2-methoxyestradiol reduces cerebral vasospasm after 48 hours of experimental subarachnoid hemorrhage in rats

Exp Neurol. 2006 Dec;202(2):348-56. doi: 10.1016/j.expneurol.2006.06.009. Epub 2006 Aug 10.

Abstract

2-Methoxyestradiol (2ME2), a naturally occurring metabolite of estradiol, is known to have antiproliferative, antiangiogenic, and antiproapoptotic activities. Mechanistically, 2ME2 has been shown to downregulate hypoxia-inducible factor 1alpha (HIF-1alpha). We hypothesized that hypoxia in the major cerebral arteries might activate a unique signaling pathway, hypoxia-inducible factor-1alpha (HIF-1alpha), to produce or enhance cerebral vasospasm after subarachnoid hemorrhage (SAH). Sprague-Dawley male rats (n = 70) were randomly divided into 5 groups: Sham operated, SAH without treatment, SAH treated with vehicle (DMSO), SAH treated with two HIF-1alpha inhibitors, 2ME2, and D609 (positive control of 2ME2). SAH model was produced by middle cerebral artery perforation. 2ME2 and D609 were administered intraperitoneal at 1 h after SAH; rats were sacrificed after 48 h of SAH. Thick blood clot was observed around basilar artery under arachnoids in all animals except Sham group; severe morphological vasospasm was observed in basilar arteries in SAH and SAH+DMSO rats, and the mild vasospasm in rats treated with 2ME2 and D609; 2ME2 and D609 reduced the activity of HIF-1alpha in the basilar arteries by HIF-1alpha DuoSet ELISA; reduce the expression of HIF-1alpha, VEGF, BNIP3 and PCNA in basilar arteries by Western blotting and immunohistochemical staining. In addition, it decreased the mortality and improved the neurological deficits. In conclusion, 2ME2 is a powerful agent to reduce cerebral vasospasm by inhibiting HIF-1alpha activity and the expression of VEGF as its downstream, suppressing endothelium and VSMCs apoptosis via BNIP3 pathway, and attenuating vasoproliferation.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 2-Methoxyestradiol
  • Analysis of Variance
  • Animals
  • Blotting, Western / methods
  • Disease Models, Animal
  • Drug Administration Schedule
  • Enzyme Inhibitors / therapeutic use
  • Enzyme-Linked Immunosorbent Assay / methods
  • Estradiol / analogs & derivatives*
  • Estradiol / therapeutic use
  • Hypoxia-Inducible Factor 1, alpha Subunit / metabolism
  • Immunohistochemistry / methods
  • In Situ Nick-End Labeling / methods
  • Male
  • Membrane Proteins / metabolism
  • Mitochondrial Proteins
  • Neurologic Examination / methods
  • Proliferating Cell Nuclear Antigen / metabolism
  • Proto-Oncogene Proteins / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Subarachnoid Hemorrhage / complications
  • Subarachnoid Hemorrhage / drug therapy
  • Subarachnoid Hemorrhage / metabolism
  • Time Factors
  • Tubulin Modulators / therapeutic use*
  • Vascular Endothelial Growth Factor A / metabolism
  • Vasospasm, Intracranial / drug therapy*
  • Vasospasm, Intracranial / etiology
  • Vasospasm, Intracranial / mortality

Substances

  • BNIP3 protein, rat
  • Enzyme Inhibitors
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • Membrane Proteins
  • Mitochondrial Proteins
  • Proliferating Cell Nuclear Antigen
  • Proto-Oncogene Proteins
  • Tubulin Modulators
  • Vascular Endothelial Growth Factor A
  • Estradiol
  • 2-Methoxyestradiol