Differential neuroprotective effects of equine estrogens against oxidized low density lipoprotein-induced neuronal cell death

In the present study, the neurotoxic effect of oxidized low density lipoprotein on PC-12 neuronal cells maintained in culture was used to test the neuroprotective effect of several equine estrogens, such as estrone (E-1), 17 beta -estradiol (17 beta -E-2), 17 alpha -estradiol (17 alpha -E-2), equilin (Eq), 17 beta -dihydroequilin (17 beta -Eq), 17 alpha -dihydroequilin (17 alpha -Eq), equilenin (Eqn), 17 beta -dihydroequilenin (17 beta -Eqn), 17 alpha -dihydroequilenin (17 alpha -Eqn), Delta (8)-estrone (Delta (8)-E-1), and Delta (8), 17 beta -estradiol (Delta (8), 17 beta -E-2). METHODS: The PC-12 cells (10,000 cells/well) were grown on collagen-coated 96-well plates in Dulbecco's Modified Eagle Medium supplemented with 10% horse serum, 5% fetal bovine serum, and 10 mM HEPES. In culture, the cells displayed normal PC-12 morphology and behavior, exhibiting increased dendritic growth and cessation of cell division upon exposure to nerve growth factor. Twenty-four hours after plating, various concentrations (0.1-50 muM) of estrogens were added followed by addition of oxidized low density lipoprotein (5-12.5 mug/well) in a total volume of 100 muL. After 24 hours, cell viability was determined using the MTS (3-[4,5-dimethylthiazol-2-yl]-5-[3-carboxymethoxyphenyl]-2H-tetrazolium, inner salt) cell proliferation assay. RESULTS: This results indicate that the extent of low density lipoprotein oxidation and concentration of oxidized low density lipoprotein is directly proportional to cell toxicity. The mean +/- standard deviation cell death obtained using 10.0 mug/well of oxidized low density lipoprotein was 53.6% +/- 8.7%. With the exception of 17 alpha -estradiol, all estrogens tested were found to be neuroprotective against oxidized low density lipoprotein toxicity in it typical dose-dependent manner. The order of neuroprotective potency was Delta (8)-E-1 (1.2 muM), Delta (8), 17 beta -E-2 (1.3 muM), Eqn (5.3 muM), 17 beta -Eqn (5.3 muM), Eq (6 muM), 17 beta -Eq (8.5 muM), E-1 (11 muM), 17 beta -E-2 (11 muM), 17 alpha -Eq (12 muM), and 17 alpha -Eqn (16 muM) followed by 17 alpha -E-2 which provided less than 50% protection. CONCLUSION: Our data indicate that the neurotoxic effects of oxidized lon, density lipoprotein can be inhibited differentially by various estrogens, with the Delta (8) estrogens being the most potent neuroprotectors. These novel findings further suggest that some of the neuroprotective benefits associated with estrogen therapy might occur by the suppression of oxidized low density lipoprotein neurotoxicity. Because estrogens such as, Delta (8)-E-1 are relatively less uterotropic and potentially less feminizing than the classic estrogen 17 beta -E-2, they may be useful in the prevention of Alzheimer disease and other neurodegenerative diseases in both women and men. (J Soc Gynecol Investig 2001;8:245-54) Copyright (C) 2001 by the Society for Gynecologic Investigation.