With the continuing controversy over the clinical efficiency and use of methylprednisolone after spinal cord injury (SCI), interest is renewed is discovering new therapeutic targets for neuroprotection. Recently, 17?-estradiol was found to be beneficial in SCI which suggests that estrogen receptors (ERs) could be therapeutic targets. Estrogen binds with equal affinity to two subtypes of the ER, the classical ERa and the more recently discovered ERa. However, which subtype is necessary for neuroprotective effects remains controversial and has not been investigated in SCI. Also, no subtype selective antagonists are available to tease apart specific effects. A clue that selective ERp activation may confer protection is SCI comes from studies of plant-derived estrogens, or phytoestrogens. Genistein, a phytoestrogen from soy and a preferential ERp agonist, dose-dependently confers protection in models of neuronal injury and cardiac ischemia. We hypothesize that selective activation of the ER? by genistein will produce significant protection in SCI. ? ? We will test this hypothesis, in aim 1, by administering either a low, medium or high dose of genistein 30 minutes after a moderate thoracic spinal cord injury in rats. An additional group will receive co-administration of genistein and the ER antagonist ICI 182,780. At seven days post-SCI, we will evaluate acute injury markers including: cell death, ER expression, and expression of apoptosis related proteins bcl-2, bax, and activated caspase-3.
In aim 2, we will administer genistein with and without the ER antagonist ICI 182,780 and evaluate sub-acute markers of secondary injury including locomotor impairment, white matter sparing, lesion volume, and lower urinary tract function. ? ? The experiments in this proposal explore the clinically relevant possibility that preferentially targeting the non-feminizing ER? is neuroprotective in SCI by evaluating the neuroprotective potential of a natural, plant- derived estrogen, genistein. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21NS052559-02
Application #
7373613
Study Section
Clinical Neuroplasticity and Neurotransmitters Study Section (CNNT)
Program Officer
Kleitman, Naomi
Project Start
2007-03-08
Project End
2010-02-28
Budget Start
2008-03-01
Budget End
2010-02-28
Support Year
2
Fiscal Year
2008
Total Cost
$158,594
Indirect Cost
Name
University of Alabama Birmingham
Department
Physical Medicine & Rehab
Type
Schools of Medicine
DUNS #
063690705
City
Birmingham
State
AL
Country
United States
Zip Code
35294
Siriphorn, Akkradate; Dunham, Kelly A; Chompoopong, Supin et al. (2012) Postinjury administration of 17?-estradiol induces protection in the gray and white matter with associated functional recovery after cervical spinal cord injury in male rats. J Comp Neurol 520:2630-46
Siriphorn, Akkradate; Chompoopong, Supin; Floyd, Candace L (2010) 17?-estradiol protects Schwann cells against H2O2-induced cytotoxicity and increases transplanted Schwann cell survival in a cervical hemicontusion spinal cord injury model. J Neurochem 115:864-72
Olsen, Michelle L; Campbell, Susan C; McFerrin, Michael B et al. (2010) Spinal cord injury causes a wide-spread, persistent loss of Kir4.1 and glutamate transporter 1: benefit of 17 beta-oestradiol treatment. Brain 133:1013-25
Dunham, Kelly A; Siriphorn, Akkradate; Chompoopong, Supin et al. (2010) Characterization of a graded cervical hemicontusion spinal cord injury model in adult male rats. J Neurotrauma 27:2091-106
Kachadroka, Supatra; Hall, Alicia M; Niedzielko, Tracy L et al. (2010) Effect of endogenous androgens on 17beta-estradiol-mediated protection after spinal cord injury in male rats. J Neurotrauma 27:611-26