Molecular mechanisms and cellular events involved in the neuroprotective actions of estradiol. analysis of sex differences
Open accessAbstract
Estradiol, either from peripheral or central origin, activates multiple molecular neuroprotective and neuroreparative responses that, being mediated by estrogen receptors or by estrogen receptor independent mechanisms, are initiated at the membrane, the cytoplasm or the cell nucleus of neural cells. Estrogen-dependent signaling regulates a variety of cellular events, such as intracellular Ca 2+ levels, mitochondrial respiratory capacity, ATP production, mitochondrial membrane potential, autophagy and apoptosis. In turn, these molecular and cellular actions of estradiol are integrated by neurons and non-neuronal cells to generate different tissue protective responses, decreasing blood-brain barrier permeability, oxidative stress, neuroinflammation and excitotoxicity and promoting synaptic plasticity, axonal growth, neurogenesis, remyelination and neuroregeneration. Recent findings indicate that the neuroprotective and neuroreparative actions of estradiol are different in males and females and further research is necessary to fully elucidate the causes for this sex difference.
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Estrogen stimulates cell proliferation and differentiation via the ERK pathway and the AKT/mTOR pathway.
“and stimulates cell proliferation and differentiation via the extracellular-signal-regulated kinase (ERK) pathway and the AKT/mammalian target of rapamycin (mTOR) pathway [90–93]”
From Delayed short-term tamoxifen treatment does not promote remyelination or neuron sparing after spinal cord injury (2020) · cites this paper as [90]
Estrogen reduces cell death by reducing extracellular glutamate and reactive oxygen species.
“Estrogen reduces cell death by reducing extracellular glutamate and reactive oxygen species [88–90]”
From Delayed short-term tamoxifen treatment does not promote remyelination or neuron sparing after spinal cord injury (2020) · cites this paper as [90]
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Bourque, M. (2011) · Frontiers in Endocrinology · doi:10.3389/fendo.2011.00035 · Cited by 40 · see citing works
Biological Sex, Estradiol and Striatal Medium Spiny Neuron Physiology: A Mini-Review
Krentzel, A. A., & Meitzen, J. (2018) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2018.00492 · Cited by 40 · see citing works
Chamniansawat, S., & Chongthammakun, S. (2012) · Experimental & Molecular Medicine · doi:10.3858/emm.2012.44.6.046 · Cited by 39 · see citing works
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Where Sex Meets Gender: How Sex and Gender Come Together to Cause Sex Differences in Mental Illness
Christiansen, D. M., McCarthy, M. M., & Seeman, M. V. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.856436 · Cited by 65 · see citing works
Acosta-Martínez, M. (2020) · The Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.119.264598 · Cited by 51 · see citing works
Pukos, N., & McTigue, D. M. (2020) · PLOS ONE · doi:10.1371/journal.pone.0235232 · Cited by 9 · see citing works
- Authors
- Azcoitia, I., Barreto, G. E., & Garcia-Segura, L. M.
- Affiliations
- University of Limerick (IE)
- ORCID
- Barreto, George E.
- Venue
- Frontiers in Neuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2019-10
- Volume
- 55
- Pages
- 100787
- ISSN
- 0091-3022 (ISSN-L)
- OpenAlex
- W2972443643
- Cited by
- 125
- References
- 273
- Citations by year
- 2026: 15 · 2025: 18 · 2024: 10 · 2023: 21 · 2022: 20 · 2021: 20 · 2020: 21
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Frontiers in Neuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Docta Complutense (Universidad Complutense de Madrid) (submittedVersion, cc-by)
- DIGITAL.CSIC (Spanish National Research Council (CSIC)) (submittedVersion, cc-by)
- Funders
- Federación Española de Enfermedades Raras
- Agencia Estatal de Investigación (BFU2017-82754-R)
- Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- estradiol, neuroprotection, estrogen receptor, sex differences, intracellular calcium, mitochondrial function, autophagy, apoptosis, blood-brain barrier permeability, oxidative stress, neuroinflammation, excitotoxicity, synaptic plasticity, axon growth, neurogenesis, remyelination, nerve regeneration
- MeSH terms
- Neuroprotection, Animals, Autophagy, Estradiol, Female, Humans, Inflammation, Male, Neuronal Plasticity, Receptors, Estrogen, Sex Characteristics, Signal Transduction, Apoptosis, Neurogenesis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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