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The Journal of Neuroscience, March 15, 2003, 23(6):2357
Overexpression of Bcl-2 Reduces Sex Differences in Neuron Number
in the Brain and Spinal Cord
Susan L.
Zup1,
Heather
Carrier1,
Elizabeth
M.
Waters2,
Abigail
Tabor1,
Lynn
Bengston1,
Greta J.
Rosen1,
Richard B.
Simerly2, and
Nancy G.
Forger1
1 Department of Psychology and Center for
Neuroendocrine Studies, University of Massachusetts, Amherst,
Massachusetts 01003, and 2 Oregon Regional Primate Research
Center, Division of Neuroscience, Beaverton, Oregon 97006
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ABSTRACT |
Several sex differences in the nervous system depend on
differential cell death during development in males and females. The anti-apoptotic protein, Bcl-2, promotes the survival of many types of
neurons during development and in response to injury. To determine whether Bcl-2 might similarly control cell death in sexually dimorphic regions, we compared neuron number in wild-type mice and transgenic mice overexpressing Bcl-2 under the control of a neuron-specific promoter. Three neural areas were examined: the spinal nucleus of the
bulbocavernosus (SNB), in which neuron number is greater in males; the
retrodorsolateral nucleus (RDLN) of the spinal cord, which exhibits no
sex difference in neuron number; and the anteroventral periventricular
nucleus (AVPV) of the hypothalamus, in which both overall cell density
and the number of tyrosine hydroxylase immunoreactive (TH-ir) neurons
are greater in females. Bcl-2 overexpression significantly increased
SNB cell number in females, overall cell density of AVPV in males, and
RDLN cell number in both sexes. Bcl-2 overexpression did not alter the
number of TH-ir neurons in AVPV of males or females. These findings
indicate that Bcl-2 can regulate sexually dimorphic cell number in the
brain and spinal cord and suggest that Bcl-2 may mediate effects of
testosterone on cell survival during neural development. In contrast to
the regulation of overall cell density in AVPV, the sex difference in
TH cell number apparently is not caused by a Bcl-2-dependent mechanism.
Key words:
Bcl-2; sex difference; cell death; nervous system; spinal nucleus of the bulbocavernosus; anteroventral periventricular
nucleus
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Introduction |
Sex differences in neuron number
have been described in the mammalian nervous system and often can be
attributed to the hormonal control of cell death (Tobet and Hanna,
1997 ; Forger, 2001 ). Testosterone, produced by the testes during
perinatal life, increases cell death in some neural regions, whereas it
decreases death in others. In the spinal nucleus of the bulbocavernosus
(SNB), a cluster of motoneurons in the lumbar cord which innervates
penile muscles, testosterone acts via androgen receptors to prevent
cell death (Breedlove and Arnold, 1983 ; Nordeen et al., 1985 ). As a
result, adult males have many more SNB cells than do females (Breedlove and Arnold, 1980 ). Conversely, the anteroventral periventricular nucleus (AVPV), a nucleus at the rostral extreme of the third ventricle
implicated in the control of gonadotrophin release, is larger and
exhibits greater cell density in females than in males (Bleier et al.,
1982 ; Sumida et al., 1993 ). These sex differences are attributable, at
least in part, to the fact that testosterone or its estrogenic
metabolites increase cell death in AVPV during perinatal life (Murakami
and Arai, 1989 ; Nishizuka et al., 1993 ; Sumida et al., 1993 ; Arai et
al., 1996 ). Females also have many more dopaminergic neurons in AVPV
than do males (Simerly, 1998 ), but it is not known whether this sex
difference arises as the result of differential cell death in males and
females or some other mechanism. Although the development of sex
differences in neuron number has been best studied in rats, the sex
differences in the SNB and AVPV and their developmental dependence on
gonadal steroid hormones are similar in mice (Wee and Clemens, 1987 ;
Wagner and Clemens, 1989 ; Forger et al., 1997 ; Simerly et al.,
1997 ).
