Estrogen receptor alpha mediates neuronal differentiation and neuroprotection in PC12 cells: critical role of the A/B domain of the receptor

in Journal of Molecular Endocrinology
Authors:
Yohann Mérot CNRS UMR 6026-Endocrinologie Moléculaire de la Reproduction, Université de Rennes 1, campus de Beaulieu, 35042 Rennes cedex, France
CNRS UMR 6185- Université de Caen, INSERM-Avenir “tPA in the working brain” Centre Cycéron, BP 5229, 14074 Caen cedex, France

Search for other papers by Yohann Mérot in
Current site
Google Scholar
PubMed
Close
,
François Ferrière CNRS UMR 6026-Endocrinologie Moléculaire de la Reproduction, Université de Rennes 1, campus de Beaulieu, 35042 Rennes cedex, France
CNRS UMR 6185- Université de Caen, INSERM-Avenir “tPA in the working brain” Centre Cycéron, BP 5229, 14074 Caen cedex, France

Search for other papers by François Ferrière in
Current site
Google Scholar
PubMed
Close
,
Edith Debroas CNRS UMR 6026-Endocrinologie Moléculaire de la Reproduction, Université de Rennes 1, campus de Beaulieu, 35042 Rennes cedex, France
CNRS UMR 6185- Université de Caen, INSERM-Avenir “tPA in the working brain” Centre Cycéron, BP 5229, 14074 Caen cedex, France

Search for other papers by Edith Debroas in
Current site
Google Scholar
PubMed
Close
,
Gilles Flouriot CNRS UMR 6026-Endocrinologie Moléculaire de la Reproduction, Université de Rennes 1, campus de Beaulieu, 35042 Rennes cedex, France
CNRS UMR 6185- Université de Caen, INSERM-Avenir “tPA in the working brain” Centre Cycéron, BP 5229, 14074 Caen cedex, France

Search for other papers by Gilles Flouriot in
Current site
Google Scholar
PubMed
Close
,
Dominique Duval CNRS UMR 6026-Endocrinologie Moléculaire de la Reproduction, Université de Rennes 1, campus de Beaulieu, 35042 Rennes cedex, France
CNRS UMR 6185- Université de Caen, INSERM-Avenir “tPA in the working brain” Centre Cycéron, BP 5229, 14074 Caen cedex, France

Search for other papers by Dominique Duval in
Current site
Google Scholar
PubMed
Close
, and
Christian Saligaut CNRS UMR 6026-Endocrinologie Moléculaire de la Reproduction, Université de Rennes 1, campus de Beaulieu, 35042 Rennes cedex, France
CNRS UMR 6185- Université de Caen, INSERM-Avenir “tPA in the working brain” Centre Cycéron, BP 5229, 14074 Caen cedex, France

Search for other papers by Christian Saligaut in
Current site
Google Scholar
PubMed
Close

(Requests for offprints should be addressed to C Saligaut; Email: Christian.saligaut@univ-rennes1.fr)
Free access

Sign up for journal news

Numerous studies, both in vivo and in vitro, have reported neuronal differentiating and neuroprotective actions of estrogens. Most of these estrogenic effects are mediated through specific receptors termed estrogen receptors. The aim of this study was to assess the importance of the N-terminal A/B domain of the estrogen receptor-alpha (ERα) in its neuronal aspects. Consequently, estrogen effects on (i) the transcriptional activity of target genes, (ii) neuronal differentiation and (iii) neuroprotection in PC12 cells transfected with either a full length form of ERα or an A/B domain truncated form (ERαCF), have been studied. We demonstrate that the maximal estrogen-induced transcriptional activity of reporter genes requires a full length ERα, especially when cells are differentiated. Precisely, the transcriptional activity of ERα in differentiated cells relies, predominantly, on the activation function AF-1, located in the A/B domain. Furthermore, in PC12 cells stably expressing ERα, 17β-estradiol markedly enhances the neurite outgrowth triggered by treatment with nerve growth factor and protects cells from oxidative shocks induced by depletion of glutathione. These estrogenic effects are not observed in non-transfected cells and in cells transfected with the truncated ER, devoid of the A/B domain. Altogether, these results underline the importance of the A/B domain of ERα in both the differentiating and the neuroprotective effects of estrogens.

Abstract

Numerous studies, both in vivo and in vitro, have reported neuronal differentiating and neuroprotective actions of estrogens. Most of these estrogenic effects are mediated through specific receptors termed estrogen receptors. The aim of this study was to assess the importance of the N-terminal A/B domain of the estrogen receptor-alpha (ERα) in its neuronal aspects. Consequently, estrogen effects on (i) the transcriptional activity of target genes, (ii) neuronal differentiation and (iii) neuroprotection in PC12 cells transfected with either a full length form of ERα or an A/B domain truncated form (ERαCF), have been studied. We demonstrate that the maximal estrogen-induced transcriptional activity of reporter genes requires a full length ERα, especially when cells are differentiated. Precisely, the transcriptional activity of ERα in differentiated cells relies, predominantly, on the activation function AF-1, located in the A/B domain. Furthermore, in PC12 cells stably expressing ERα, 17β-estradiol markedly enhances the neurite outgrowth triggered by treatment with nerve growth factor and protects cells from oxidative shocks induced by depletion of glutathione. These estrogenic effects are not observed in non-transfected cells and in cells transfected with the truncated ER, devoid of the A/B domain. Altogether, these results underline the importance of the A/B domain of ERα in both the differentiating and the neuroprotective effects of estrogens.

Introduction

Estrogens control the development, differentiation and functioning of male and female reproductive organs. They also exhibit pleiotropic effects on non reproductive functions such as metabolism of bone, adipose or hepatic tissues, neuroendocrine and cardiovascular functions. Numerous reports suggest a role for estrogens in fetal and adult brain (Toran-Allerand et al. 1999, Wise et al. 2001, McEwen 2002, Maggi et al. 2004). The development and organization of neural circuits controlling a large spectrum of sexual functions is permanently influenced by gonadal steroids (McEwen 2002). Thus, estrogens have been reported to be involved in several aspects of neuronal differentiation such as neurite outgrowth, arborization and synapse formation. Estrogens also exert neuroprotective effects. Experiments carried out in animal models of focal ischemia demonstrate that estrogenic impregnation markedly reduces the incidence and importance of stroke events whereas some retrospective epidemiological studies suggest that substitutive hormonal therapy may reduce or delay the occurrence of Alzheimer’s disease in elderly women (Wise 2003). In vitro, estrogens reduce cell death following different neuronal insults, including serum deprivation, glutathione depletion and treatment with l-glutamate, and decrease the synthesis and toxicity of amyloid-β peptides in neuronal targets (Behl 2002).

Neuroprotective or differentiating effects of estrogens have been reported to be mediated, in part, by estrogen receptor alpha (ERα), this receptor subtype being found in several brain structures such as the hypothalamus and hippocampus (Behl 2002). ERα is a ligand-inducible transcription factor that belongs to the nuclear receptor family. Like the other members of this family, this protein presents a modular structure which can be subdivided into six distinct regions, from A to F (Evans 1988, Beato 1989). The C and E domains are responsible for DNA and ligand binding respectively. The B domain contains a ligand-independent transactivation function, AF-1, whereas a hormone-inducible transactivation function, AF-2, is present in the hormone binding domain (E).

Several data have recently emphasized the importance of the A/B domain in the cellular and physiological functions of ERα. Some transgenic ERα−/−mice (ERα-Neo KO mice), which do not express the wild-type ERα but express an N-terminal A/B truncated form of the receptor (referred to as ERα46) present critical physiological deficiencies, especially regarding reproductive function, and are thus infertile (Couse et al. 1995, Pendaries et al. 2002). Full activity of the transactivation function, AF-1, located in the A/B domain is required for the estradiol-dependent proliferation of the ERα-positive breast cancer cell line, MCF7 (Fujita et al. 2003). Moreover, the respective contributions that AF-1 and AF-2 make towards ERα activity have been demonstrated to vary in a cell differentiation stage-dependent manner (Mérot et al. 2004). Specifically, AF-1 is the dominant AF involved in ERα transcriptional activity in differentiated cells, and this strongly suggests the importance of the N-terminal domains in ERα transcriptional activity in most estrogen target cell types.

Information is poor concerning differentiating or protective effects of ERα in the brain. Nevertheless, the ERα subtype is a critical mechanistic link in mediating the protective effects of physiological levels of estradiol in brain injury (Dubal et al. 1999, 2001), because the deletion of ERα by ERα knock-out in mouse abolishes the protective actions of estradiol in different brain regions (Dubal et al. 2001).

