Summary
This study was performed to test whether 17β-estradiol could attenuate the blood-brain
barrier disruption caused by middle cerebral artery occlusion in the ovariectomized
rats. Rats aged twelve to fourteen weeks were used in this study. Their ovaries were
removed one week prior to the implantation of the pellets. For the 17β-estradiol group,
a 500 µg 17β-estradiol 21 day-release pellet was implanted and for the control group,
a vehicle pellet was implanted 21 days before the experiments. One hour after middle
cerebral artery occlusion under isoflurane anesthesia, the transfer coefficient of
14 C-α-aminoisobutyric acid (104 Daltons) and the volume of 3 H-dextran (70 000 Daltons) distribution were determined to represent the degree of
blood-brain barrier disruption. Blood pressures and blood gases were similar between
controls and 17β-estradiol-treated rats. In both groups, the transfer coefficient
of the ischemic cortex was higher than that of the corresponding contralateral cortex
(control: Ischemic Cortex 12.5 ± 5.9 µl/g/min, Contralateral Cortex 3.0 ± 1.6, p <
0.001; 17β-estradiol: Ischemic Cortex 6.7 ± 3.3 µl/g/min, Contralateral Cortex 2.2
± 0.9, p < 0.01). There was no significant difference in the transfer coefficient
of the contralateral cortex between these two groups. However, the transfer coefficient
of the Ischemic Cortex of the 17β-estradiol-treated animals was 46 % lower than that
of the control, vehicle-treated rats (p < 0.05). The increase of the volume of 3 H-dextran distribution with middle cerebral artery occlusion was significant in the
vehicle-treated rats (Ischemic Cortex: 6.4 ± 2.7 ml/100 g, Contralateral Cortex: 3.8
± 0.8, p < 0.01) but not in the 17β-estradiol-treated animals. Our data suggest that
chronic 17β-estradiol treatment was effective in reducing blood-brain barrier disruption
during focal ischemia in the ovariectomized rats.
Key words
Brain - Capillary Permeability - Estrogen - Stroke
References
1
Murakami K, Kondo T, Chan P H.
Blood-brain barrier disruption, edema formation and apoptotic neuronal death following
cold injury.
Acta Neurochir Suppl (Wien).
1997;
70
234-236
2
Albayrak S, Zhao O, Siesjo B K, Smith M L.
Effect of transient focal ischemia on BBB permeability in the rat: correlation to
cell injury.
Acta Neuropathol (Berl).
1997;
94
158-163
3
Chi O Z, Wei H M, Lu X, Weiss H R.
Increased blood-brain barrier permeability with hyperosmolar mannitol increases cerebral
O2 consumption and O2 supply/consumption heterogeneity.
J Cereb Blood Flow Metab.
1996;
16
327-333
4
Yaffe K, Sawaya G, Lieberburg I, Grady D.
Estrogen therapy in postmenopausal women: effects on cognitive function and dementia.
JAMA.
1998;
279
688-695
5
Fung M M, Barrett-Connor E, Bettencourt R R.
Hormone replacement therapy and stroke risk in older women.
J Womens Health.
1999;
8
359-364
6
Paganini-Hill A, Ross R K, Henderson B E.
Postmenopausal oestrogen treatment and stroke: a prospective study.
BMJ.
1988;
297
519-522
7
Rusa R, Alkayed N J, Crain B J, Traystman R J, Kimes A S, London E D, Klaus J A, Hurn P D.
17beta-estradiol reduces stroke injury in estrogen-deficient female animals.
Stroke.
1999;
30
1665-1670
8
Dubal D B, Shughrue P J, Wilson M E, Merchenthaler I, Wise P M.
Estradiol modulates bcl-2 in cerebral ischemia: a potential role for estrogen receptors.
J Neurosci.
1999;
19
6385-6393
9
Toung T J, Traystman R J, Hurn P D.
Estrogen-mediated neuroprotection after experimental stroke in male rats.
Stroke.
1998;
29
1666-1670
10
Gardner G, Banka C L, Roberts K A, Mullick A E, Rutledge J C.
Modified LDL-mediated increases in endothelial layer permeability are attenuated with
17 beta-estradiol.
Arterioscler Thromb Vasc Biol.
1999;
19
854-861
11
Nishino H, Nakajima K, Kumazaki M, Fukuda A, Muramatsu K, Deshpande S B, Inubushi T,
Morikawa S, Borlongan C V, Sanberg P R.
Estrogen protects against while testosterone exacerbates vulnerability of the lateral
striatal artery to chemical hypoxia by 3-nitropropionic acid.
Neurosci Res.
1998;
30
303-312
12
Oztas B, Kaya M.
Influence of orchidectomy and ovariectomy on the blood-brain barrier permeability
during bicuculline-induced seizures.
Horm Metab Res.
1998;
30
500-503
13
Cullinan-Bove K, Koos R D.
Vascular endothelial growth factor/vascular permeability factor expression in the
rat uterus: rapid stimulation by estrogen correlates with estrogen-induced increases
in uterine capillary permeability and growth.
Endocrinology.
1993;
133
829-837
14
Chi O Z, Wei H M, Sinha A K, Weiss H R.