In many neural regions, developmental cell death is critically
controlled by the Bcl-2 family of proteins. Some family members, such
as Bcl-2 itself, promote cell survival, whereas other family members
promote cell death. According to the "rheostat" model of cell
death, it is the ratio of pro-life to pro-death molecules that
determines whether a cell will live or die (Yang and Korsmeyer, 1996 ),
and elevated expression of a survival-promoting family member should
reduce the likelihood of cell death. Indeed, overexpression of Bcl-2
has been shown to prevent neuronal cell death in several experimental
paradigms (Allsopp et al., 1993 ; Dubois-Dauphin et al., 1994 ; Martinou
et al., 1994 ; Bonfanti et al., 1996 ). The effect of Bcl-2
overexpression on developmental cell death in sexually dimorphic
regions, however, has not been explored.
In the present study, the SNB and AVPV were examined in transgenic mice
overexpressing Bcl-2 under the control of a neuron-specific promoter.
We reasoned that if Bcl-2 normally promotes cell survival in these
regions, then Bcl-2 overexpression might prevent cell death, thereby
reducing or eliminating sex differences that depend on differential
apoptosis in males and females. For comparison, we also examined the
retrodorsolateral nucleus (RDLN), a spinal nucleus in which cell number
is neither sexually dimorphic nor affected by perinatal hormone
treatments (Jordan et al., 1982 ; Leslie et al., 1991 ).
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Materials and Methods |
Animals. Transgenic male mice overexpressing human
Bcl-2 under the control of the neuron-specific enolase promoter [line
NSE73a in Martinou et al. (1994) ] were obtained from Dr. J. C. Martinou (University of Geneva, Geneva, Switzerland) through Dr.
Flint Beale (Massachusetts General Hospital, Boston, MA). This
line was chosen because expression of the transgene is targeted to the
nervous system and can be detected in essentially all postmitotic neurons of the brain and spinal cord by embryonic day 13. Moreover, expression of the transgene far exceeds the production of endogenous mouse Bcl-2, i.e., there is true "overexpression" of Bcl-2 in these
animals (Martinou et al., 1994 ). We used antibodies specific for human
Bcl-2 to verify that the transgene is abundantly expressed in the SNB,
RDLN, and AVPV of the overexpressors (Park et al., 2002 ; E. M. Waters and R. B. Simerly, unpublished observations).
Wild-type and Bcl-2 overexpressing offspring were generated by mating
Bcl-2 overexpressing males with B6D2F1 females (The Jackson
Laboratory, Bar Harbor ME) and were genotyped by PCR
amplification of tail DNA using published primer sequences (Coulpier et
al., 1996 ). Mice were housed in groups of three to four in a 12 hr light/dark cycle and held at 24°C. Adult mice (60-90 d old) were overdosed with pentobarbital and then perfused intracardially with
saline followed by 4% paraformaldehyde.
Motoneuron size and number. Motoneurons in the SNB and RDLN
were examined in 36 mice (n = 7-10 animals per group).
Lumbosacral spinal cords were dissected out, postfixed in 10%
formalin, and immersed in Bouin's solution for 48 hr before paraffin
embedding. Serial, 12 µm coronal sections were collected, mounted on
slides, and thionin stained. Mean cell size for both SNB and RDLN
motoneurons was determined by camera lucida tracings of the somas and
nuclei of at least 20 motoneurons per nucleus, per animal. Sections
chosen for tracing were spaced equally throughout the rostrocaudal
extent of each cell group, and all possible motoneurons from these
sections were traced to avoid experimenter bias.
SNB and RDLN motoneurons were counted in alternate sections as in
previous studies (Forger et al., 1997 ; Park et al., 1999 ). Only
motoneurons with a clearly visible nucleus and nucleolus were included
in the analysis; the SNB was counted bilaterally, and motoneurons in
the RDLN were counted unilaterally. The Konigsmark correction
(Konigsmark, 1970 ) was then used to correct raw motoneuron counts for
sampling ratio and for overcounting of split cells on the basis of the
size of the object counted (motoneuronal nucleus) in each animal. In
preliminary counts, the RDLN population appeared heterogeneous,
containing a subpopulation of cells that were small but nonetheless
exhibited the classic staining characteristics of motoneurons.
Therefore, counts of RDLN motoneurons were divided into "small" or
"average" cells on the basis of simple visual inspection by an
experimenter blind to treatment groups.
AVPV overall cell density and tyrosine hydroxylase cell
number. Brains were removed from the skulls of 29 mice
(n = 5-9 per group), blocked, placed in 15% sucrose
overnight, and then sectioned at 30 µm in the coronal plane on a
freezing microtome. Serial sections were mounted on slides and thionin
stained. Cell density counts were made on two sections in AVPV of each
animal, at a final magnification of 1000×. For counting, an eye-piece
reticule was used to superimpose a grid (192 × 240 µm) on AVPV.
