1.Management of menopausal syndrome in women with dyslipidemia.
Yang Mei LI ; Xun LEI ; Li Li YU
Chinese Journal of Preventive Medicine 2023;57(11):1908-1914
The prevalence of dyslipidemia is increased in postmenopausal women due to dysregulation of lipid metabolism and deficiency of estrogen levels. At the same time, some postmenopausal women also have menopausal syndromes such as vasomotor symptoms, physical physiology, mental psychology, and urogenital tract atrophy. Menopausal hormone therapy is the most effective measure to alleviate menopausal syndrome. And initiating MHT in early menopause can reduce cardiovascular damage. However, menopausal hormone therapy can also bring the risk of thromboembolic diseases such as venous embolism, myocardial infarction and stroke. Different drug regimens have different effects on lipid metabolism. Women with menopausal syndrome should take individualized treatment plans for different types of dyslipidemia. Therefore, this article reviews the management and treatment of menopausal syndrome in women with dyslipidemia, so as to provide a reference for personalized management of dyslipidemia in postmenopausal women.
Female
;
Humans
;
Menopause
;
Estrogen Replacement Therapy
;
Cardiovascular Diseases/epidemiology*
;
Estrogens/pharmacology*
;
Dyslipidemias/drug therapy*
2.Management of menopausal syndrome in women with dyslipidemia.
Yang Mei LI ; Xun LEI ; Li Li YU
Chinese Journal of Preventive Medicine 2023;57(11):1908-1914
The prevalence of dyslipidemia is increased in postmenopausal women due to dysregulation of lipid metabolism and deficiency of estrogen levels. At the same time, some postmenopausal women also have menopausal syndromes such as vasomotor symptoms, physical physiology, mental psychology, and urogenital tract atrophy. Menopausal hormone therapy is the most effective measure to alleviate menopausal syndrome. And initiating MHT in early menopause can reduce cardiovascular damage. However, menopausal hormone therapy can also bring the risk of thromboembolic diseases such as venous embolism, myocardial infarction and stroke. Different drug regimens have different effects on lipid metabolism. Women with menopausal syndrome should take individualized treatment plans for different types of dyslipidemia. Therefore, this article reviews the management and treatment of menopausal syndrome in women with dyslipidemia, so as to provide a reference for personalized management of dyslipidemia in postmenopausal women.
Female
;
Humans
;
Menopause
;
Estrogen Replacement Therapy
;
Cardiovascular Diseases/epidemiology*
;
Estrogens/pharmacology*
;
Dyslipidemias/drug therapy*
3.Effects of bisphenol A and bisphenol analogs on the nervous system.
Chunxia LI ; Chen SANG ; Shuo ZHANG ; Sai ZHANG ; Hui GAO
Chinese Medical Journal 2023;136(3):295-304
Estrogen impacts neural development; meanwhile, it has a protective effect on the brain. Bisphenols, primarily bisphenol A (BPA), can exert estrogen-like or estrogen-interfering effects by binding with estrogen receptors. Extensive studies have suggested that neurobehavioral problems, such as anxiety and depression, can be caused by exposure to BPA during neural development. Increasing attention has been paid to the effects on learning and memory of BPA exposure at different developmental stages and in adulthood. Further research is required to elucidate whether BPA increases the risk of neurodegenerative diseases and the underlying mechanisms, as well as to assess whether BPA analogs, such as bisphenol S and bisphenol F, influence the nervous system.
Receptors, Estrogen/metabolism*
;
Estrogens
;
Benzhydryl Compounds/pharmacology*
;
Nervous System/metabolism*
5.Estradiol inhibits differentiation of mouse macrophage into a pro-inflammatory phenotype by upregulating the IRE1α-XBP1 signaling axis.
Ling Jian ZHUO ; Shuo Chen WANG ; Xing LIU ; Bao An CHEN ; Xiang LI
Journal of Southern Medical University 2022;42(3):432-437
OBJECTIVE:
To explore the mechanism by which estradiol modulates the immunophenotype of macrophages through the endoplasmic reticulum stress pathway.
METHODS:
Peritoneal macrophages isolated from C57 mice were cultured in the presence of 60 ng/mL interferon-γ (IFN-γ) followed by treatment with estradiol (1.0 nmol/L) alone, estradiol with estrogen receptor antagonist (Acolbifene, 4 nmol/L), estradiol with IRE1α inhibitor (4 μ 8 C), or estradiol with IRE1α agonist. After the treatments, the expression levels of MHC-Ⅱ, iNOS and endoplasmic reticulum stress marker proteins IRE1α, eIF2α and ATF6 in the macrophages were detected with Western blotting, and the mRNA levels of TGF-β, IL-6, IL-10 and TNF-α were detected with RT-PCR.
