Published online before print March 10, 2006
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or ER-ß?

* Center for Surgical Research and Department of Surgery, University of Alabama at Birmingham; and
Trauma Department, Hannover Medical School, Germany
2Correspondence: Center for Surgical Research, University of Alabama at Birmingham, GO94 Volker Hall, 1670 University Boulevard, Birmingham, AL 35294-0019. E-mail: Irshad.chaudry{at}ccc.uab.edu
ABSTRACT
The depression in cell-mediated immune function following trauma-hemorrhage is shown to be restored by 17ß-estradiol (E2) administration. However, it remains unknown which of the two estrogen-receptors, (ER)-
or ER-ß, plays the predominant role in mediating the beneficial effects of E2. Female B57BL/J6 ER-ß/ transgenic mice [knockout (KO)] and corresponding ovariectomized wild-type (WT) mice were subjected to laparotomy and hemorrhagic shock (35.0±5.0 mmHg for 90 min) and treated with E2 (50 µg/25 g) or ER-
agonist propyl pyrazole triol (PPT; 50 µg/25 g) following trauma-hemorrhage. Four hours after resuscitation, systemic cytokine concentrations and cytokine release by splenocytes and splenic macrophages were determined by cytometric bead array. Trauma-hemorrhage resulted in a significant increase in plasma tumor necrosis factor
(TNF-
), interleukin (IL)-6, and IL-10. In contrast, the release of these cytokines by splenic macrophages was decreased significantly in WT and KO animals. Administration of E2 or PPT following trauma-hemorrhage produced a significant reduction in systemic TNF-
and IL-6 concentrations in WT and KO mice. Although the suppression in the productive capacity of these cytokines following trauma-hemorrhage by macrophages and splenocyte was also prevented in E2- and PPT-treated WT mice, the release of cytokines by macrophages and splenocytes in E2- and PPT-treated KO mice was not restored to the levels observed in sham animals. These findings collectively suggest that both receptors appear to play a significant role in mediating the immunoprotective effects of E2 in different tissue compartments following trauma-hemorrhage.
Key Words: shock immune response injury sex hormones propyl pyrazole triol knockout
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