The grid was lined up against the third ventricle, and only darkly
staining cells with the characteristic morphology of neurons were
counted by an observer blind to treatment groups. The mean of the
counts was determined and designated as "total cell density" for
that animal. This method of counting is similar to that used previously to estimate neuron density in AVPV (Sumida et al., 1993 ). Cell size was
determined by tracing the soma and nucleus of at least 50 neurons in
two sections through AVPV, and tracings were imported into SigmaScan to
determine cross-sectional areas. Because there was no effect of sex or
genotype on cell size in AVPV (see below), no corrections were made for
double-counting of split cells. Thus, the cell densities reported may
slightly overestimate the density of neurons present in AVPV, but
between-group comparisons should remain valid. Nucleus length was
determined by multiplying the number of sections containing the AVPV by
the section thickness.
A small subset of all neurons in AVPV are dopaminergic, as identified
by tyrosine hydroxylase (TH) immunoreactivity, and females have many
more TH-immunoreactive (TH-ir) neurons in AVPV than do males (Simerly
et al., 1985 , 1997 ). To determine whether Bcl-2 influences the number
of dopaminergic neurons in AVPV, brains were harvested from a separate
cohort of mice (n = 4-6 per group) perfused with 4%
paraformaldehyde in borate buffer, pH 9.5. Coronal sections (20 µm)
through AVPV were immunostained for TH and estrogen receptor , as
described previously (Simerly et al., 1997 ), using mouse anti-tyrosine
hydroxylase antiserum (1:1000; DiaSorin, Stillwater, MN)
and rabbit anti-estrogen receptor (1:40,000; Upstate, Waltham, MA).
The primary antibodies were localized with goat anti-mouse secondary
conjugated to Alexa 488 and goat anti-rabbit secondary conjugated to
Alexa 586 (Molecular Probes, Eugene, OR). Estrogen receptor -immunoreactive cells were used to select sections
containing AVPV and to identify the borders of the AVPV from each
animal. TH-ir cells with clearly visible nuclei were counted in all
sections containing the AVPV.
Data analysis. The effects of sex and Bcl-2 overexpression
on SNB and RDLN motoneuron number and size as well as AVPV length, cell
density, cell size, and TH-ir cell number were evaluated using separate
two-way ANOVAs. Planned comparisons were performed after
significant main effects using Fisher's LSD.
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Results |
Effects of Bcl-2 overexpression on SNB motoneurons
The robust sex difference in SNB cell number seen previously in
rats and mice was confirmed, with males having many more motoneurons than females (F(1,32) = 73.0;
p < 0.0005) (Fig. 1).
There was no main effect of Bcl-2 overexpression on SNB cell number
(F(1,32) = 3.0; p = 0.09). However, there was a significant sex-by-genotype interaction
(F(1,32) = 6.7; p < 0.05), attributable to the fact that Bcl-2 overexpression increased SNB
motoneuron number by 53% in females (p < 0.005) and did not affect cell number in males (p > 0.56) (Fig. 1). In accord with previous
observations, males had larger SNB motoneuron somas and nuclei than did
females (p < 0.0005 in both cases) (Table
1). There was no effect of Bcl-2 overexpression and no sex-by-genotype interaction on SNB cell size.

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Figure 1.
The mean (±SEM) number of SNB motoneurons in
wild-type (WT) and Bcl-2-overexpressing
(Bcl-2 OE) mice. Bcl-2 overexpression increased
motoneuron number in females but not in males. n = numbers at base of bars. n.s., Not
significant.
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Effects of Bcl-2 overexpression on the RDLN
Bcl-2 overexpression significantly increased the total number of
RDLN motoneurons, with overexpressing mice having ~22% more RDLN
motoneurons than their wild-type siblings
(F(1,32) = 27.0; p < 0.0005) (Fig. 2A).