Therefore, the aim of our study was to investigate the precise role of the A/B domain of ERα in estrogen-mediated neuronal functions, using the well characterized pheochromocytoma PC12 cell line. PC12 cells have a special place among the different in vitro neuronal models. Indeed, they have been extensively used for studying mechanisms of both neuronal differentiation and survival because of their ability to differentiate into sympathetic-like neurons and to extend neurite outgrowth when treated with nerve growth factor (NGF), and because of their ability to undergo cell death following serum and NGF withdrawal (Gollapudi & Oblinger 1999a,b) or following some oxidative shocks, such as depletion of glutathione (Le Foll & Duval 2001). Besides, PC12 cells do not express endogenous ERα in their native state and this has allowed us to study directly the impact of different forms of ERα (full-length ERα or truncated ERα in the A/B domain) on the fate of PC12 cells after transient or stable transfections of the corresponding expression vectors. Using this approach, we demonstrated that ERα-mediated effects of estrogens on the transcriptional activity of estrogen target reporter genes, on the NGF-induced neurite sprouting or on cell survival to oxidative stress require the A/B domain of ERα.

Materials and methods

Chemicals

17β-estradiol (17βE2), 17α-estradiol (17αE2), 4-hydroxy-tamoxifen (4-OHT), and buthionine sulfoximine (BSO) were purchased from Sigma (St Louis, MO, USA). ICI 182,780 and NGF were purchased from Tocris (Bristol, UK) and ICN (Irvine, CA, USA) respectively.

Cell culture

Wild-type PC12 cells were grown routinely at 37 °C in 5% CO2 atmosphere in Dulbecco’s modified Eagle’s medium with F12 (DMEM/F12; Sigma) supplemented with 10% fetal calf serum (FCS; Sigma-Aldrich), 5% horse serum (HS; Life Technologies, Pontoise, France), 1% of a solution containing 10 μg/ml penicillin G, 10 mg/ml streptomycin, and 25 μg/ml amphotericin B in 0.9% NaCl and 2 mM l-glutamine (Sigma).

Transcriptional activity of ER in PC12 cells and the activity of AFs

PC12 cells were transfected with FuGEN 6 (Roche). One hour prior to transfection, the routine medium was replaced with phenol red-free DMEM-F12 containing 1% charcoal-stripped HS. Transfection was carried out with a DNA mixture composed of the expression vector pSG5, pSG hERα or pSG hERαCF (truncated ER) (Green et al. 1988, Flouriot et al. 2000), the reporter gene, and the CMV-βGal internal control (respectively 200, 400 and 400 ng per well).

The transcriptional activity of ERα was determined using two luciferase reporter plasmids: (i) an artificial promoter containing an estrogen responsive element (ERE) upstream of the thymidine kinase (TK) promoter (ERE-TK-LUC) (Flouriot et al. 2000) or (ii) the promoter of the human complement C3 (C3-LUC) (Métivier et al. 2001), responsive to 4-OHT (Norris et al. 1997). The luciferase activity was determined after 36 h transient transfection (Métivier et al. 2001) and was normalized with β-galactosidase activities.

Generation of stable transfectants expressing the full-length ERα or the truncated isoform ERαCF

Wild-type PC12 cells were grown to 50% confluence in phenol red-free DMEM/F12 containing 7.5% charcoal-stripped FCS and 2.5% charcoal-stripped HS and antibiotics (as above). They were stably transfected with FuGEN6 (Roche) using 1 μg of each expression vector. The expression vectors pCR3.1 ERα and pCR3.1 ERαCF were obtained by cloning respectively the full length ERα coding region and the ERα coding region from +727 to +2030 of the human sequence (Flouriot et al. 2000) into the BamHI site of the parental expression vector pCR3.1. Stably transfected PC12 cells were selected by the addition of G418 (a neomycin analog, 800 μg/ml) to the media for 1 month and were routinely maintained in phenol red-free DMEM containing 7.5% charcoal-stripped FCS and 2.5% charcoal-stripped HS, antibiotics (as above) and G418 (400 μg/ml).

Western blot analysis

Whole cell extracts from different PC12 subclones were fractionated on polyacrylamide-SDS gels and transferred on nitrocellulose membranes (Amersham, Bucks, UK). The blots were then blocked with a 5% milk PBS/Tween 0.01%, and incubated for 90 min with a rabbit polyclonal anti-human ERα (HC-20; TEBU, Le Perray en Yvelines, France; 1/500 dilution). After washing, the blots were incubated with a peroxidase-conjugated goat anti-rabbit IgG for 1 h (TEBU; 1/5000 dilution). Secondary antibodies were detected using the SuperSignal West Dura kit (Pierce, Rockford, IL, USA).

Cell death and neuroprotective effects of sex steroids

The neuroprotective actions of steroids (17βE2, 17αE2) were investigated following cell death caused by a buthionine sulfoximine (BSO)-induced depletion of intracellular glutathione (Froissard et al. 1997, Le Foll & Duval 2001). Cells were incubated for 24 h with steroids and then treated with 300 μM BSO for 24 h. Dead cells were counted in the culture supernatant using the trypan blue exclusion procedure. In separate experiments, 17βE2 was given at the same time as treatment with BSO (lack of a pretreatment) or 24 h before BSO in association with the estrogen antagonist ICI 182,780.

The amount of intracellular glutathione (reduced glutathione (GSG)+GSSG oxidized glutathione) was measured using the method of Tietze (1969). The protein concentration was determined using the BCA protein assay kit (Pierce).

Cell differentiation

Cells (4 × 103 cells/cm2) were plated in Petri dishes, in phenol red-free DMEM/F12 containing 1% inactived HS and antibiotics (as above). Twenty-four hours after seeding, the media were replaced and a recombinant NGF (5 ng/ml) was added for 48 or 96 h. Cells were scored as differentiated or undifferentiated cells.

Statistical analysis

Comparisons used ANOVA, followed by a post hoc analysis (Fisher test) of individual group differences.

Results

The mechanisms underlying the transcriptional activity of ERα in PC12 cells depend upon the differentiation status and the presence of the A/B domain

The transcriptional activity of ER7α was studied, focusing on the role of the A/B domain in differentiated and undifferentiated cells. Treatment with NGF leads to differentiation of PC12 cells into sympathetic-like neurons characterized by neurite outgrowths as shown in Fig. 1A. To assess the impact of the physiological stage of PC12 cells on ERα transcriptional activity, undifferentiated and differentiated cells were transiently co-transfected with the ERE-TK-LUC reporter gene and the expression vectors pSG5, pSG ERα (full length ERα) or pSG ERαCF (truncated ERα) and then treated or not with 17βE2. As expected, no estrogenic induction of the reporter gene was observed in either undifferentiated or differentiated cells transfected with the empty expression vector pSG5, confirming the absence of expression of endogenous ER. In undifferentiated cells, the activity of ERαCF on the ERE-TK-LUC represented approximately 80% of that of the full-length receptor ERα (Fig. 1B). By contrast, the ERαCF transactivation activity represented only 30% of that of the full-length ERα after differentiation of PC12 cells (Fig. 1B). These data suggest that the transcriptional activity of ERα depends mainly upon the A/B domain in differentiated cells.

The full-length ERα contains two major transactivation functions, one located in the A/B domain (AF-1), the other in the C-terminal part of the hormone binding domain (AF-2) (Parker 1995). Since ERαCF is devoid of the A/B domain, the above result could be related to changes in permissiveness of PC12 cells to both AFs, the differentiation process favoring AF-1. To confirm this assumption, the transcriptional activity of the full-length ERα was determined in the presence of the partial estrogen agonist 4-OHT. Indeed, the estrogenic activity of 4-OHT exclusively relies on the transactivation function, AF-1, and is observed only in cells sensitive to this AF (Berry et al. 1990). Therefore, PC12 cells were transiently transfected with the expression vectors pSG5, pSG ERα or pSG ERαCF and the C3-LUC reporter gene conducted by the human complement C3 promoter, a well characterized 4-OHT-responsive promoter (Norris et al. 1997). Treatment with 4-OHT weakly increased (fourfold induction) the transcriptional activity of the C3-LUC in undifferentiated PC12 cells transfected with pSG ERα (Fig. 2), confirming the weak permissiveness of these cells to AF-1. In contrast, in differentiated cells transfected with pSG ERα, 4-OHT strongly potentiated the transcriptional activity of the reporter gene (15-fold induction). As expected, 4-OHT had no effects in PC12 cells transfected with pSG ERαCF. These data demonstrate that the differentiation of PC12 into sympathetic-like neurons changes the relative contribution that both AFs exert on transcriptional activity by increasing cell sensitivity to AF-1.

