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Artículo

Progesterone receptors: a key for neuroprotection in experimental stroke

Liu, Ailing; Margaill, Isabelle; Zhang, Shaodong; Labombarda, Maria FlorenciaIcon ; Coqueran, Bérard; Delespierre, Brigitte; Liere, Philippe; Marchand Leroux, Catherine; O’Malley, Bert W.; Lydon, John P.; de Nicola, Alejandro FedericoIcon ; Sitruk Ware, Regine; Mattern, Claudia; Plotkine, Michel; Schumacher, Michael; Guennoun, Rachida
Fecha de publicación: 05/2012
Editorial: Endocrine Society
Revista: Endocrinology
ISSN: 0013-7227
e-ISSN: 1945-7170
Idioma: Inglés
Tipo de recurso: Artículo publicado
Clasificación temática:
Neurociencias

Resumen

Progesterone receptors (PR) are expressed throughout the brain. However, their functional significance remains understudied. Here we report a novel role of PR as crucial mediators of neuroprotection using a model of transient middle cerebral artery occlusion and PR knockout mice. Six hours after ischemia, we observed a rapid increase in progesterone and 5-dihydroprogesterone, the endogenous PR ligands, a process that may be a part of the natural neuroprotective mechanisms. PR deficiency, and even haploinsufficiency, increases the susceptibility of the brain to stroke damage. Within a time window of 24 h, PR-dependent signaling of endogenous brain progesterone limits the extent of tissue damage and the impairment of motor functions. Longer-term improvement requires additional treatment with exogenous progesterone and is also PR dependent. The potent and selective PR agonist Nestorone is also effective. In contrast to progesterone, levels of the neurosteroid allopregnanolone, which modulates -aminobutyric acid type A receptors, did not increase after stroke, but its administration protected both wild-type and PR-deficient mice against ischemic damage. These results show that 1) PR are linked to signaling pathways that influence susceptibility to stroke, and 2) PR are direct key targets for both endogenous neuroprotection and for therapeutic strategies after stroke, and they suggest a novel indication for synthetic progestins already validated for contraception. Although allopregnanolone may not be an endogenous neuroprotective agent, its administration protects the brain against ischemicdamageby signaling mechanisms not involving PR. Collectively, our data clarify the relative roles of PR and allopregnanolone in neuroprotection after stroke.
Palabras clave: PROGESTERONE , STROKE , NEUROPROTECTION , THERAPEUTIC USES , SIGNAL TRANSDUCTION , PREGNANOLONE
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info:eu-repo/semantics/openAccess Excepto donde se diga explícitamente, este item se publica bajo la siguiente descripción: Creative Commons Attribution-NonCommercial-ShareAlike 2.5 Unported (CC BY-NC-SA 2.5)
Identificadores
URI: http://hdl.handle.net/11336/148702
URL: https://academic.oup.com/endo/article/153/8/3747/2424008
DOI: http://dx.doi.org/10.1210/en.2012-1138
URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3979171/
Colecciones
Articulos(IBYME)
Articulos de INST.DE BIOLOGIA Y MEDICINA EXPERIMENTAL (I)
Citación
Liu, Ailing; Margaill, Isabelle; Zhang, Shaodong; Labombarda, Maria Florencia; Coqueran, Bérard; et al.; Progesterone receptors: a key for neuroprotection in experimental stroke; Endocrine Society; Endocrinology; 153; 8; 5-2012; 3747-3757
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