Zusammenfassung
Östrogene regulieren im Gehirn nicht nur die Geschlechtsdifferenzierung, sie beeinflussen auch das Sexualverhalten, die neuronale Aktivität und wirken neuroprotektiv. Im neuronalen Gewebe lassen sich von nukleären Östrogenrezeptoren (ERα und ERβ) vermittelte, genomische Östrogeneffekte von schnellen, nichtgenomischen Effekten unterscheiden. Bei den nichtgenomischen Effekten handelt es sich überwiegend um Einflüsse auf die Signaltransduktion von Neuronen, deren Vermittlung vermutlich von membranständigen ERs abhängt. Das Östrogen synthetisierende Enzym Aromatase kommt in diversen Hirnregionen vor, und die Expression des Aromatasegens wird gewebespezifisch mithilfe eines hirnspezifischen Promotors gesteuert. Die Aktivität der Aromatase wird in Neuronen kurzfristig durch Phosphorylierung reguliert und kann u. a. durch neuronale Aktivität beeinflusst werden. Experimentelle Studien zeigen, dass Östrogene bei neurodegenerativen Erkrankungen protektiv wirken können, was hier am Beispiel des zerebralen Insults dargestellt wird. Da diese Befunde im Widerspruch zu einigen klinischen Studien stehen, ist weitere Forschung notwendig, um Östrogene bei neuronalen Erkrankungen therapeutisch einsetzen zu können.
Abstract
In the brain, estrogens have a variety of functions: they regulate sexual differentiation, sexual behavior, and neuronal activity and demonstrate neuroprotective actions. In neuronal tissue, genomic estrogen effects can be distinguished from rapid, non-genomic effects through cellular signal transduction. The genomic effects are mediated by nuclear estrogen receptors (ERα and ERβ), whereas the non-genomic effects are very likely to depend on membranous ERs. Estrogens are synthesized by aromatase, an enzyme that is expressed in various brain regions. A brain-specific promoter regulates the tissue-specific expression of the aromatase gene. The aromatase activity can rapidly be regulated by phosphorylation and is influenced by neuronal activity. Preclinical studies demonstrate the protective effects of estrogens with respect to neurodegenerative diseases, such as stroke. More research will be necessary in order to close the gap between these preclinical results and data from clinical trials and to develop estrogen therapies for neuronal diseases.
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Prange-Kiel, J. Östrogene im Gehirn. Gynäkologische Endokrinologie 9, 8–13 (2011). https://doi.org/10.1007/s10304-010-0391-9
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DOI: https://doi.org/10.1007/s10304-010-0391-9