Skip to main content
Log in

Mechanisms of neuroprotection by estrogen

  • Published:
Endocrine Aims and scope Submit manuscript

Abstract

Over the past decade our recognition that estrogens function as important neurotrophic and neuroprotective factors has grown rapidly. Accumulating evidence from basic science studies demonstrates that estrogens exert profound protective actions against various forms of neurodegenerative diseases and injury. Although a thorough understanding of the mechanisms underlying the protective effect of estrogens is far from complete, significant progress has been achieved through the use of in vivo as well as in vitro models. Here we review the results from our laboratory demonstrating that low physiological levels of estradiol therapy exert powerful protection against ischemic stroke-like injury. Using an animal model of cerebrovascular stroke and in vitro explant cultures, we have begun to decipher under what circumstances 17β-estradiol protects against neuronal death and to uncover its mechanisms of action. In addition, we will review recent work demonstrating that estradiol may additionally enhance the ability of the adult brain to undergo repair by influencing the production of new neurons under neuropathological conditions, as well as by promoting an anti-inflammatory response. As we uncover the important protective roles of ovarian steroid hormones in brain disease and injury, we increasingly appreaciate that the mechanisms by which estrogens achieve these effects are diverse and complex.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rossouw, J. E., Anderson, G. L., Prentice, R. L., et al. (2002) JAMA 288, 321–333.

    Article  PubMed  CAS  Google Scholar 

  2. Anderson, G. L. and Limacher, M. (2004). JAMA 291, 1701–1712.

    Article  PubMed  CAS  Google Scholar 

  3. Turgeon, J. L., McDonnell, D. P., Martin, K. A. and Wise, P. M. (2004). Science 304, 1269–1273.

    Article  PubMed  CAS  Google Scholar 

  4. Wise, P. M., Dubal, D. B., Rau, S. W., Brown C. M., and Suzuki, S. (2005). Endocrine Rev. 26, 308–312.

    Article  CAS  Google Scholar 

  5. Behl, C. (2002). Nat. Rev. Neurosci. 3, 433–442.

    PubMed  CAS  Google Scholar 

  6. Maggi, A., Ciana, P., Belcredito, S., and Vegeto, E. (2004) Annu. Rev. Physiol. 66, 291–313.

    Article  PubMed  CAS  Google Scholar 

  7. Wise, P. M., Dubal, D. B., Wilson, M. E., Rau S. W., and Liu, Y. (2001) Front. Neuroendocrinol. 22, 33–66.

    Article  PubMed  CAS  Google Scholar 

  8. American Heart Association (2005). Heart Disease and Stroke Statistics-2006 Update, www.americanheart.org/statistics

  9. Cooke, B., Hegstrom, C. D., Villeneuve L. S., and Breedlove, S. M. (1998) Font. Neuroendocrinol. 19, 323–362.

    Article  CAS  Google Scholar 

  10. Wizemann, T. M. and Pardue, M. (2001). In: Exploring the biological contributions of human health, 1st ed. Wisemann, T. M. and Pardue, M. (eds.). National Academy Press, Washington, DC, pp. 28–78.

    Google Scholar 

  11. Kordon, C., Drouva, S. V., Martinez de la Escalera, G., and Weiner, R. I. (1994). In. The physiology of reproduction 2nd ed. Knobil, E. and Neill, J. D. (eds.). Raven Press, New York pp. 1621–1681.

    Google Scholar 

  12. Pfaff, D. W., Schwartz-Giblin, S., McCarthy, M. M., and Kow, L.-M., (1994). In: The physiology of reproduction, 2nd ed Knobil, E. and Neill, J. D. (eds) Raven Press, New York, pp. 107–220.