An increase by 17βE2 of the NGF-induced neurite outgrowth is observed in PC12 cells stably transfected with ERα and requires the presence of the A/B domain

Previous studies have reported an estrogenic potentiation of NGF-induced neurite outgrowths in PC12 cells stably expressing ERα (Gollapudi & Oblinger 2001). Therefore, the aim of the present experiment was to establish whether the A/B domain is involved in such an ERα-dependent potentiation. PC12 cells were stably transfected with the expression vectors pCR3.1, pCR3.1 ERα or pCR3.1 ERαCF and three subclones (PC12 control, PC12 ERα and PC12 ERαCF) were selected as described in the Materials and methods section. As expected, western blots revealed the expression of both full-length ERα and ERαCF proteins in the corresponding subclones (C1, ERα-4, ERαCF-1) (Fig. 3A). The absence of receptors in the PC12 cells transfected with the empty expression vector should be noted, confirming the ERα negative phenotype of parental PC12 cells. Moreover, no endogenous ERα or ERβ signals were found following PCR experiments using specific primers amplifying cDNAs from parental PC12 cells (data not shown). Addition of NGF (5 ng/ml) to the culture medium significantly increased neurite outgrowths in the three subclones PC12 control, PC12 ERα and PC12 ERαCF, with some differences in the induction between clones (data not shown). This effect became apparent within 24 h of treatment for both criteria of neurite outgrowth (neurites greater than one or two cell bodies), and reached a plateau after 4 days (data not shown).

17βE2 (10−8 M) markedly potentiated the NGF-induced neurite extension in the PC12 ERα clone. After 2 days of treatment with NGF and estradiol, almost two times as many differentiated cells (cells having neurites greater than one or two cell bodies) were observed compared with treatment with NGF alone (Fig. 3B). This estradiol-induced potentiation of the effects of NGF in the PC12 ERα clone was not associated with changes in the density of the cell population (data not shown). By contrast, 17βE2 (10−8 M) did not modify the NGF-induced neurite extension of PC12 ERαCF and PC12 control clones. 17βE2 did not modify neurite formation in the absence of NGF in any of the three clones. Similar data have been found using other control, ERα and ERαCF subclones (data not shown).

These results clearly demonstrated that the increase of NGF-induced neuronal differentiation by estrogen requires an ERα presenting the A/B domain.

17βE2 offers protection from the toxic action of BSO by an ERα-dependent mechanism involving the A/B domain

Neuroprotective effects of estradiol have been reported in the literature, following different oxidative shocks. In the present report, a gradual death was caused by treatment with BSO within 24 h (Froissard et al. 1997, Le Foll & Duval 2001). As expected, BSO led to the death of almost 70–80% of cells after 24 h incubation (Fig. 4). The three clones (PC12 control, PC12 ERα and PC12 ERαCF) were equally sensitive to the toxicity of BSO (data not shown). Preincubation with 17βE2 for 24 h before treatment with BSO, in the physiological concentration range of 0.1–10 nM, significantly increased the viability of PC12 cells expressing the full length ERα (Fig. 4A). Moreover, 1 nM 17βE2 did not modify proliferation of ERα PC12 cells during a 6–7 days incubation period and failed to induce any changes in cell morphology during this period (data not shown). By contrast, 17βE2 was unable to protect control cells and cells expressing ERαCF from the oxidative shock (Fig. 4B). Altogether, our data suggest that 17βE2 is neuroprotective and requires an ERα presenting the A/B domain. In addition, the ERα-dependent neuro-protection by 17βE2 was not observed for the PC12 ERα clone when (i) 17βE2 was given at the same time as BSO (i.e. without any preincubation with the steroid) (Fig. 4A), (ii) cells were pretreated with 17αE2 (1–100 nM), the transcriptional inactive isomer of 17βE2 (Fig. 4A), and (iii) 17βE2 was associated with the estrogen antagonist ICI 182,780 (Fig. 5A). As the neuroprotective effects of estradiol require a period of pretreatment and are antagonized by ICI 182,780, we suggest that ERα-mediated alteration of gene expression is required to afford neuroprotection. Moreover, 1 nM 17βE2 did not, by itself, change intracellular glutathione (GSH) content of PC12 cells expressing ERα and failed to block the GSH depletion (about 90%) in the presence of BSO (Fig. 5B).

Discussion

Although estrogens exert a wide variety of actions on the developing and the adult brain, by regulating both neuronal differentiation and survival, their mechanisms of action are still unclear. The identification of many putative estrogen receptors in the brain has increased the complexity of our understanding of estrogen action (Toran-Allerand 2004). Among them, ERα has been reported to influence the development and the physiology of neurons. For instance, the development of the brain is associated with the perinatal expression of ERα in different brain structures such as the preoptic area or the hypothalamus (Gerlach et al. 1983). In the adult brain, estradiol protects against brain injury through blood flow-independent mechanisms (Dubal et al. 2001) and injury up-regulates the expression of ERα in regions that are protected by estradiol (Dubal et al. 1999). In mouse, the ERα knock-out, but not the ERβ knock-out, abolishes the protective effects of the steroid (Dubal et al. 2001). Despite the huge amount of experimental evidence for a critical role of ERα in the brain, the precise ERα-mediated mechanisms remain to be defined.

Several data have recently emphasized the importance of the A/B domain in the functions of ERα. An insertional disruption of the ERα gene in the first exon coding for the A/B domain (Couse et al. 1995, Pendaries et al. 2002) induces physiological deficiencies in the corresponding ER−/− mice (ERα-Neo KO mice), such as abolition of reproductive function. Although totally abolishing the production of the full length ERα, the insertional disruption does not suppress the expression of a naturally occurring N-terminal A/B truncated form of the receptor, referred to as ERα46 (Flouriot et al. 2000). It is produced by an alternative splicing event which skips the first coding exon of the ERα gene, targeted by the disruptive insertion. As this form is devoid of the transactivation function AF-1 present in the A/B domain of ERα, the phenotype of the ERα-Neo KO mice could be viewed as being an ERα AF-1 knock-out. Conversely, this isoform is thought to be responsible for residual estrogen responsiveness such as the persistence of some degree of uterine hypertropy or the preservation of endothelial NO production in ERα-Neo KO mice (Figtree et al. 2002, Pendaries et al. 2002). Therefore, the ERα A/B domain appears to be dispensable to mediate some ERα functions. Up to now, such an isoform of ERα has unfortunately not been detected in the brain of ERα wild-type or ERα −/− mice, making elusive the relative importance of the A/B domain in ERα-mediated effects in the brain.

The goal of this study was to determine the possible relevance of the A/B domain of ERα in some estradiol-mediated effects in the brain, such as neuronal differentiation and neuroprotection. To solve this problem, we have developed a cellular model in which ERα can mediate both neurotropic and neuroprotective effects, focusing on the role of estrogens on neurite outgrowth and resistance to some oxidative stress of PC12 cells expressing the full-length ERα. Estradiol markedly potentiates the NGF-induced neurite outgrowth of PC12 ERα cells. Such a marked enhancement of NGF-stimulated neurite outgrowth of ERα-transfected PC12 cells by estradiol had previously been associated with a modulation of some cytoskeletal mRNAs, such as peripherin and α-tubulin (Gollapudi & Oblinger 2001). A physiological range (nanomolar concentrations) of 17βE2 protected PC12 cells expressing ERα against the toxicity of BSO, an irreversible specific inhibitor of γ-glutamylcysteine synthase (Griffith & Meister 1979a) which causes deprivation of glutathione stores (Griffith & Meister 1979b), but did not protect control cells. Altogether, our data verify that some neuroprotective effects of estradiol require ERα and could not be related to antioxidant properties of the steroid at high concentrations (micromolar range) with a hydroxyl group in the C3 position (Sugioka et al. 1987, Behl et al. 1997). Moreover, because neuroprotective effects of estradiol require a period of pretreatment and are reversed by ICI 182,780, we suggest that an ERα-mediated alteration of gene expression is required to afford neuroprotection, as previously reported in other models such as organotypic cortical explant cultures (Wilson et al. 2000). It has been suggested that a possible synergistic interaction between glutathione and E2 is involved in the neuroprotective potency of the steroid in the HT22 cell line exposed to the neurotoxic beta-amyloid peptide (Green et al. 1998). Such an hypothesis cannot be held here, because protection was observed in the HT22 cell line lacking functional ER and because neuroprotective effects of estrogens in the present report require ERα. Moreover, because 17βE2 does not restore the levels of glutathione following treatment with BSO, neuroprotection may involve mechanisms downstream of the synthesis of reactive oxygen species, such as activation of antiapoptotic pathways. Indeed, BSO is one of the major factors controlling the redox status of cells and suppresses glutathione peroxidase (Griffith & Meister 1979b). It leads to a programmed cell death (Serghini et al. 1994, Higuchi & Matsukawa 1999, Leon et al. 2003), apoptosis being associated with high molecular-weight DNA fragmentation (Higuchi & Matsukawa 1999). Some antiapoptotic effects of estradiol in nigral dopaminergic neurons treated with BSO have already been reported to be mediated by transcription through an AP-1 site downstream from JNK and caspase-3 activation (Sawada et al. 2000). Such a mechanism cannot be considered here because neuroprotective effects of estrogens in dopaminergic neurons were observed after both 17αE2 and 17βE2 and appeared to be mediated by ERβ. Moreover, the neuroprotection by estradiol could not be attributable to a general steroid structure because testosterone or progesterone did not provide protection against BSO (data not shown).

