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This version published online on June 9, 2005
Endocrinology, doi:10.1210/en.2004-1616
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Submitted on December 15, 2004
Accepted on May 27, 2005

17{alpha}-ESTRADIOL: A BRAIN ACTIVE ESTROGEN?

C. Dominique Toran-Allerand*, Alexander A. Tinnikov, Ravinder J. Singh, and Imam S. Nethrapalli

Departments of Anatomy & Cell Biology, Obstetrics & Gynecology, (C.D.T-A., A.A.T., I.S.N.) and Neurology (C.D.T-A.) and the Centers for Neurobiology and Behavior and Reproductive Sciences (C.D.T-A., A.A.T., I.S.N.), Columbia University College of Physicians & Surgeons, New York, New York 10032, and Department of Laboratory Medicine and Pathology, Mayo Clinic and Foundation (R.J.S.), Rochester, MN 55905, U.S.A.

* To whom correspondence should be addressed. E-mail: cdt2{at}columbia.edu.

The estrogen 17{beta}-estradiol has profound effects on the brain throughout life, while 17{alpha}-estradiol, the natural optical isomer, is generally considered less active, because it binds less avidly to estrogen receptors. On the contrary, recent studies in the brain document that 17{alpha}-estradiol (a) elicits rapid and sustained activation of the MAP/ERK kinase and PI3K-Akt signaling pathways, (b) is neuroprotective, following an ischemic stroke and oxidative stress, and in transgenic mice with Alzheimer's disease, and (c) influences spatial memory and hippocampal-dependent synaptic plasticity. The present study measured the endogenous content of 17{alpha}-estradiol in the brain and further clarified its actions and kinetics. Here we report that (i) endogenous levels of 17{alpha}-estradiol and its precursor estrone are significantly elevated in the postnatal and adult mouse brain and adrenal gland of both sexes, as determined by liquid chromatography/tandem mass spectrometry (LC-MS/MS); (ii) 17{alpha}-estradiol and 17{beta}-estradiol bind estrogen receptors with similar binding affinities; (iii) 17{alpha}-estradiol transactivates an estrogen-responsive reporter gene, and (iv) unlike 17{beta}-estradiol, 17{alpha}-estradiol does not bind {alpha}-fetoprotein or sex hormone binding globulin, the estrogen-binding plasma proteins of the developing rodent and primate, respectively. 17{alpha}-estradiol was also found in the brains of gonadectomized or gonadectomized/adrenalectomized mice, supporting the hypothesis that 17{alpha}-estradiol is locally synthesized in the brain. These findings challenge the view that 17{alpha}-estradiol is without biological significance and suggest that 17{alpha}-estradiol and its selective receptor "ER-X" are not part of a classical hormone/receptor endocrine system, but of a system with important autocrine/paracrine functions in the developing and adult brain. 17{alpha}-estradiol may have enormous implications for hormone replacement strategies at the menopause and in the treatment of such neurodegenerative disorders as Alzheimer's disease and ischemic stroke.


Key words: 17{alpha}-estradiol • 17{beta}-estradiol • estrone • "ER-X" • brain • liquid chromatography-tandem mass spectrometry




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