Menopause and Parkinson's disease. Interaction between estrogens and brain renin-angiotensin system in dopaminergic degeneration.

Abstract:

:The neuroprotective effects of menopausal hormonal therapy in Parkinson's disease (PD) have not yet been clarified, and it is controversial whether there is a critical period for neuroprotection. Studies in animal models and clinical and epidemiological studies indicate that estrogens induce dopaminergic neuroprotection. Recent studies suggest that inhibition of the brain renin-angiotensin system (RAS) mediates the effects of estrogens in PD models. In the substantia nigra, ovariectomy induces a decrease in levels of estrogen receptor-α (ER-α) and increases angiotensin activity, NADPH-oxidase activity and expression of neuroinflammatory markers, which are regulated by estrogen replacement therapy. There is a critical period for the neuroprotective effect of estrogen replacement therapy, and local ER-α and RAS play a major role. Astrocytes play a major role in ER-α-induced regulation of local RAS, but neurons and microglia are also involved. Interestingly, treatment with angiotensin receptor antagonists after the critical period induced neuroprotection.

journal_name

Front Neuroendocrinol

authors

Labandeira-Garcia JL,Rodriguez-Perez AI,Valenzuela R,Costa-Besada MA,Guerra MJ

doi

10.1016/j.yfrne.2016.09.003

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

44-59

eissn

0091-3022

issn

1095-6808

pii

S0091-3022(16)30041-3

journal_volume

43

pub_type

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