Estradiol after cardiac arrest and cardiopulmonary resuscitation is neuroprotective and mediated through estrogen receptor-beta.

Estradiol after cardiac arrest and cardiopulmonary resuscitation is neuroprotective and mediated through estrogen receptor-beta.
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心脏骤停和心肺复苏后的雌二醇具有神经保护作用,并通过雌激素受体β介导。

DOI:
10.1038/jcbfm.2008.116
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发表时间:
2009-02
期刊:
Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism
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其他
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我们评估了心脏骤停和心肺复苏(CA/CPR)后长期给予雌激素对神经组织病理学和行为学结果的影响。我们还研究了使用ER-α激动剂丙基吡唑三醇(PPT)和ER-β激动剂二芳基丙腈(DPN)刺激雌激素受体(ER)对CA/CPR后神经元存活的影响,以确定雌激素的神经保护作用是否可能是ER介导的。雄性C57 B1/6小鼠经历10分钟CA/CPR和3天存活。在方案1中,根据治疗组,静脉注射溶剂(NaCl 0.9%)和0.5或2.5 µg 17β-雌二醇(E2负荷剂量),然后皮下植入含溶剂(油)或E2(12.6 µg)的皮下植入物。在实验方案2中,给小鼠注射(静脉内)ER-α激动剂PPT或ER-β激动剂DPN,然后皮下注射含有PPT(200 µg)或DPN(800 µg)的Alzet泵植入物。长期给予E2可减少任一负荷剂量给药后纹状体神经元的损伤(41% ± 19%,35% ± 26%的损伤神经元),与赋形剂(68% ± 7%,P< 0.01)相比,对海马CA 1区无影响。在方案2中,与ER-α激动剂PPT(68% ± 10%)和赋形剂(69% ± 11%; P < 0.01)相比,ER-β激动剂DPN治疗减少纹状体中的神经元损伤(51% ± 13%损伤的神经元)。雌激素β受体激动剂DPN可减轻海马CA 1区神经元损伤(29% ± 22%),而雌激素α受体激动剂PPT则可减轻损伤(62% ± 33%),差异有统计学意义(P < 0.05)。溶剂组和ER-α激动剂组动物的海马CA 1区损伤无差异。我们得出结论,CA/CPR后长期给予E2具有神经保护作用,这种作用最有可能通过ER-β介导。
We evaluated long-term administration of estrogen after cardiac arrest and cardiopulmonary resuscitation (CA/CPR) on neurohistopathological and behavioral outcome. We also examined the effect of estrogen receptor (ER) stimulation using ER-α agonist propyl pyrazole triol (PPT) and ER-β agonist diarylpropionitrile (DPN) on neuronal survival after CA/CPR to determine whether possible neuroprotective effects of estrogen are ER-mediated. Male C57Bl/6 mice underwent 10 mins of CA/CPR and 3-day survival. In protocol 1, intravenous injection of vehicle (NaCl 0.9%) and 0.5 or 2.5 µg 17β-estradiol (E2 loading dose) was performed followed by subcutaneous implants containing vehicle (oil) or E2 (12.6 µg), according to a treatment group. In experimental protocol 2, mice were injected (intravenously) with the ER-α agonist PPT or ER-β agonist DPN followed by Alzet pump implants (subcutaneously) containing PPT (200 µg) or DPN (800 µg). Long-term E2 administration reduced neuronal injury in the striatum after administration of either loading dose (41% ± 19%, 35% ± 26% of injured neurons), as compared with vehicle (68% ± 7%, P< 0.01), with no effect in the hippocampal CA1 field. In protocol 2, treatment with ER-β agonist DPN reduced neuronal injury in the striatum (51% ± 13% injured neurons) as compared with ER-α agonist PPT (68% ± 10%) and vehicle (69% ± 11%; P < 0.01). Estrogen receptor-β agonist DPN reduced neuronal injury in the hippocampal CA1 field (29% ± 22% injured neurons) as compared with ER-α agonist PPT treatment (62% ± 33%; P < 0.05). Injury was not different in hippocampal CA1 between vehicle and ER-α agonist-treated animals. We conclude that long-term E2 administration after CA/CPR is neuro-protective and that this effect is most likely mediated via ER-β.
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