There was no main effect of sex and no sex-by-genotype interaction on
total number of RDLN cells, and planned comparisons confirm that the
increase was significant within both males and females
(p < 0.005 in both cases). A population of
small motoneurons was noted within the RDLN that, across groups, accounted for ~15% of the total. Bcl-2 overexpression significantly increased the number of both "small" and "average" RDLN
cells, but the effect was much more pronounced on the small cells:
Bcl-2 overexpressors had 114% more small (p < 0.0005) (Fig. 2B) and 9% more average RDLN cells
than did wild-type mice (p < 0.05; data not
shown). As a result, mean RDLN motoneuron nucleus and soma sizes were
decreased in Bcl-2-overexpressing mice (p <0.01) (Table 1). There was no main effect of sex and no sex-by-genotype interaction on RDLN cell size. Thus, Bcl-2 overexpression increased motoneuron number in the RDLN of both males and females, and many of
the supernumerary cells were small.

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Figure 2.
Motoneuron number in the RDLN of wild-type and
Bcl-2-overexpressing mice. A, There was no sex
difference in RDLN cell number. Bcl-2 overexpression increased the
total number of RDLN motoneurons by ~22%, and the increase was
significant for both sexes. B, The number of RDLN
motoneurons classified as small was increased by 114% in
Bcl-2-overexpressing mice; this increase was significant for both males
and females. n = numbers at base of
bars.
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Effect of Bcl-2 overexpression on AVPV cell density, nucleus
length, and TH-ir cell number
As reported previously (Bleier et al., 1982 ; Sumida et al., 1993 ),
there was a modest sex difference in AVPV cell density, with higher
densities in females (F(1,25) = 8.1;
p < 0.01) (Fig. 3A).
Bcl-2 overexpression increased overall cell density in AVPV (F(1,25) = 11.2; p < 0.005), and planned comparisons indicate that this increase was
significant for males (p < 0.005) but not for
females (p > 0.1). As a result, the sex
difference in cell density was no longer significant in
Bcl-2-overexpressing mice. There was no effect of either sex or Bcl-2
expression on nucleus or soma size in AVPV (Table 1). AVPV volume has
also been reported to be greater in female mice than in males, and this
sex difference is attributable primarily to the fact that the nucleus
is longer in females (Bleier et al., 1982 ). In the current sample,
nucleus length tended to be greater in females than in males, but this difference did not reach statistical significance
(F(1,25) = 3.6; p = 0.069). There was no effect of Bcl-2 overexpression on length of
AVPV.

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Figure 3.
Overall cell density and the number of tyrosine
hydroxylase (TH)-immunoreactive neurons in AVPV.
A, Overall cell density was higher in females than in
males (p < 0.01). Bcl-2 overexpression
significantly increased AVPV cell density in males. B,
Females had 3.3 times as many TH-immunoreactive neurons in AVPV as did
males (p < 0.0005). Bcl-2 overexpression
had no effect on TH cell number in either sex. n = numbers at base of bars.
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In confirmation of previous reports (Simerly et al., 1985 , 1997 ), the
number of TH-ir cells in the present study was 3.3 times greater in
females than in males (p < 0.0005). However,
there was no effect of Bcl-2 overexpression and no sex-by-genotype
interaction on TH cell number. Thus, Bcl-2 overexpression increased
overall cell density in AVPV of male mice but did not influence the
number of TH-positive cells.
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Discussion |
Bcl-2 rescues many types of neurons from apoptosis caused by
injury or disease and can enhance neuronal survival during development (Allsopp et al., 1993 ; Martinou et al., 1994 ; Farlie et al., 1995 ; Bonfanti et al., 1996 ). Here we examined whether Bcl-2 might also be
involved in sexually dimorphic cell death in the CNS. In accord with
previous reports, male wild-type mice had many more SNB motoneurons than did females, and, conversely, females had a higher overall cell
density in the AVPV than did males. Bcl-2 overexpression significantly
increased the number of SNB motoneurons in females and AVPV neuronal
density in male mice. In the RDLN, which exhibits no sex difference in
neuron number, Bcl-2 overexpression increased motoneuron number
similarly in both sexes. Thus, in addition to its well established role
in controlling neuronal number in non-dimorphic neural regions, Bcl-2
may control cell number in sexually dimorphic cell groups.