Effects of inhibition of nitric oxide synthase on blood-brain barrier transport in
focal cerebral ischemia.
Pharmacology.
1994;
48
367-373
15
Gross P M, Blasberg R G, Fenstermacher J D, Patlak C S.
The microcirculation of rat circumventricular organs and pituitary gland.
Brain Res Bull.
1987;
18
73-85
16
Saija A, Princi P, de Pasquale R, Costa G.
High intensity light exposure increases blood-brain barrier transport in rats.
Pharmacol Res Commun.
1988;
20
553-559
17
Saija A, Princi P, de Pasquale R, Costa G.
Modifications of the permeability of the blood-brain barrier and local cerebral metabolism
in pentobarbital and ketamine-anesthetized rats.
Neuropharmacology.
1989;
28
997-1002
18
Sharma H S, Dey P K.
Impairment of blood-brain barrier (BBB) in rat by immobilization stress: role of serotonin
(5-HT).
Indian J Physiol Pharmacol.
1981;
25
111-122
19
Chi O Z, Chang Q, Weiss H R.
Effects of topical N-methyl-D-aspartate on blood-brain barrier permeability in the
cerebral cortex of normotensive and hypertensive Rats.
Neurol Res.
1997;
19
539-544
20
Losordo D W, Kearney M, Kim E A, Jekanowski J, Isner J M.
Variable expression of the estrogen receptor in normal and atherosclerotic coronary
arteries of premenopausal women.
Circulation.
1994;
89
1501-1510
21
Lin A L, Shain S A.
Estrogen mediated cytoplasmic and nuclear distribution of rat cardiovascular estrogen
receptors.
Arteriosclerosis.
1985;
5
668-677
22
McNeill A M, Kim N, Duckles S P, Krause D N.
Chronic estrogen treatment increases levels of endothelial nitric oxide synthase protein
in rat cerebral microvessels.
Stroke.
1999;
30
2186-2190
23
Komesaroff P A, Black C V, Westerman R A.
A novel, nongenomic action of estrogen on the cardiovascular system.
J Clin Endocrinol Metab.
1998;
83
2313-2316
24
Caulin-Glaser T, Garcia-Cardena G, Sarrel P, Sessa W C, Bender J R.
Beta-estradiol regulation of human endothelial cell basal nitric oxide release, independent
of cytosolic Ca2+ mobilization.
Circ Res.
1997;
81
885-892
25
Kubes P.
Ischemia-reperfusion in feline small intestine: a role for nitric oxide.
Am J Physiol.
1993;
264
G143-G149
26
Boje K M.
Inhibition of nitric oxide synthase partially attenuates alterations in the blood-cerebrospinal
fluid barrier during experimental meningitis in the rat.
Eur J Pharmacol.
1995;
272
297-300
27
Chi O Z, Chang Q, Wang G, Weiss H R.
Effects of nitric oxide on blood-brain barrier disruption caused by intracarotid injection
of hyperosmolar mannitol in rats.
Anesth Analg.
1997;
84
370-375
28
Weaver C E , Park-Chung M, Gibbs T T, Farb D H.
17b-Estradiol protects against NMDA-induced excitotoxicity by direct inhibition of
NMDA receptors.
Brain Res.
1997;
761
338-341
29
Zaulyanov L L, Green P S, Simpkins J W.
Glutamate receptor requirement for neuronal cell death from anoxia-reoxygenation:
an in vitro model for assessment of the neuroprotective effects of estrogen.
Cell Mol Neurobiol.
1999;
19
705-718
30
Sawada H, Ibi M, Kihara T, Urushitani M, Akaike A, Shimohama S.
Estradiol protects mesencephalic dopaminergic neurons from oxidative stress-induced
neuronal death.
J Neurosci Res.
1998;
54
707-719
31
Hurn P D, Macrai I M.
Estrogen as a neuroprotectant in stroke.
J Cereb Blood Flow Metab.
2000;
20
631-652
32
Fisher G, Swain M L.
Effects of estradiol and progesterone on the increased synthesis of collagen in atherosclerotic
rabbit aortas.
Atherosclerosis.
1985;
54
177-185
33
Morales D E, McGowan K A, Grant D S, Maheshwari S, Bhartiya D, Cid M C, Kleinman H K,
Schnaper H W.
Estrogen promotes angiogenic activity in human umbilical vein endothelial cells in vitro and in a murine model.
Circulation.
1995;
91
755-763
34
Mukherjee M, de Lorenzo F, Kadziola Z, Rutlin A, Ranlall N, Sembhi K, Dawson G, Kakkar V V.
Correlation of circulating 17beta-oestradiol with haemostatic factors in healthy postmenopausal
women.
Haemostasis.
1999;
29
336-342
O. Z. Chi, M.D.
Department of Anesthesia, University of Medicine and Dentistry of New Jersey ·
Robert Wood Johnson Medical School, 125 Paterson Street, Suite 3100 · New Brunswick
· New Jersey 08901-1977 · USA ·
Telefon: + 1 (732) 235-78 27
Fax: + 1 (732) 235-61 31
eMail: chi@umdnj.edu