Mitochondria have become a primary focus in our search not only for the mechanism(s) of neuronal death but also for neuroprotective drugs and therapies that can delay or prevent Alzheimer's disease and other chronic neurodegenerative conditions. This is because mitochrondria play a central role in regulating viability and death of neurons, and mitochondrial dysfunction has been shown to contribute to neuronal death seen in neurodegenerative diseases. In this article, we review the evidence for the role of mitochondria in cell death and neurodegeneration and provide evidence that estrogens have multiple effects on mitochondria that enhance or preserve mitochondrial function during pathologic circumstances such as excitotoxicity, oxidative stress, and others. As such, estrogens and novel non-hormonal analogs have come to figure prominently in our efforts to protect neurons against both acute brain injury and chronic neurodegeneration.
Keywordsestrogens; estradiol; non-feminizing estrogens mitochondria; neuroprotection; estrogen receptors; Alzheimer's disease
Mitochondrial and cell death mechanismsMitochondrial oxidative phosphorylation is essential for neurons to meet their high ATP demand, and neuronal viability is imperiled when this ATP production is even transiently diminished. In addition to a bioenergetic crisis, mitochondrial impairment also produces a concomitant increase in production of reactive oxygen species [1]. Mitochondrial failure is the key event in the pathogenic cascade leading to ischemia-induced cell death from both necrosis and apoptosis [1,2]. Under conditions of oxidative stress and excessive cytoplasmic Ca 2+ loading, mitochondria undergo a loss of the impermeability of the inner mitochondrial membrane that completely collapses the mitochondrial membrane potential (ΔΨm), a process called permeability transition. Such irreversible collapse of ΔΨm is accompanied by mitochondrial swelling and release of cytochrome c into the cytoplasm, where it activates certain caspases and induces apoptotic cell death [2,3].Normally, antioxidant defense systems reduce radical-induced damage by scavenging free radicals. However, accelerated mitochondrial radical production can overwhelm these Send correspondence to: James W. Simpkins, Ph.D., Department of Pharmacology & Neuroscience, Room RES-334J, University of North Texas Health Science Center, 3500 Camp Bowie Bvld., Fort Worth, TX 76107, Phone 817-735-0498, jsimpkin@hsc.unt.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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