RESULTS:
Estrogen treatment of the macrophages significantly decreased the expressions of M1-related proteins MHC-Ⅱ (P=0.021) and iNOS (P < 0.001) and the mRNA expressions of TNF-α (P=0.003) and IL-6 (P=0.004), increased the mRNA expression of TGF-β (P=0.002) and IL-10 (P=0.008), and up-regulated the protein expressions of IRE1α (P < 0.001) and its downstream transcription factor XBP-1 (P < 0.001). Addition of the estrogen inhibitor obviously blocked the effect of estrogen. Compared with estrogen treatment alone, combined treatment of the macrophages with estrogen and the IRE1α inhibitor 4 μ 8 C significantly up-regulated the protein expressions of MHC-Ⅱ (P=0.002) and iNOS (P=0.003) and the mRNA expressions of TNF-α (P=0.003) and IL-6 (P=0.024), and obviously down-regulated the mRNA expression of TGF-β (P < 0.001) and IL-10 (P < 0.001); these changes were not observed in cells treated with estrogen and the IRE1α agonist.
CONCLUSION
Estrogen can inhibit the differentiation of murine macrophages into a pro-inflammatory phenotype by up-regulating the IRE1α-XBP-1 signaling axis, thereby producing an inhibitory effect on inflammatory response.
Animals
;
Cell Differentiation/drug effects*
;
Endoribonucleases/metabolism*
;
Estradiol/pharmacology*
;
Estrogens/metabolism*
;
Interleukin-10
;
Interleukin-6/metabolism*
;
Macrophages, Peritoneal/metabolism*
;
Mice
;
Phenotype
;
Protein Serine-Threonine Kinases/metabolism*
;
RNA, Messenger/metabolism*
;
Signal Transduction/drug effects*
;
Transforming Growth Factor beta/metabolism*
;
Tumor Necrosis Factor-alpha/metabolism*
;
Up-Regulation/drug effects*
;
X-Box Binding Protein 1/metabolism*
7.Protective capability of Astragalus (Huangqi) on auditory function in a rat model of estrogen deficiency.
Chinese Medical Journal 2019;132(1):106-108
Animals
;
Brain Stem
;
drug effects
;
Cochlea
;
drug effects
;
Cochlear Nerve
;
drug effects
;
Drugs, Chinese Herbal
;
pharmacology
;
Estrogens
;
deficiency
;
Female
;
Ovariectomy
;
Rats
;
Signal-To-Noise Ratio
8.Effects of 17β-E2 on growth and gonad development of overwintering Whitmania pigra.
Shuai WANG ; Qiao-Sheng GUO ; Hong-Zhuan SHI ; Xin LU ; Pan-Pan CHEN ; Hui-Ning ZHANG ; Xiao-Lu YAN
China Journal of Chinese Materia Medica 2019;44(15):3239-3245
The present study was conducted to explores the effects of short-term addition of 17β-E2 on the growth,gonad development and internal quality of overwintering Whitmania pigra. Before overwintering,0. 0,1. 0,10. 0,25. 0,50. 0,100. 0 μg·L~(-1) of 17β-E2 were added to the aquaculture water for 6 weeks and then hibernated for 60 days. The changes of growth performance,gonad index,morphological structure of spermary( ovary),endogenous steroid hormones level and internal quality were measured. The results showed that the body weight,weight gain rate,specific growth rate,female gonad index,oocyte development and endogenous estrogen level of the leech increased first and then decreased with the increase of the concentration of exogenous 17β-E2,which were higher than those of the control group. The body weight,weight gain rate and specific growth rate of the leech at the concentration of 25 μg·L~(-1)17β-E2 were significantly higher than those of the other groups( P<0. 05),oocyte development and endogenous estrogen levels were significantly higher than those of other groups at the concentration of 50 μg·L~(-1)( P<0. 05). When the concentration of exogenous 17β-E2 was higher than 50 μg·L~(-1),the levels of male gonad index,spermatocyte development,endogenous androgen and progesterone were significantly inhibited( P< 0. 05). There was no significant difference in endogenous corticosteroid levels among the groups. In conclusion,short-term addition of exogenous 17β-E2 of 10-25 μg·L~(-1) could promote the growth of overwintering leeches,oocyte development and antithrombin activity without inhibiting the development of male gonads.