    Google Scholar 

  13. Azcoitia, I., Sierra, A., and Garcia-Segura L. M. (1998) NeuroReport 9, 3075–3079.

    Article  PubMed  CAS  Google Scholar 

  14. Emerson, C. S., Headrick, J. P., and Vink, R. (1993) Brain Res. 608, 95–100.

    Article  PubMed  CAS  Google Scholar 

  15. Saiyed, M. and Riker, W. K. (1993). J. Pharmacol. Exp. Ther. 264, 1146–1153.

    PubMed  CAS  Google Scholar 

  16. Cadet, K., Ladenheim, B., Baum, I., Carlson, E. and Epstein, C. (1994) Brain Res. 655, 259–262.

    Article  PubMed  CAS  Google Scholar 

  17. Dubal, D. B., Kashon, M. L., Pettigrew, L. C., et al., (1998). J. Cereb. Blood Flow Metab. 18, 1253–1258.

    Article  PubMed  CAS  Google Scholar 

  18. Simpkins, J. W., Rajakumar, G., Zhang, Y.-Q., et al. (1997). J. Neurosurg. 87, 724–730.

    Article  PubMed  CAS  Google Scholar 

  19. Toung, T. J. K., Traystman, R. J., and Hurn, P. D. (1998). Stroke 29, 1666–1670.

    PubMed  CAS  Google Scholar 

  20. Dubal, D. B., Zhu, B., Yu, B., et al., (2001). Proc. Natl. Acad. Sci. USA 98, 1952–1957.

    Article  PubMed  CAS  Google Scholar 

  21. Dubal, D. B. and Wise, P. M. (2001). Endocrinology 142, 43–48.

    Article  PubMed  CAS  Google Scholar 

  22. Yang, S.-H., Shi, J., Day, A. L., and Simpkins, J. W. (2000). Stroke 31, 745–750.

    PubMed  CAS  Google Scholar 

  23. Yang, S.-H., Liu, R., Wu, S. S., and Simpkins, J. W. (2003). Annals NY Acad. Sci. 1007, 101–107.

    Article  CAS  Google Scholar 

  24. Toran-Allerand, C. D., Guan, X., MacLusky, N. J., et al. (2002). J. Neurosci. 22, 8391–8401.

    PubMed  CAS  Google Scholar 

  25. Dubal, D. B., Shughrue, P. J., Wilson, M. E., Merchenthaler, I., and Wise, P. M. (1999) J. Neurosci., 19, 6385–6393.

    PubMed  CAS  Google Scholar 

  26. Shughrue, P. J., Stumpf, W. E., MacLusky, N. J., Zielinski, J. E., and Hochberg, R. B. (1990), Endocrinology 126, 1112–1124.

    Article  PubMed  CAS  Google Scholar 

  27. Solum, D. T. and Handa, R. J. (2001). Dev. Brain Res. 128, 165–175.

    Article  CAS  Google Scholar 

  28. Estus, S., Zaks, W. J., Freeman, R. S., Gruda, M., Bravo, R. and Johnson, E. M. Jr. (1994). J. Cell Biol. 127, 1717–1727.

    Article  PubMed  CAS  Google Scholar 

  29. Kinouchi, H., Sharp, F. R., Chan, P. H., Koistinaho, J., Sagar, S. M., and Yoshimoto, T. (1994). J. Cereb. Blood Flow Metab. 14, 808–817.

    PubMed  CAS  Google Scholar 

  30. Rau, S. W., Dubal, D. B., Böttner, M. and Wise, P. M. (2003). J. Neurosci. 23, 10487–10494.

    PubMed  CAS  Google Scholar 

  31. Rau, S. W., Dubal, D. B., Böttner, M. B., Gerhold, L. M., and Wise, P. M. (2003). J. Neurosci. 23, 11420–11426.

    PubMed  CAS  Google Scholar 

  32. Wilson, M. E., Dubal, D. B., and Wise, P. M. (2000). Brain Res. 873, 235–242.

    Article  PubMed  CAS  Google Scholar 

  33. Wilson, M. E., Liu, Y., and Wise, P. M. (2002). Mol. Brain Res. 102, 48–54.

    Article  PubMed  CAS  Google Scholar 

  34. Tanapat, P., Hastings, N. B., Reeves, A. J., and Gould, E. (1999). J. Neurosci. 19, 5792–5801.

    PubMed  CAS  Google Scholar 

  35. Saravia, F., Rexer, J. L., Lux-Lantos, V., Beauvillain, J., Homo-Delarche, F., and De Nicola, A. F. (2004). J. Neuroendo. 16, 704–710.

