(Circulation. 1997;95:1505-1514.)
© 1997 American Heart Association, Inc.
Articles |
From the Department of Medicine, Division of Cardiovascular Research, St Elizabeth's Medical Center, Boston, Mass.
Correspondence to Douglas W. Losordo, MD, St Elizabeth's Medical Center, Department of Medicine, Division of Cardiovascular Research, 736 Cambridge St, Boston, MA 02135. E-mail dlosordo{at}opal.tufts.edu.
Background A series of studies was performed to examine the ability of estradiol (E2) to protect endothelial cells from apoptosis.
Methods and Results Light and transmission electron
microscopy demonstrated typical features of apoptosis in human
umbilical vein endothelial cells (HUVEC) exposed to tumor necrosis
factor-
(TNF-
). Northern and Western blot analyses revealed
induction of message and protein for the interleukin-1ß converting
enzyme (ICE), which has been shown to mediate apoptosis induced by
TNF-
. Immunofluorescent staining of HUVEC colocalized ICE expression
to apoptotic HUVEC. Direct cell counting demonstrated a significant
decrease in total endothelial cell number after 24 hours of TNF-
exposure and a dose-dependent reversal of the effect of TNF-
with
E2 treatment. This protective effect was abrogated by an
estrogen-receptor antagonist. Fluorescence-activated cell sorting
analysis revealed 39.3% apoptosis after 24 hours of TNF-
exposure.
Treatment with E2 resulted in a 50% decrease in apoptosis.
Similarly, viability assays revealed 35±4% cell death after TNF-
exposure. Simultaneous treatment with E2 resulted in a
dose-dependent reduction of cell death to a minimum of 18±2%. The
protective effect of E2 was nullified by a specific
estrogen-receptor antagonist.
Conclusions E2 treatment resulted in a
dose-dependent, receptor-mediated inhibition of TNF-
induced
endothelial cell apoptosis. These studies indicate that E2
may also serve a maintenance function in preventing endothelial cell
death after noxious stimuli and suggest that the ICE pathway may
mediate cytokine-induced apoptosis in endothelial cells. Preservation
of endothelial integrity represents another mechanism that may account
for the atheroprotective effect of estrogen.
Key Words: endothelium hormones estradiol cells receptors
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