The role of the A/B domain in the differentiating and neuroprotective effects described above was studied using PC12 cells expressing a truncated ERα (ERαCF). We have demonstrated that the A/B domain of ERα is essential for mediating both the protective effects of estrogens against oxidative stress and the potentiation of NGF-induced differentiation.

Estradiol influences, in complex ways, the expression of numerous genes in multiple regions of the brain that are theoretically relevant to the effects of estradiol observed in PC12 cells expressing ERα. For instance, estradiol modifies the expression of genes involved in the dendritic and axonal elongation such as GAP-43 or Tau (Ferreira & Caceres 1991, Shughrue & Dorsa 1993), in the balance of apoptosis and of survival such as Bcl2 or bcl-XL (Pike 1999, Zhao et al. 2004) or in the driving of the growth factor effects, like TrkA or p75NGFR (Sohrabji et al. 1994, Toran-Allerand 1996). These ligand-activated mechanisms may involve a direct control of target gene transcription from both the ERE and various alternate response elements such as AP-1 motifs. Putative ERE found in target genes such as TrkA, BDNF, Bcl-2, Bcl-XL and p75NGFR support this idea (Sohrabji et al. 1994, 1995, Toran-Allerand 1996). As the A/B domain harbors the activation function AF-1, ERα-mediated genomic effects seem to be relevant in the differentiating and neuroprotective effects of estradiol in PC12 ERα cells. Accordingly, we have recently reported that the transcriptional activity of ERα is essentially mediated by AF-1 in differentiated cells (Mérot et al. 2004). We thus demonstrated that P19 cells which transiently expressed ERαCF (but not P19 cells expressing ERα) became transcriptionally inactive following a retinoic acid-induced differentiation into a neural phenotype. The same strategy has therefore been conducted here in PC12 cells to assess the relevance of AF-1 in ERα transcriptional activity. An enhancement of the role of AF-1 in ERα activity following differentiation is suggested in PC12 cells, as shown by the measurement of the agonistic activity of 4-OHT. As a result, it appeared that ERαCF was much less efficient than ERα in the activation of transcription in differentiated cells. Nevertheless, unlike P19 cells, we observed a residual transcriptional activity of ERαCF. Because the percentage of differentiated cells after 48 h of NGF exposure does not go beyond 60%, we suppose that a mixing of transfected differentiated and undifferentiated PC12 cells in culture may, in part, mask the strict AF-1 cell context of differentiated cells. A cross-talk between ERα and NGF signaling could explain the increase in AF-1 activity of differentiated PC12 cells. Indeed, like epidermal growth factor or insulin-like growth factor-I, NGF activates extracellular signal-regulated protein kinase (ERK), resulting in the direct phosphorylation of ERα on serine 118 (a phosphorylation site of the B domain), promoting an AF-1-dependent transcriptional activity (Ho & Liao 2002). However, the agonist activity of 4-OHT does not seem to be linked to the phosphorylation status of serine 118 (data not shown), suggesting that the enhancement of AF-1 in ERα transcriptional activity is likely to be a combination of several mechanisms involving specific cofactor expression and post-traductional modifications.

Besides direct regulation of gene transcription, evidence has clearly emerged that ERα can regulate gene expression by signaling pathways initiated outside the nucleus (Abraham et al. 2004, Edwards 2005). These so-called nongenomic effects include activation of cell signaling molecules such as protein kinases. In several models, the neurotropic and neuroprotective effects of estrogen have been linked to a rapid stimulation of the mitogen activated protein kinase (MAPK) pathway and/or the phosphoinositol 3-kinase (PI3K) pathway (Singer et al. 1999, Kuroki et al. 2001, Zhang et al. 2001, Fitzpatrick et al. 2002, Mize et al. 2003, Dominguez et al. 2004). Such rapid nongenomic effects could potentially promote differentiating and protective effects of estrogens in PC12 ERα cells. Numerous studies focusing on the molecular mechanism underlying estradiol-dependent activation of Ras/MEK/ERK and/or PI3K/Akt pathways have identified c-src as a critical upstream effector in cortical explants, osteoclasts and breast cancer cell lines (Migliaccio et al. 1998, Kousteni et al. 2001, Nethrapalli et al. 2001). Functional interactions between c-src and the E domain of ERα are able to promote estradiol-dependent c-src activation. Thus, the E domain of ERα was sufficient to mediate estradiol protection against apoptosis in osteoclasts, osteocytes, embryonic fibroblasts and HeLa cells via activation of the src/Ras/MEK/ERK pathway (Kousteni et al. 2001). Such a mechanism, involving the E domain of ERα, might confer an estradiol-induced neuroprotection in PC12 ERαCF. This is not true in the present study. Importantly, no ERα-dependent activation of ERK1/2 was detected in ERα and ERαCF PC12 cells (data not shown). Nevertheless, several intracellular signaling pathways can be activated by E2/ERα and the role of extranuclear ERα-initiated mechanisms cannot be ruled out in the present study. Furthermore, both nuclear and extranuclear ERα signaling may converge to afford the neuroprotective effects of estradiol, as suggested by the study of Mize et al.(2003). Indeed, activation of the MAPK cascade by estradiol has been reported to be involved in the protection of different HT22 ERα clones from oxidative stress (Singer et al. 1999, Mize et al. 2003). This estradiol-induced neuroprotection was observed in an HT22 ERα clone, but also in an HT22 clone expressing an ERα modified in its ERE-binding domain (HE27) (Mize et al. 2003). Nevertheless, the neuroprotection in the HE27 clone was moderate when compared with the neuroprotection afforded by estradiol in the ERα clone, despite a similar ERα-dependent activation of ERK. This suggests that both activation of the MAPK cascade and ERE-dependent transcriptional regulation promote ERα-mediated neuroprotection by estradiol in this model. Such an interplay between nongenomic and genomic pathways has been evidenced in the neuroblastoma cell line SK-N-BE2C transiently transfected with ERα and treated with estradiol, in which early membrane estrogenic events potentiated the delayed transcriptional response of ERα (Vasudevan et al. 2001).

In conclusion, we provide evidence for a critical role of the A/B domain in both differentiating and protective effects of estradiol in PC12 cells. Nevertheless, multi-factorial and inter-connected ERα-mediated effects may promote tropic and/or protective effects in the brain, depending on the cell context and the duration of estradiol impregnation. Further experiments in PC12 cells will focus on this point and on the characterization of some signaling pathways involved in the differentiating and neuroprotective effects of estradiol.

Figure 1
Figure 1

Transcriptional activity of ERα in relation to the differentiation stage of PC12 cells. Undifferentiated and differentiated PC12 cells (primed with 5 ng/ml NGF) were transiently transfected with the expression vectors pSG5 (control), pSG ERα (full length ER) and pSG ERαCF (truncated ER). Cells were then treated with 10 nM 17βE2 or ethanol (control). The transcriptional activity was determined using an ERE-TK synthetic estrogen-sensitive promoter coupled to luciferase (ERE-TK-LUC). Histograms show the means ±s.e.m. of values normalized to the activity of the reporter gene measured in the presence of pSG5 without E2, obtained in at least three separate experiments.

Citation: Journal of Molecular Endocrinology 35, 2; 10.1677/jme.1.01826

Figure 2
Figure 2

Transcriptional activity of ERα: relation with differentiation and contribution of the AF-1 function. Undifferentiated and differentiated PC12 cells (primed with 5 ng/ml NGF) were transiently transfected with the expression vectors pSG5 (control), pSG ERα (full length ER) and pSG ERαCF (truncated ER). Cells were then treated with 1 μM 4-hydroxytamoxifen (4-OHT) or ethanol (control). The transcriptional activity was determined using the human complement C3 promoter coupled to luciferase (hC3-LUC) as a reporter gene. Histograms show the means ±s.e.m. of values normalized to the activity of the reporter gene measured in the presence of pSG5 without E2, obtained in at least three separate experiments.

