“…The G protein-coupled estrogen receptor (GPER) has been extensively characterized as a protective target in animal models of left heart and systemic circulation remodeling and dysfunction. Nongenomic mechanisms are triggered, such as rapid estrogen-mediated activation of related protein-serine/threonine kinases (ERK1/2) and cyclic AMP (cAMP) generation, with subsequent induction of beneficial effects on the heart and arterial wall, including vasodilation, inhibition of smooth muscle cell proliferation, inhibition of inflammation, antioxidant effects, and endothelial/cardiac cell survival following injury (Alencar et al, 2016; Deschamps and Murphy, 2009; Haas et al, 2009; Jessup et al, 2010; Lindsey et al, 2009; Liu et al, 2016; Wang et al, 2012; Wang et al, 2015; Weil et al, 2010). Despite classical estrogen receptors (ERα and ERβ) signaling has been well characterized in different animal models of PH (Frump et al, 2015; Mair et al, 2014; Wright et al, 2015; Xu et al, 2013), there is a lack of robust exploration of GPER specific roles during experimental PH and in RV dysfunction.…”