    Article  CAS  Google Scholar 

  36. Shingo, T., Gregg, C., Enwere, E., et al. (2003). Science 299, 117–120.

    Article  PubMed  CAS  Google Scholar 

  37. Alvarez-Buylla, A. and Garcia-Verdugo, J. M. (2002). J. Neurosci., 22, 629–634.

    PubMed  CAS  Google Scholar 

  38. Gross, C. G. (2000). Nat. Rev. Neurosci. 1, 67–73.

    Article  PubMed  CAS  Google Scholar 

  39. Lois, C. and Alvarez-Buylla, A. (1994) Science 264, 1145–1148.

    Article  PubMed  CAS  Google Scholar 

  40. Arvidsson, A., Collin, T., Kirik, D., Kokaia, Z., and Lindvall, O. (2002). Nat. Med. 8, 928–970.

    Article  CAS  Google Scholar 

  41. Jin, K., Sun, Y., Xie, L., et al., (2003). Mol. Cell. Neurosci. 24, 171–189.

    Article  PubMed  CAS  Google Scholar 

  42. Gotts, J. E. and Chesselet, M. F. (2005). J. Comp. Neurol. 488, 201–214.

    Article  PubMed  Google Scholar 

  43. Szele, F. G. and Chesselet, M. F. (1996). J. Comp. Neurol., 368, 439–454.

    Article  PubMed  CAS  Google Scholar 

  44. Jin, K., Minami, M., Lan, J. Q., et al. (2001). Proc. Natl. Acad. Sci. USA 98, 4710–4715.

    Article  PubMed  CAS  Google Scholar 

  45. Goings, G. E., Wibisono, B. L., and Szele, F. G. (2002). Neurosci. Lett. 329, 161–164.

    Article  PubMed  CAS  Google Scholar 

  46. Suzuki, S., Gerhold, L. M., DelaCruz, C. D., et al. (2004). Soc. Neurosci. Meeting, San Diego, CA. Abs. 343,18.

  47. Wyss-Coray, T. and Mucke, L. (2002). Neuron 35, 419–432.

    Article  PubMed  CAS  Google Scholar 

  48. Stoll, G., Jander, S., and Schroeter, M. (1998). Prog. Neurobiol. 56, 149–171.

    Article  PubMed  CAS  Google Scholar 

  49. Baker, A. E., Brautigam, V. M., and Watters, J. J. (2004), Endocrinology 145, 5021–5032.

    Article  PubMed  CAS  Google Scholar 

  50. Bruce-Keller, A. J., Keeling, J. L., Keller, J. N., Huang, F. F., Camondola, S., and Mattson, M. P. (2000). Endocrinology 141, 3646–3656.

    Article  PubMed  CAS  Google Scholar 

  51. Vegeto, E., Bonincontro, C., Pollio, G., et al. (2001). J. Neurosci. 21, 1809–1818.

    PubMed  CAS  Google Scholar 

  52. Vegeto, E., Belcredito, S., Etteri, S., et al. (2003). Proc. Natl. Acad. Sci. USA 100, 9614–9619.

    Article  PubMed  CAS  Google Scholar 

  53. Garcia-Ovejero, D., Veiga, S., Garcia-Segura, L. M., and Don Carlos, L. L. (2002). Comp. Neurol. 450, 256–271.

    Article  CAS  Google Scholar 

  54. Rozovsky, I., Wei, M., Stone, D. J., et al. (2002). Endocrinology 143, 636–646.

    Article  PubMed  CAS  Google Scholar 

  55. del Zoppo, G., Ginis, I., Hallenbeck, J. M., Iadecola, C., Wang, X., and Feurstein, G. Z. (2000). Brain Pathology 10, 95–112.

    Article  PubMed  Google Scholar 

  56. Fassbender, K., Rossol, S., Kammer, T., et al. (1994). J. Neurol. Sci. 122, 135–139.

    Article  PubMed  CAS  Google Scholar 

  57. Vila, N., Castillo, J., Davalos, A., and Chamorro, A. (2000). Stroke 31, 2325–2329.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Phyllis M. Wise Ph.D.

Additional information

These authors contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Suzuki, S., Brown, C.M. & Wise, P.M. Mechanisms of neuroprotection by estrogen. Endocr 29, 209–215 (2006). https://doi.org/10.1385/ENDO:29:2:209

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1385/ENDO:29:2:209

Key Words

Navigation