Citation: Journal of Molecular Endocrinology 35, 2; 10.1677/jme.1.01826

Figure 3
Figure 3

(A) Generation of PC12 ERα and ERαCF stable transfectants. PC12 cells were stably transfected with the expression vectors pCR3.1, pCR3.1 ERα or pCR3.1 ERαCF. The respective harvested subconfluent subclones PC12 control (clone C1), PC12 ERα and PC12 ERαCF (clones ERα-4 and ERαCF-1) were lyzed at 4 °C during 60 min in a RIPA lysis buffer (50 mM Tris–HCl pH 7.5, 150 mM NaCl, 1% NP-40, 0.5% sodium deoxycholate, 0.1% SDS). Thirty micrograms whole cell extracts were fractionated on a polyacrylamide-SDS gel. Proteins of 66 kDa (full length ER) and 46 kDa (truncated ER) were revealed with a rabbit polyclonal IgG with an epitope mapping the carboxy-terminal region of the ER (HC-20). The in vitro expression of ERα and ERαCF using the rabbit reticulocyte-coupled transcription/translation kit (TNT, Promega, Madison, WI, USA) acted as a positive control. (B) NGF-induced differentiation of PC12 control, PC12 ERα and PC12 ERαCF (truncated ERα). Cells were treated by NGF (5 ng/ml) during two days with vehicle, 17βE2 only (10 nM), NGF only (5 ng/ml) or NGF plus 17βE2. Cells having at least a neurite greater than one (short neurites) or two (long neurites) cell bodies and total cells were counted for 20–30 fields (5–10 fields per dish in 3 separate experiments, at 200× magnification) in light microscopy. The ratios of ‘cells with short or long neurites/total cells’ were determined (means ±s.e.m.) and used as criteria of differentiation after normalization with respective values of PC12 cells treated with NGF alone. Columns with different superscripts differ significantly (P < 0.05). A significant interaction between NGF and E2 was found by two-way ANOVA on day 2 (P < 0.05) for both the criteria (short and long neurites).

Citation: Journal of Molecular Endocrinology 35, 2; 10.1677/jme.1.01826

Figure 4
Figure 4

(A) Neuroprotective effects of estradiol against buthionine sulfoximine (BSO). PC12 ERα (density adjusted to 8–10 × 103 cells/cm2 in 6-well plates (1.5 ml/well) in phenol red-free DMEM containing 10% charcoal-stripped FCS and 5% charcoal-stripped HS, antibiotics and 1 g/l glucose) were treated with 300 μM BSO (i) after 24 h of pre-incubation (preincubation-24 h) with 17βE2 (0.1, 1, 10 nM) or 17αE2 (1, 100 nM) or (ii) simultaneously (no preincubation) with 17βE2 (0.1, 1, 10 nM). Cell death was measured 24 h after the treatment with BSO and expressed as a percentage of the total cell population (adherent, viable and dead cells in the supernatant; means ±s.e.m. of individual determinations for 3–8 distinct experiments). Columns with different superscripts differ significantly (P < 0.05). (B) Cell death of PC12 control or PC12 ERαCF (truncated ERα) (for density and medium, see panel A) pretreated or not with 10 nM 17βE2 for 24 h. At this time, 300 μM BSO were added for 24 h. Cell death was expressed as a percentage of the total cell population (means ±s.e.m.; n=4–6). Columns with different superscripts differ significantly (P < 0.05).

Citation: Journal of Molecular Endocrinology 35, 2; 10.1677/jme.1.01826

Figure 5
Figure 5

(A) Cell death of PC12 ERα, preincubated for 24 h with 17βE2 (1 nM) in the presence or not of ICI 182,780 (ICI; 100 nM) and then treated with BSO. Cell death was measured 24 h after BSO and expressed as a percentage of the total cell population (means ±s.e.m. of individual determinations for 3–8 distinct experiments). Columns with different superscripts differ significantly (P < 0.05). (B) Content of glutathione (GSH) in the PC12 ERβ clone. Cells were preincubated in the absence (control) or in the presence of 1 nM 17βE2 for 24 h. At this time, 300 μM BSO or solvent were added for 6 h. Results are expressed as μg GSH/mg protein (means ±s.e.m.; n=4–6). Columns with different superscripts differ significantly (P < 0.05).

Citation: Journal of Molecular Endocrinology 35, 2; 10.1677/jme.1.01826

This work was supported by the Ligue Contre le Cancer and the Association pour la Recherche contre le Cancer (ARC). The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.

References

  • Abraham IM, Todman MG, Korach KS & Herbison AE 2004 Critical in vivo roles for classical estrogen receptors in rapid estrogen actions on intracellular signaling in mouse brain. Endocrinology 145 3055–3061.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Beato M 1989 Gene regulation by steroid hormones. Cell 56 335–344.

  • Behl C 2002 Oestrogen as a neuroprotective hormone. Nature Reviews Neuroscience 3 433–442.

  • Behl C, Skutella T, Lezoualc’h F, Post A, Widmann M, Newton CJ & Holsboer F 1997 Neuroprotection against oxidative stress by estrogens: structure–activity relationship. Molecular Pharmacology 51 535–541.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Berry M, Metzger D & Chambon P 1990 Role of the two activating domains of the estrogen receptor in the cell-type and promoter-context dependent agonistic activity of the anti-estrogen 4-hydroxytamoxifen. EMBO Journal 9 2811–2818.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Couse JF, Curtis SW, Washburn TF, Lindzey J, Golding TS, Lubahn D, Smithies O & Korach KS 1995 Analysis of transcription and estrogen insensitivity in the female mouse after targeted disruption of the estrogen receptor gene. Molecular Endocrinology 9 1441–1454.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Dominguez R, Jalali C & De Lacalle S. 2004 Morphological effects of estrogen on cholinergic neurons in vitro involves activation of extracellular signal-regulated kinases. Journal of Neuroscience 24 982–990.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Dubal DB, Shughrue PJ, Wilson ME, Merchenthaler I & Wise PM 1999 Estradiol modulates bcl-2 in cerebral ischemia: a potential role for estrogen receptors. Journal of Neuroscience 19 6385–6393.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Dubal DB, Zhu H, Yu J, Rau SW, Shughrue PJ, Merchenthaler I, Kindy MS & Wise PM 2001 Estrogen receptor alpha, not beta, is a critical link in estradiol-mediated protection against brain injury. PNAS 98 1952–1957.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Edwards DP 2005 Regulation of signal transduction pathway by estrogen and progesterone. Annual Review of Physiology 67 335–376.

  • Evans RM 1988 The steroid and thyroid hormone receptor superfamily. Science 240 889–895.

  • Ferreira A & Caceres A 1991 Estrogen-enhanced neurite growth: evidence for a selective induction of Tau and stable microtubules. Journal of Neuroscience 11 392–400.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Figtree GA, McDonald D, Watkins H & Channon KM 2002 Truncated estrogen receptor α 46-kDa isoform in human endothelial cells; relation to acute activation of nitric oxide synthase. Circulation 107 120–126.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Fitzpatrick JL, Mize AL, Wade CB, Harris JA, Shapiro RA & Dorsa DM 2002 Estrogen-mediated neuroprotection against β-amyloid toxicity requires expression of estrogen receptor α or β and activation of the MAPK pathway. Journal of Neurochemistry 82 674–682.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Flouriot G, Brand H, Denger S, Métivier R, Kos M, Reid G, Sonntag-Buck V & Gannon F 2000 Identification of a new isoform of the human estrogen receptor-alpha (hER-α) that is encoded by distinct transcripts and that is able to repress hER-α activation function 1. EMBO Journal 19 4688–4700.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Froissard P, Monrocq H & Duval D 1997 Glutamate-induced programmed cell death in neuronal-like PC12 cells is mediated through an inhibition of glutathione metabolism. European Journal of Pharmacology 326 93–99.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Fujita T, Kobayashi Y, Wada O, Tateishi Y, Kitada L, Yamamoto Y, Takashima H, Murayama A, Yano T, Baba T, Kawabe Y & Yanagisawa J 2003 Full activation of estrogen receptor alpha activation function-1 induces proliferation of breast cancer cells. Journal of Biological Chemistry 278 26704–26714.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gerlach JL, McEwen BS, Toran-Allerand CD & Friedman WJ 1983 Perinatal development of estrogen receptors in mouse brain assessed by radioautography, nuclear isolation and receptor assay. Brain Research 313 7–18.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gollapudi L & Oblinger MM 1999a Stable transfection of PC12 cells with estrogen receptor (ERα): protective effects of estrogen on cell survival after serum deprivation. Journal of Neuroscience Research 56 99–108.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gollapudi L & Oblinger MM 1999b Estrogen and NGF synergistically protect terminally differentiated, ERα-transfected PC12 cells from apoptosis. Journal of Neuroscience Research 56 471–481.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gollapudi L & Oblinger MM 2001 Estrogen effects on neurite outgrowth and cytoskeletal gene expression in ERα-transfected PC12 cell lines. Experimental Neurology 171 308–316.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Green PS, Gridley KE & Simpkins JW 1998 Nuclear estrogen receptor-independent neuroprotection by estratrienes: a novel interaction with glutathione. Neuroscience 84 7–10.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Green S, Kumar V, Theulaz I, Wahli W & Chambon P 1988 The N-terminal DNA-binding ‘zinc finger’ of the estrogen and glucocorticoid receptors determines target gene specificity. EMBO Journal 7 3037–3044.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Griffith OW & Meister A 1979a Potent and specific inhibition of glutathione synthesis by buthionine sulfoximine (S-n-butylhomocysteine sulfoximine). Journal of Biological Chemistry 254 7558–7560.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Griffith OW & Meister A 1979b Glutathione: interorgan translocation, turnover, and metabolism. PNAS 76 5606–5610.