Androgens
;
analysis
;
Animals
;
Estradiol
;
pharmacology
;
Estrogens
;
analysis
;
Female
;
Gonads
;
drug effects
;
growth & development
;
Hibernation
;
Leeches
;
drug effects
;
growth & development
;
Male
;
Progesterone
;
analysis
9.Impacts of DES on the expressions of related genes in the gubernaculums testis of newborn mice.
Wei-Liao LI ; Xuan ZHANG ; Yuan-Sheng DU ; Jian-Hong LI ; Xue-Wu JIANG
National Journal of Andrology 2017;23(7):583-588
Objective:
To investigate the influence of diethylstilbestrol (DES) on the mRNA expressions of the androgen receptor (AR), estrogen receptor α (ERα), proliferating cell nuclear antigen (PCNA), and actin alpha 1 (ACTα1) in the gubernaculums testis of newborn mice and explore their action mechanisms.
METHODS:
A total of 140 male Kunming mice were randomly divided into a blank control, a dimethyl sulfoxide (DMSO) control, and 5 experimental groups to be treated subcutaneously with normal saline, DMSO, and DES at 0.02, 0.1, 0.5, 10 and 50 μg per kg of the body weight per day, respectively, at gestation days 9-17. On the first day after birth, the animals were sacrificed and the gubernaculums testis collected for detection of the mRNA expressions of AR, ERα, PCNA and ACTα1 by RT-PCR.
RESULTS:
Compared with the DMSO control, the experimental groups, particularly the DES 10 and 50 μg groups, showed significant increases in the mRNA expression of ERα (RE2 = 0.825, P <0.05), but remarkable decreases in those of AR, PCNA and ACTα1 (RA2 = 0.713, RP2 = 0.946, RT2 = 0.960, P <0.01), all in a dose-dependent manner.
CONCLUSIONS
The AR, ERα, PCNA, and ACTα1 mRNA are expressed in the gubernaculum testis of normal newborn mice, and their expression levels may be influenced by intervention with different concentrations of DES during the gestation. Exogenous estrogens may affect the proliferation and contraction of gubernaculum testis cells and consequently the normal development of the testis or even the whole male reproductive system by influencing the metabolism of ER and/or AR.
Actins
;
metabolism
;
Animals
;
Animals, Newborn
;
Cells, Cultured
;
Diethylstilbestrol
;
pharmacology
;
Dimethyl Sulfoxide
;
pharmacology
;
Estrogen Receptor alpha
;
metabolism
;
Estrogens, Non-Steroidal
;
pharmacology
;
Genitalia, Male
;
Gubernaculum
;
drug effects
;
metabolism
;
Male
;
Mice
;
Proliferating Cell Nuclear Antigen
;
metabolism
;
RNA, Messenger
;
metabolism
;
Random Allocation
;
Receptors, Androgen
;
metabolism
;
Testis
;
drug effects
;
metabolism
10.Role of Epithelium Sodium Channel in Bone Formation.
Ruo-Yu WANG ; Shu-Hua YANG ; Wei-Hua XU
Chinese Medical Journal 2016;129(5):594-600
OBJECTIVETo review the recent developments in the mechanisms of epithelium sodium channels (ENaCs) induced bone formation and regulation.
DATA SOURCESStudies written in English or Chinese were searched using Medline, PubMed and the index of Chinese-language literature with time restriction from 2005 to 2014. Keywords included ENaC, bone, bone formation, osteonecrosis, estrogen, and osteoporosis. Data from published articles about the structure of ENaC, mechanism of ENaC in bone formation in recent domestic and foreign literature were selected.
STUDY SELECTIONAbstract and full text of all studies were required to obtain. Studies those were not accessible and those did not focus on the keywords were excluded.
RESULTSENaCs are tripolymer ion channels which are assembled from homologous α, β, and γ subunits. Crystal structure of ENaCs suggests that ENaC has a central ion-channel located in the central symmetry axis of the three subunits. ENaCs are protease sensitive channels whose iron-channel activity is regulated by the proteolytic reaction. Channel opening probability of ENaCs is regulated by proteinases, mechanical force, and shear stress. Several molecules are involved in regulation of ENaCs in bone formation, including nitride oxide synthases, voltage-sensitive calcium channels, and cyclooxygenase-2.
CONCLUSIONThe pathway of ENaC involved in shear stress has an effect on stimulating osteoblasts even bone formation by estrogen interference.
Calcium Channels ; physiology ; Epithelial Sodium Channels ; chemistry ; physiology ; Estrogens ; pharmacology ; Humans ; Osteogenesis ; physiology

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