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Am J Physiol Gastrointest Liver Physiol (October 5, 2006). doi:10.1152/ajpgi.00117.2006
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Submitted on March 15, 2006
Accepted on September 26, 2006

Estrogen and isoflavone attenuate stress-induced gastric mucosal injury by inhibiting decreases in gastric tissue levels of CGRP in ovariectomized rats

Nobuhiko Shimozawa1, Kenji Okajima2*, and Naoaki Harada2

1 Department of Diagnostic Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
2 Department of Biodefense Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

* To whom correspondence should be addressed. E-mail: whynot{at}med.nagoya-cu.ac.jp.

We previously reported that CGRP plays a critical role in reduction of stress-induced gastric mucosal injury by increasing gastric prostacyclin (PGI2) levels in rats. Estrogen has been shown to increase the production of CGRP in sensory neurons. Isoflavone has estrogen-like effects, and is referred to as a phytoestrogen. Thus, we hypothesized that estrogen and isoflavone might inhibit ovariectomy (OVX)-induced decreases in gastric tissue levels of CGRP, thereby attenuating gastric mucosal injury. We examined these possibilities in the present study. Administration of estradiol (EST) and isoflavone for 4 weeks completely reversed OVX-induced decreases in CGRP mRNA levels of dorsal root ganglion neurons (DRG) in rats. OVX-induced decreases in gastric tissue levels of CGRP and 6-keto-PGF1{alpha}, a stable metabolite of PGI2, in rats were reversed by EST and isoflavone. Water -immersion restraint stress (WIR)-induced increases in gastric tissue levels of CGRP and 6-keto-PGF1{alpha} were inhibited in ovariectomized rats. This inhibition was completely reversed by EST and was partially, but significantly, reversed by isoflavone. WIR-induced gastric mucosal injury was exacerbated by OVX, which was reversed by EST and isofolavone. In vitro experiments using DRG isolated from rats demonstrated that neither EST nor isoflavone enhanced CGRP release from DRGs, but the former enhanced it in the presence of anandamide, an endogenous agonist for vanilloid receptor-1. These observations suggested that estrogen and isoflavone might inhibit OVX-induced decreases in CGRP levels in DRG by promoting transcription, thereby contributing to attenuation of stress-induced gastric mucosal injury in ovariectomized rats.




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