  • Higuchi Y & Matsukawa S 1999 Glutathione depletion induces giant DNA and high-molecular-weight DNA fragmentation associated with apoptosis through lipid peroxidation and protein kinase C activation in C6 glioma cells. Archives of Biochemistry and Biophysics 363 33–42.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ho KJ & Liao JK 2002 Non-nuclear actions of estrogen: new targets for prevention and treatment of cardiovascular disease. Molecular Interventions 2 219–228.

  • Kousteni S, Bellido T, Plotkin LI, O’Brien CA, Bodenner DL, Han L, Han K, DiGregorio GB, Katzenellenbogen JA, Katzenellenbogen BS, Roberson PK, Weinstein RS, Jilka RL & Manolagas SC 2001 Nongenotropic, sex-nonspecific signaling through the estrogen or androgen receptors: dissociation from transcriptional activity. Cell 104 719–730.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kuroki Y, Fukushima K, Kanda Y, Mizuno K & Watanabe Y 2001 Neuroprotection by estrogen via extracellular signal-regulated kinase against quinolinic acid-induced cell death in the rat hippocampus. European Journal of Neuroscience 13 472–476.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Le Foll I & Duval D 2001 Programmed cell death induced by glutathione depletion in PC12 cells is blocked by inhibitors of 12 lipoxygenase, but does not appear to be mediated through the formation of 12 HETE derivatives. Free Radical Biology and Medicine 30 793–802.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Leon A, Le Foll I, Charriault-Marlangue C, Leprince J, Vaudry H, Gabriel C & Duval D 2003 The level of heme oxygenase does not obligatorily reflect the sensitivity of PC12 cells to an oxidative shock induced by glutathione depletion. Journal of Neurochemistry 84 459–470.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • McEwen BS 2002 Estrogen actions throughout the brain. Recent Progress in Hormone Research 57 357–384.

  • Maggi A, Ciana P, Belcredito S & Vegeto E 2004 Estrogens in the nervous system: mechanisms and nonreproductive functions. Annual Review of Physiology 66 291–313.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mérot Y, Métivier R, Penot G, Manu D, Saligaut C, Gannon F, Pakdel F, Kah O & Flouriot G 2004 The relative contribution exerted by AF-1 and AF-2 transactivation functions in estrogen receptor alpha (ERα) transcriptional activity depends upon the differentiation stage of the cell. Journal of Biological Chemistry 279 26184–26191.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Métivier R, Penot G, Flouriot G & Pakdel F 2001 Synergism between ERalpha transactivation function 1 (AF-1) and AF-2 mediated by steroid receptor coactivator protein-1: requirement for the AF-1 alpha-helical core and for a direct interaction between the N- and C-terminal domains. Molecular Endocrinology 15 1953–1970.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Migliaccio A, Piccolo D, Castoria G, Di Domenico M, Bilancio A, Lombardi M, Gong W, Beato M & Auricchio F 1998 Activation of the Src/p21 ras/Erk pathway by progesterone receptor via cross-talk with estrogen receptor. EMBO Journal 17 2008–2018.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mize AL, Shapiro RA & Dorsa DM 2003 Estrogen receptor-mediated neuroprotection from oxidative stress requires activation of the mitogen-activated protein kinase pathway. Endocrinology 144 306–312.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Nethrapalli IS, Singh M, Guan X, Guo Q, Lubahn DB, Korach KS & Toran-Allerand CD 2001 Estradiol (E2) elicits SRC phosphorylation in the mouse neocortex: the initial event in E2 activation of the MAPK cascade? Endocrinology 142 5145–5148.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Norris JD, Fan D, Kerner SA & McDonnell DP 1997 Identification of a third autonomous activation domain within the human estrogen receptor. Molecular Endocrinology 11 747–754.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Parker MG 1995 Structure and function of estrogen receptors. Vitamins and Hormones 51 267–287.

  • Pendaries C, Darblade B, Rochaix P, Krust A, Chambon P, Korach KS, Bayard F & Arnal JF 2002 The AF-1 activation-function of ERalpha may be dispensable to mediate the effects of estradiol on endothelial NO production in mice. PNAS 99 2205–2210.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pike CJ 1999 Estrogen modulates neuronal Bcl-xL expression and beta-amyloid-induced apoptosis: relevance to Alzheimer’s disease. Journal of Neurochemistry 72 1552–1563.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sawada H, Ibi M, Kihara T, Urushitani M, Honda K, Nakanishi M, Akaike A & Shimohama S 2000 Mechanisms of antiapoptotic effects of estrogens in nigral dopaminergic neurons. FASEB Journal 14 1202–1214.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Serghini R, Froissard P, Sola B & Duval D 1994 Cycloheximide and actinomycin D block the toxic effect of glutamic acid on PC12 cells. Neuroreport 6 29–32.

  • Shughrue PJ & Dorsa DM 1993 Estrogen modulates the growth-associated protein GAP-43 (neuromodulin) mRNA in the rat preoptic area and basal hypothalamus. Neuroendocrinology 57 439–447.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Singer CA, Figueroa-Masot XA, Batchelor RH & Dorsa DM 1999 The mitogen-activated protein kinase pathway mediates estrogen neuroprotection after glutamate toxicity in primary cortical neurons. Journal of Neuroscience 19 2455–2463.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sohrabji F, Greene LA, Miranda RC & Toran-Allerand CD 1994 Reciprocal regulation of estrogen and NGF receptors by their ligands in PC12 cells. Journal of Neurobiology 25 974–988.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sohrabji F, Miranda RC & Toran-Allerand CD 1995 Identification of a putative estrogen response element in the gene encoding brain-derived neurotrophic factor. PNAS 92 11110–11114.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sugioka K, Shimosegawa Y & Nakano M 1987 Estrogens as natural antioxidants of membrane phospholipid peroxidation. FEBS Letters 210 37–39.

  • Tietze F 1969 Enzymatic method for quantitative determination of total and oxidized glutathione. Analytical Biochemistry 27 507–522.

  • Toran-Allerand CD 1996 Mechanisms of estrogen action during neural development: mediation by interactions with the neurotrophins and their receptors? Journal of Steroid Biochemistry and Molecular Biology 56 169–178.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Toran-Allerand CD 2004 A plethora of estrogen receptors in the brain: where will it end? Endocrinology 145 1069–1074.

  • Toran-Allerand CD, Singh M & Setalo G Jr 1999 Novel mechanisms of estrogen action in the brain: new players in an old story. Frontiers in Neuroendocrinology 20 97–121.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Vasudevan N, Kow LM & Pfaff DW 2001 Early membrane estrogenic effects required for full expression of slower genomic actions in a nerve cell line. PNAS 98 12267–12271.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wilson ME, Dubal DB & Wise PM 2000 Estradiol protects against injury-induced cell death in cortical explant cultures: a role for estrogen receptors. Brain Research 873 235–242.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wise PM 2003 Estrogens: protective or risk factors in brain function? Progress in Neurobiology 69 181–191.

  • Wise PM, Dubal DB, Wilson ME, Rau SW & Liu Y 2001 Estrogens: trophic and protective factors in the adult brain. Frontiers in Neuroendocrinology 22 33–66.

  • Zhang L, Rubinow DR, Xaing G, Li BS, Chang YH, Maric D, Barker JL & Ma W 2001 Estrogen protects against beta-amyloid-induced neurotoxicity in rat hippocampal neurons by activation of Akt. Neuroreport 12 1919–1923.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zhao L, Wu TW & Brinton RD 2004 Estrogen receptor subtypes alpha and beta contribute to neuroprotection and increased Bcl-2 expression in primary hippocampal neurons. Brain Research 1010 22–34.

    • PubMed
    • Search Google Scholar
    • Export Citation

 

  • Collapse
  • Expand
  • Figure 1

    Transcriptional activity of ERα in relation to the differentiation stage of PC12 cells. Undifferentiated and differentiated PC12 cells (primed with 5 ng/ml NGF) were transiently transfected with the expression vectors pSG5 (control), pSG ERα (full length ER) and pSG ERαCF (truncated ER). Cells were then treated with 10 nM 17βE2 or ethanol (control). The transcriptional activity was determined using an ERE-TK synthetic estrogen-sensitive promoter coupled to luciferase (ERE-TK-LUC). Histograms show the means ±s.e.m. of values normalized to the activity of the reporter gene measured in the presence of pSG5 without E2, obtained in at least three separate experiments.

