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1 Cellular and Integrative Physiology and Surgery, Indiana University, Indianapolis, IN, USA
* To whom correspondence should be addressed. E-mail: dmeldrum{at}iupui.edu.
Background. Sex differences in myocardial recovery have been reported following acute ischemia and reperfusion injury. Estrogen and the estrogen receptors are critical determinants of cardiovascular gender differences. However, the mechanistic pathways responsible for these differences remain unknown. We hypothesized that estrogen receptor alpha is an important modulator of: 1) myocardial functional recovery following ischemia; and 2) inflammatory signaling via mitogen activated protein kinases (MAPK). Study Design. Adult male and female wildtype (WT) and estrogen receptor alpha knockout (ER1KO) mouse hearts were isolated, perfused via Langendorff model, and subjected to 20 minutes ischemia, 60 minutes reperfusion. Myocardial contractile function (LVDP, +dP/dT, -dP/dT) was continuously recorded. After ischemia/reperfusion, hearts were assessed for expression of inflammatory cytokines (ELISA), and activation of mitogen activated protein kinases and caspase-3 (Western blot). Data were analyzed with two-way ANOVA with the student t test. Results. ER1KO females exhibited significantly less functional recovery than WT females and were similar to WT males. Activated ERK was increased in female WT hearts compared to female ER1KO. Activated JNK was decreased in female WT hearts compared to female ER1KO. No significant differences were found between male WT, female WT, male ER1KO, and female ER1KO in activated p38 MAPK, proinflammatory cytokine expression, and pro-apoptotic signaling. Conclusions. Estrogen receptor alpha plays a role in the protection observed in the female heart. Differential activation of MAPK may mediate this protection. Further studies are necessary to delineate these mechanistic pathways.
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