The most likely explanation for the increased number of neurons seen in
the overexpressors is that Bcl-2 saved neurons from developmental cell
death. The forced overexpression of Bcl-2 prevents the death of
developing neurons in vitro and in vivo (Allsopp et al., 1993 ; Martinou et al., 1994 ; Farlie et al., 1995 ). Moreover, the neuron-specific enolase promoter, which controlled expression of
Bcl-2 in the mice used here, is not produced at high levels until
neurons become functionally and morphologically mature (Marangos et
al., 1980 ), making it unlikely that Bcl-2 altered neuron number by
affecting neurogenesis. Thus, although we cannot definitively rule out
other explanations, these considerations support the interpretation
that Bcl-2 overexpression increased neuron number by maintaining
neurons that would otherwise die in the developing SNB, AVPV, and RDLN.
Although Bcl-2 overexpression significantly increased motoneuron number
in the SNB of females, the sparing was not complete: female
overexpressors still had significantly fewer SNB cells than did males.
The Bcl-2 transgene in the line of mice used here is reported to be
expressed in all postmitotic neurons of the spinal cord by embryonic
day 13 (Martinou et al., 1994 ), i.e., well before the perinatal cell
death period in the SNB. However, because the level of expression of
Bcl-2 specifically within SNB motoneurons during the perinatal period
is not known, it remains possible that Bcl-2 protein levels in the SNB
were not high enough or produced early enough during the cell death
period to rescue all SNB cells of females. It is also possible that
Bcl-2 overexpression transiently saved some SNB motoneurons that
subsequently died because of lack of trophic support. Target-derived
trophic factors are important regulators of motoneuronal cell death
during development (Hollyday and Hamburger, 1976 ; Oppenheim, 1991 ). SNB
motoneurons project to the striated perineal muscles bulbocavernosus
(BC), levator ani (LA), and external anal sphincter (Schroder, 1980 ). Although the BC and LA initially form in both sexes, these muscles remain vestigial (LA) or degenerate (BC) in females during perinatal life, and it is the loss of target muscles that is thought to account
for the massive death of SNB motoneurons in females (Cihak et al.,
1970 ; Tobin and Joubert, 1991 ; Forger et al., 1992 ). The BC/LA muscles
could not be identified by gross dissection of adult females in the
present study, regardless of genotype, suggesting that Bcl-2
overexpression does not "masculinize" SNB target muscles. Similarly, reconstructions of BC/LA muscle volumes in newborn females
indicate no effect of Bcl-2 transgene expression on muscle size during
the cell death period (S. Montaldo and N. G. Forger, unpublished observations). The SNB of adult females may therefore provide an unusually stringent test of the rescue ability of Bcl-2, because motoneurons must be maintained indefinitely, despite the loss
of major target sites.
Bcl-2 overexpression increased overall cell density in
AVPV, but the number of dopaminergic neurons, as measured by TH
immunoreactivity, was not affected by transgene expression. There are
several possible explanations for this negative finding. First, it is
possible that the sex difference in TH cell number arises not as the
result of differential cell death of presumptive dompaminergic neurons but by some other mechanism, such as the hormonal specification of
neuronal phenotype. Alternatively, the sex difference in TH-ir cell
number in AVPV may indeed be caused by hormonally regulated cell death,
but by a Bcl-2 independent pathway. For example, other Bcl-2 family
members, such as Bcl-xL and Bax, and the cell surface Fas receptor are
implicated in controlling the initiation of cell death cascades in
developing neurons (Raoul et al., 1999 ; Martin, 2001 ).
The final common pathway for many types of cell death is the activation
of cysteine proteases, known as "caspases," which degrade cellular
proteins (for review, see Hengartner, 2000 ). Preliminary findings of
Waters and Simerly (2002) indicate that estradiol markedly decreases TH
cell number in organotypic slice cultures of newborn rat AVPV, and this
decrease can be prevented by concomitant treatment with a caspase
inhibitor. This suggests that cell death contributes, at least in part,
to the hormonally controlled sex difference in TH cell number in AVPV
and, taken together with the current findings, underscores the
possibility that the molecular control of cell death varies not only
from region to region, but also among subtypes of cells within a single neural region. The AVPV exhibits considerable cell type heterogeneity, and in addition to the sex difference in TH neurons, female rats have
more neurons that express dynorphin, calcitonin gene-related peptide,
neurotensin, and estrogen receptors (Alexander et al., 1991 ; Simerly,
1991 ; Bloch et al., 1992 ; Herbison and Dye, 1993 ). Although sexual
differentiation of these cell types in the AVPV of mice has not yet
been examined, overexpression of Bcl-2 may have reduced the sex
difference in overall cell number in AVPV by reducing hormone-dependent
cell death in any of these subpopulations of neurons.