  • Figure 2

    Transcriptional activity of ERα: relation with differentiation and contribution of the AF-1 function. Undifferentiated and differentiated PC12 cells (primed with 5 ng/ml NGF) were transiently transfected with the expression vectors pSG5 (control), pSG ERα (full length ER) and pSG ERαCF (truncated ER). Cells were then treated with 1 μM 4-hydroxytamoxifen (4-OHT) or ethanol (control). The transcriptional activity was determined using the human complement C3 promoter coupled to luciferase (hC3-LUC) as a reporter gene. Histograms show the means ±s.e.m. of values normalized to the activity of the reporter gene measured in the presence of pSG5 without E2, obtained in at least three separate experiments.

  • Figure 3

    (A) Generation of PC12 ERα and ERαCF stable transfectants. PC12 cells were stably transfected with the expression vectors pCR3.1, pCR3.1 ERα or pCR3.1 ERαCF. The respective harvested subconfluent subclones PC12 control (clone C1), PC12 ERα and PC12 ERαCF (clones ERα-4 and ERαCF-1) were lyzed at 4 °C during 60 min in a RIPA lysis buffer (50 mM Tris–HCl pH 7.5, 150 mM NaCl, 1% NP-40, 0.5% sodium deoxycholate, 0.1% SDS). Thirty micrograms whole cell extracts were fractionated on a polyacrylamide-SDS gel. Proteins of 66 kDa (full length ER) and 46 kDa (truncated ER) were revealed with a rabbit polyclonal IgG with an epitope mapping the carboxy-terminal region of the ER (HC-20). The in vitro expression of ERα and ERαCF using the rabbit reticulocyte-coupled transcription/translation kit (TNT, Promega, Madison, WI, USA) acted as a positive control. (B) NGF-induced differentiation of PC12 control, PC12 ERα and PC12 ERαCF (truncated ERα). Cells were treated by NGF (5 ng/ml) during two days with vehicle, 17βE2 only (10 nM), NGF only (5 ng/ml) or NGF plus 17βE2. Cells having at least a neurite greater than one (short neurites) or two (long neurites) cell bodies and total cells were counted for 20–30 fields (5–10 fields per dish in 3 separate experiments, at 200× magnification) in light microscopy. The ratios of ‘cells with short or long neurites/total cells’ were determined (means ±s.e.m.) and used as criteria of differentiation after normalization with respective values of PC12 cells treated with NGF alone. Columns with different superscripts differ significantly (P < 0.05). A significant interaction between NGF and E2 was found by two-way ANOVA on day 2 (P < 0.05) for both the criteria (short and long neurites).

  • Figure 4

    (A) Neuroprotective effects of estradiol against buthionine sulfoximine (BSO). PC12 ERα (density adjusted to 8–10 × 103 cells/cm2 in 6-well plates (1.5 ml/well) in phenol red-free DMEM containing 10% charcoal-stripped FCS and 5% charcoal-stripped HS, antibiotics and 1 g/l glucose) were treated with 300 μM BSO (i) after 24 h of pre-incubation (preincubation-24 h) with 17βE2 (0.1, 1, 10 nM) or 17αE2 (1, 100 nM) or (ii) simultaneously (no preincubation) with 17βE2 (0.1, 1, 10 nM). Cell death was measured 24 h after the treatment with BSO and expressed as a percentage of the total cell population (adherent, viable and dead cells in the supernatant; means ±s.e.m. of individual determinations for 3–8 distinct experiments). Columns with different superscripts differ significantly (P < 0.05). (B) Cell death of PC12 control or PC12 ERαCF (truncated ERα) (for density and medium, see panel A) pretreated or not with 10 nM 17βE2 for 24 h. At this time, 300 μM BSO were added for 24 h. Cell death was expressed as a percentage of the total cell population (means ±s.e.m.; n=4–6). Columns with different superscripts differ significantly (P < 0.05).

  • Figure 5

    (A) Cell death of PC12 ERα, preincubated for 24 h with 17βE2 (1 nM) in the presence or not of ICI 182,780 (ICI; 100 nM) and then treated with BSO. Cell death was measured 24 h after BSO and expressed as a percentage of the total cell population (means ±s.e.m. of individual determinations for 3–8 distinct experiments). Columns with different superscripts differ significantly (P < 0.05). (B) Content of glutathione (GSH) in the PC12 ERβ clone. Cells were preincubated in the absence (control) or in the presence of 1 nM 17βE2 for 24 h. At this time, 300 μM BSO or solvent were added for 6 h. Results are expressed as μg GSH/mg protein (means ±s.e.m.; n=4–6). Columns with different superscripts differ significantly (P < 0.05).

  • Abraham IM, Todman MG, Korach KS & Herbison AE 2004 Critical in vivo roles for classical estrogen receptors in rapid estrogen actions on intracellular signaling in mouse brain. Endocrinology 145 3055–3061.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Beato M 1989 Gene regulation by steroid hormones. Cell 56 335–344.

  • Behl C 2002 Oestrogen as a neuroprotective hormone. Nature Reviews Neuroscience 3 433–442.

  • Behl C, Skutella T, Lezoualc’h F, Post A, Widmann M, Newton CJ & Holsboer F 1997 Neuroprotection against oxidative stress by estrogens: structure–activity relationship. Molecular Pharmacology 51 535–541.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Berry M, Metzger D & Chambon P 1990 Role of the two activating domains of the estrogen receptor in the cell-type and promoter-context dependent agonistic activity of the anti-estrogen 4-hydroxytamoxifen. EMBO Journal 9 2811–2818.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Couse JF, Curtis SW, Washburn TF, Lindzey J, Golding TS, Lubahn D, Smithies O & Korach KS 1995 Analysis of transcription and estrogen insensitivity in the female mouse after targeted disruption of the estrogen receptor gene. Molecular Endocrinology 9 1441–1454.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Dominguez R, Jalali C & De Lacalle S. 2004 Morphological effects of estrogen on cholinergic neurons in vitro involves activation of extracellular signal-regulated kinases. Journal of Neuroscience 24 982–990.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Dubal DB, Shughrue PJ, Wilson ME, Merchenthaler I & Wise PM 1999 Estradiol modulates bcl-2 in cerebral ischemia: a potential role for estrogen receptors. Journal of Neuroscience 19 6385–6393.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Dubal DB, Zhu H, Yu J, Rau SW, Shughrue PJ, Merchenthaler I, Kindy MS & Wise PM 2001 Estrogen receptor alpha, not beta, is a critical link in estradiol-mediated protection against brain injury. PNAS 98 1952–1957.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Edwards DP 2005 Regulation of signal transduction pathway by estrogen and progesterone. Annual Review of Physiology 67 335–376.

  • Evans RM 1988 The steroid and thyroid hormone receptor superfamily. Science 240 889–895.

  • Ferreira A & Caceres A 1991 Estrogen-enhanced neurite growth: evidence for a selective induction of Tau and stable microtubules. Journal of Neuroscience 11 392–400.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Figtree GA, McDonald D, Watkins H & Channon KM 2002 Truncated estrogen receptor α 46-kDa isoform in human endothelial cells; relation to acute activation of nitric oxide synthase. Circulation 107 120–126.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Fitzpatrick JL, Mize AL, Wade CB, Harris JA, Shapiro RA & Dorsa DM 2002 Estrogen-mediated neuroprotection against β-amyloid toxicity requires expression of estrogen receptor α or β and activation of the MAPK pathway. Journal of Neurochemistry 82 674–682.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Flouriot G, Brand H, Denger S, Métivier R, Kos M, Reid G, Sonntag-Buck V & Gannon F 2000 Identification of a new isoform of the human estrogen receptor-alpha (hER-α) that is encoded by distinct transcripts and that is able to repress hER-α activation function 1. EMBO Journal 19 4688–4700.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Froissard P, Monrocq H & Duval D 1997 Glutamate-induced programmed cell death in neuronal-like PC12 cells is mediated through an inhibition of glutathione metabolism. European Journal of Pharmacology 326 93–99.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Fujita T, Kobayashi Y, Wada O, Tateishi Y, Kitada L, Yamamoto Y, Takashima H, Murayama A, Yano T, Baba T, Kawabe Y & Yanagisawa J 2003 Full activation of estrogen receptor alpha activation function-1 induces proliferation of breast cancer cells. Journal of Biological Chemistry 278 26704–26714.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gerlach JL, McEwen BS, Toran-Allerand CD & Friedman WJ 1983 Perinatal development of estrogen receptors in mouse brain assessed by radioautography, nuclear isolation and receptor assay. Brain Research 313 7–18.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gollapudi L & Oblinger MM 1999a Stable transfection of PC12 cells with estrogen receptor (ERα): protective effects of estrogen on cell survival after serum deprivation. Journal of Neuroscience Research 56 99–108.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gollapudi L & Oblinger MM 1999b Estrogen and NGF synergistically protect terminally differentiated, ERα-transfected PC12 cells from apoptosis. Journal of Neuroscience Research 56 471–481.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gollapudi L & Oblinger MM 2001 Estrogen effects on neurite outgrowth and cytoskeletal gene expression in ERα-transfected PC12 cell lines. Experimental Neurology 171 308–316.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Green PS, Gridley KE & Simpkins JW 1998 Nuclear estrogen receptor-independent neuroprotection by estratrienes: a novel interaction with glutathione. Neuroscience 84 7–10.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Green S, Kumar V, Theulaz I, Wahli W & Chambon P 1988 The N-terminal DNA-binding ‘zinc finger’ of the estrogen and glucocorticoid receptors determines target gene specificity. EMBO Journal 7 3037–3044.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Griffith OW & Meister A 1979a Potent and specific inhibition of glutathione synthesis by buthionine sulfoximine (S-n-butylhomocysteine sulfoximine). Journal of Biological Chemistry 254 7558–7560.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Griffith OW & Meister A 1979b Glutathione: interorgan translocation, turnover, and metabolism. PNAS 76 5606–5610.

