophagus in community-based practice. GORGE consortium. Gastroenterology Outcomes Research Group in Endoscopy. Am J Gastroenterol. 1997;92(8):1293–7.PubMed
42.
go back to reference Carter R, Brewer LA 3rd. Achalasia and esophageal carcinoma. Studies in early diagnosis for improved surgical management. Am J Surg. 1975;130(2):114–20.CrossRefPubMed Carter R, Brewer LA 3rd. Achalasia and esophageal carcinoma. Studies in early diagnosis for improved surgical management. Am J Surg. 1975;130(2):114–20.CrossRefPubMed
43.
go back to reference Meijssen MA, Tilanus HW, van Blankenstein M, et al. Achalasia complicated by oesophageal squamous cell carcinoma: a prospective study in 195 patients. Gut. 1992;33(2):155–8.CrossRefPubMedPubMedCentral Meijssen MA, Tilanus HW, van Blankenstein M, et al. Achalasia complicated by oesophageal squamous cell carcinoma: a prospective study in 195 patients. Gut. 1992;33(2):155–8.CrossRefPubMedPubMedCentral
44.
go back to reference Streitz JM Jr, Ellis FH Jr, Gibb SP, et al. Achalasia and squamous cell carcinoma of the esophagus: analysis of 241 patients. Ann Thorac Surg. 1995;59(6):1604–9.CrossRefPubMed Streitz JM Jr, Ellis FH Jr, Gibb SP, et al. Achalasia and squamous cell carcinoma of the esophagus: analysis of 241 patients. Ann Thorac Surg. 1995;59(6):1604–9.CrossRefPubMed
45.
go back to reference Zendehdel K, Nyren O, Edberg A, et al. Risk of esophageal adenocarcinoma in achalasia patients, a retrospective cohort study in Sweden. Am J Gastroenterol. 2011;106(1):57–61.CrossRefPubMed Zendehdel K, Nyren O, Edberg A, et al. Risk of esophageal adenocarcinoma in achalasia patients, a retrospective cohort study in Sweden. Am J Gastroenterol. 2011;106(1):57–61.CrossRefPubMed
46.
go back to reference Wang BJ, Zhang B, Yan SS, et al. Hormonal and reproductive factors and risk of esophageal cancer in women: a meta-analysis. Dis Esophagus. 2016;29(5):448–54.CrossRefPubMed Wang BJ, Zhang B, Yan SS, et al. Hormonal and reproductive factors and risk of esophageal cancer in women: a meta-analysis. Dis Esophagus. 2016;29(5):448–54.CrossRefPubMed
Metadata
Title
Effects of estrogen on esophageal function through regulation of Ca2+-related proteins
Authors
Kipung Kim
Dongoh Lee
Changhwan Ahn
Hee Young Kang
Beum-Soo An
Yeon Hee Seong
Eui-Bae Jeung
Publication date
01-08-2017
Publisher
Springer Japan
Published in
Journal of Gastroenterology / Issue 8/2017
Print ISSN: 0944-1174
Electronic ISSN: 1435-5922
DOI
https://doi.org/10.1007/s00535-016-1305-y

Other articles of this Issue 8/2017

Journal of Gastroenterology 8/2017 Go to the issue

Original Article—Liver, Pancreas, and Biliary Tract

Nationwide epidemiological survey of early chronic pancreatitis in Japan

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.