Bcl-2 overexpression markedly increased the number of RDLN motoneurons
categorized as small. Similarly, many of the facial motoneurons rescued
in mice with a targeted deletion of the pro-death gene, Bax, are
shrunken in size (Deckwerth et al., 1996 ). If Bcl-2 overexpression
increases motoneuron survival without affecting size of the target
muscles, then an increased number of motoneurons may be competing for a
constant supply of target-derived trophic factors in the
overexpressors. We did not examine RDLN target muscles, which are
located in the foot. However, striated muscles are not likely to have
been directly affected by Bcl-2 expression in the current study because
the Bcl-2 transgene was linked to a neuron-specific promoter. Moreover,
as mentioned above, size of SNB target muscles was not affected by
transgene expression. Thus, because target-derived trophic factors
influence motoneuron size in adulthood (Elliott and Snider, 1996 ),
there may be a subset of motoneurons in Bcl-2-overexpressing mice that
do not receive enough trophic support to promote a normal cell size yet
are prevented from dying by excess Bcl-2. It is not known whether these
cells are functional or, more generally, how neural circuits and the functions that they control may be altered in the brains and spinal cords of the cell death mutants.
Gonadal steroid hormones regulate cell death in the
developing SNB and AVPV. Specifically, androgenic metabolites of
testosterone reduce cell death in the SNB (Breedlove and Arnold,
1983 ), whereas estrogenic metabolites increase cell death in AVPV (Arai
et al., 1996 ). It is possible that by increasing Bcl-2 protein
expression, some neurons would be maintained that ordinarily die in the
SNB and AVPV, even if testosterone does not normally affect the
expression or activity of Bcl-2. Alternatively, the present results
suggest the possibility that the hormonal regulation of Bcl-2 family
proteins may be an important mechanism whereby gonadal steroids sculpt sex differences in neuronal number. Numerous previous studies demonstrated that Bcl-2 mRNA and protein expression are controlled by
gonadal steroid hormones in peripheral tissues and in cancer cell lines
(Wang and Phang, 1995 ; Kandouz et al., 1996 ; Huang et al., 1997 , 1999 ).
Within the CNS, estradiol upregulates Bcl-2 in several brain regions of
adults (Garcia-Segura et al., 1998 ; Dubal et al., 1999 ; Green and
Simpkins, 2000 ; Alkayed et al., 2001 ), and testosterone increases Bcl-2
immunoreactivity in the SNB of adult male rats (Zup and Forger, 2002 ).
The hormonal control of Bcl-2 expression during neural development has
been less well studied, although preliminary findings from our
laboratory indicate that testosterone enhances Bcl-2 protein expression
in SNB motoneurons of female rats during late embryonic life (Zup,
2002 ). In addition, an NMDA receptor antagonist that lowers
testosterone levels of newborn male rats concomitantly decreases Bcl-2
expression and increases cell death in the preoptic area of the
hypothalamus (Hsu et al., 2000 ). Although in most instances androgens
or estrogens increase Bcl-2 expression and promote cell survival, in
other cases these hormones decrease Bcl-2 and cell viability (Lapointe et al., 1999 ). Thus, the same hormonal stimulus can drive
Bcl-2-dependent cell death in opposite directions in a cell-type
specific manner. Variables such as the steroid receptor subtypes and
cofactors expressed by a given cell may determine the response to a
given hormone and may explain how testosterone and its hormonal
metabolites normally decrease cell death in some neural regions,
whereas they increase cell death in others (cf. Nilsen et al.,
2000 ).
 |
FOOTNOTES |
Received Aug. 27, 2002; revised Dec. 30, 2002; accepted Dec. 31, 2002.
This work was supported by National Institutes of Health Grants HD33044
(N.G.F.), HD01188 (N.G.F.), and NS37952 (R.B.S.). We are grateful for
the excellent technical assistance provided by Jennifer Pfau and
Sabrine Montaldo.
Correspondence should be addressed to Nancy G. Forger, Department of
Psychology, University of Massachusetts, Amherst, MA 01003. E-mail:
nforger{at}psych.umass.edu.
 |
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