  • Higuchi Y & Matsukawa S 1999 Glutathione depletion induces giant DNA and high-molecular-weight DNA fragmentation associated with apoptosis through lipid peroxidation and protein kinase C activation in C6 glioma cells. Archives of Biochemistry and Biophysics 363 33–42.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ho KJ & Liao JK 2002 Non-nuclear actions of estrogen: new targets for prevention and treatment of cardiovascular disease. Molecular Interventions 2 219–228.

  • Kousteni S, Bellido T, Plotkin LI, O’Brien CA, Bodenner DL, Han L, Han K, DiGregorio GB, Katzenellenbogen JA, Katzenellenbogen BS, Roberson PK, Weinstein RS, Jilka RL & Manolagas SC 2001 Nongenotropic, sex-nonspecific signaling through the estrogen or androgen receptors: dissociation from transcriptional activity. Cell 104 719–730.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kuroki Y, Fukushima K, Kanda Y, Mizuno K & Watanabe Y 2001 Neuroprotection by estrogen via extracellular signal-regulated kinase against quinolinic acid-induced cell death in the rat hippocampus. European Journal of Neuroscience 13 472–476.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Le Foll I & Duval D 2001 Programmed cell death induced by glutathione depletion in PC12 cells is blocked by inhibitors of 12 lipoxygenase, but does not appear to be mediated through the formation of 12 HETE derivatives. Free Radical Biology and Medicine 30 793–802.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Leon A, Le Foll I, Charriault-Marlangue C, Leprince J, Vaudry H, Gabriel C & Duval D 2003 The level of heme oxygenase does not obligatorily reflect the sensitivity of PC12 cells to an oxidative shock induced by glutathione depletion. Journal of Neurochemistry 84 459–470.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • McEwen BS 2002 Estrogen actions throughout the brain. Recent Progress in Hormone Research 57 357–384.

  • Maggi A, Ciana P, Belcredito S & Vegeto E 2004 Estrogens in the nervous system: mechanisms and nonreproductive functions. Annual Review of Physiology 66 291–313.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mérot Y, Métivier R, Penot G, Manu D, Saligaut C, Gannon F, Pakdel F, Kah O & Flouriot G 2004 The relative contribution exerted by AF-1 and AF-2 transactivation functions in estrogen receptor alpha (ERα) transcriptional activity depends upon the differentiation stage of the cell. Journal of Biological Chemistry 279 26184–26191.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Métivier R, Penot G, Flouriot G & Pakdel F 2001 Synergism between ERalpha transactivation function 1 (AF-1) and AF-2 mediated by steroid receptor coactivator protein-1: requirement for the AF-1 alpha-helical core and for a direct interaction between the N- and C-terminal domains. Molecular Endocrinology 15 1953–1970.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Migliaccio A, Piccolo D, Castoria G, Di Domenico M, Bilancio A, Lombardi M, Gong W, Beato M & Auricchio F 1998 Activation of the Src/p21 ras/Erk pathway by progesterone receptor via cross-talk with estrogen receptor. EMBO Journal 17 2008–2018.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mize AL, Shapiro RA & Dorsa DM 2003 Estrogen receptor-mediated neuroprotection from oxidative stress requires activation of the mitogen-activated protein kinase pathway. Endocrinology 144 306–312.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Nethrapalli IS, Singh M, Guan X, Guo Q, Lubahn DB, Korach KS & Toran-Allerand CD 2001 Estradiol (E2) elicits SRC phosphorylation in the mouse neocortex: the initial event in E2 activation of the MAPK cascade? Endocrinology 142 5145–5148.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Norris JD, Fan D, Kerner SA & McDonnell DP 1997 Identification of a third autonomous activation domain within the human estrogen receptor. Molecular Endocrinology 11 747–754.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Parker MG 1995 Structure and function of estrogen receptors. Vitamins and Hormones 51 267–287.

  • Pendaries C, Darblade B, Rochaix P, Krust A, Chambon P, Korach KS, Bayard F & Arnal JF 2002 The AF-1 activation-function of ERalpha may be dispensable to mediate the effects of estradiol on endothelial NO production in mice. PNAS 99 2205–2210.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pike CJ 1999 Estrogen modulates neuronal Bcl-xL expression and beta-amyloid-induced apoptosis: relevance to Alzheimer’s disease. Journal of Neurochemistry 72 1552–1563.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sawada H, Ibi M, Kihara T, Urushitani M, Honda K, Nakanishi M, Akaike A & Shimohama S 2000 Mechanisms of antiapoptotic effects of estrogens in nigral dopaminergic neurons. FASEB Journal 14 1202–1214.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Serghini R, Froissard P, Sola B & Duval D 1994 Cycloheximide and actinomycin D block the toxic effect of glutamic acid on PC12 cells. Neuroreport 6 29–32.

  • Shughrue PJ & Dorsa DM 1993 Estrogen modulates the growth-associated protein GAP-43 (neuromodulin) mRNA in the rat preoptic area and basal hypothalamus. Neuroendocrinology 57 439–447.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Singer CA, Figueroa-Masot XA, Batchelor RH & Dorsa DM 1999 The mitogen-activated protein kinase pathway mediates estrogen neuroprotection after glutamate toxicity in primary cortical neurons. Journal of Neuroscience 19 2455–2463.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sohrabji F, Greene LA, Miranda RC & Toran-Allerand CD 1994 Reciprocal regulation of estrogen and NGF receptors by their ligands in PC12 cells. Journal of Neurobiology 25 974–988.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sohrabji F, Miranda RC & Toran-Allerand CD 1995 Identification of a putative estrogen response element in the gene encoding brain-derived neurotrophic factor. PNAS 92 11110–11114.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sugioka K, Shimosegawa Y & Nakano M 1987 Estrogens as natural antioxidants of membrane phospholipid peroxidation. FEBS Letters 210 37–39.

  • Tietze F 1969 Enzymatic method for quantitative determination of total and oxidized glutathione. Analytical Biochemistry 27 507–522.

  • Toran-Allerand CD 1996 Mechanisms of estrogen action during neural development: mediation by interactions with the neurotrophins and their receptors? Journal of Steroid Biochemistry and Molecular Biology 56 169–178.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Toran-Allerand CD 2004 A plethora of estrogen receptors in the brain: where will it end? Endocrinology 145 1069–1074.

  • Toran-Allerand CD, Singh M & Setalo G Jr 1999 Novel mechanisms of estrogen action in the brain: new players in an old story. Frontiers in Neuroendocrinology 20 97–121.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Vasudevan N, Kow LM & Pfaff DW 2001 Early membrane estrogenic effects required for full expression of slower genomic actions in a nerve cell line. PNAS 98 12267–12271.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wilson ME, Dubal DB & Wise PM 2000 Estradiol protects against injury-induced cell death in cortical explant cultures: a role for estrogen receptors. Brain Research 873 235–242.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wise PM 2003 Estrogens: protective or risk factors in brain function? Progress in Neurobiology 69 181–191.

  • Wise PM, Dubal DB, Wilson ME, Rau SW & Liu Y 2001 Estrogens: trophic and protective factors in the adult brain. Frontiers in Neuroendocrinology 22 33–66.

  • Zhang L, Rubinow DR, Xaing G, Li BS, Chang YH, Maric D, Barker JL & Ma W 2001 Estrogen protects against beta-amyloid-induced neurotoxicity in rat hippocampal neurons by activation of Akt. Neuroreport 12 1919–1923.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zhao L, Wu TW & Brinton RD 2004 Estrogen receptor subtypes alpha and beta contribute to neuroprotection and increased Bcl-2 expression in primary hippocampal neurons. Brain Research 1010 22–34.

    • PubMed
    • Search Google Scholar
    • Export Citation