Age-Related and Brain Diseases Research Center, School of Medicine, Kyung Hee University, Medical Building 10th Floor, Dongdaemun-gu, Hoegi-dong 1, Seoul 130-701, Korea.
Endocrinology. 2012 Aug;153(8):3815-27. doi: 10.1210/en.2012-1068. Epub 2012 Jun 14.
A delayed oligodendrocyte cell death after spinal cord injury (SCI) contributes to chronic demyelination of spared axons, leading to a permanent neurological deficit. Therefore, therapeutic approaches to prevent oligodendrocyte cell death after SCI should be considered. Estrogens are well known to have a broad neuroprotective effect, but the protective effect of estrogens on oligodendrocytes after injury is largely unknown. Here, we demonstrated that 17β-estradiol attenuates apoptosis of oligodendrocytes by inhibiting RhoA and c-Jun-N-terminal kinase activation after SCI. Estrogen receptor (ER)-α and -β were expressed in oligodendrocytes of the spinal cord, and 17β-estradiol treatment significantly inhibited oligodendrocyte cell death at 7 d after injury as compared with vehicle (cyclodextrin) control. 17β-Estradiol also attenuated caspase-3 and -9 activation at 7 d and reduced the loss of axons from progressive degeneration. In addition, 17β-estradiol inhibited RhoA and JNK3 activation, which were activated and peaked at 3 and/or 5 d after injury. Furthermore, administration of Rho inhibitor, PEP-1-C3 exoenzyme, inhibited RhoA and JNK3 activation, and decreased phosphorylated c-Jun level at 5 d after injury. Additionally, the attenuation of RhoA and JNK3 activation as well as oligodendrocyte cell death by 17β-estradiol was reversed by ER antagonist, ICI182780. Our results thus indicate that 17β-estradiol treatment improves functional recovery after SCI in part by reducing oligodendrocyte cell death via inhibition of RhoA and JNK3 activation, which were ER dependent. Furthermore, improvement of hindlimb motor function by posttreatment of 17β-estradiol suggests its potential as a therapeutic agent for SCI patients.
脊髓损伤 (SCI) 后少突胶质细胞的延迟死亡导致了未受损伤轴突的慢性脱髓鞘,从而导致永久性神经功能缺损。因此,应考虑采用治疗方法来防止 SCI 后少突胶质细胞的死亡。众所周知,雌激素具有广泛的神经保护作用,但雌激素对损伤后少突胶质细胞的保护作用在很大程度上尚不清楚。在这里,我们证明 17β-雌二醇通过抑制 RhoA 和 c-Jun-N 末端激酶的激活来减轻 SCI 后的少突胶质细胞凋亡。雌激素受体 (ER)-α 和 -β 在脊髓中的少突胶质细胞中表达,与载体(环糊精)对照组相比,17β-雌二醇治疗在损伤后 7 天可显著抑制少突胶质细胞的死亡。17β-雌二醇还可在 7 天时抑制半胱天冬酶-3 和 -9 的激活,并减少轴突的渐进性变性丢失。此外,17β-雌二醇抑制 RhoA 和 JNK3 的激活,这两种物质在损伤后 3 天和/或 5 天激活并达到峰值。此外,Rho 抑制剂 PEP-1-C3 外切酶的给药抑制了 RhoA 和 JNK3 的激活,并降低了损伤后 5 天磷酸化 c-Jun 的水平。此外,17β-雌二醇通过 ER 拮抗剂 ICI182780 逆转了 RhoA 和 JNK3 的激活以及少突胶质细胞的死亡。因此,我们的结果表明,17β-雌二醇通过抑制 RhoA 和 JNK3 的激活来减少少突胶质细胞的死亡,从而改善 SCI 后的功能恢复,这一过程是通过 ER 依赖性的。此外,17β-雌二醇的后期治疗改善后肢运动功能,提示其具有成为 SCI 患者治疗药物的潜力。