Estradiol protects against ischemic injury

Dena B. Dubal, Michael L. Kashon, L. Creed Pettigrew, Jing M. Ren, Seth P. Finklestein, Shane W. Rau, Phyllis M. Wise

Research output: Contribution to journalArticlepeer-review

510 Scopus citations


Clinical studies demonstrate that estrogen replacement therapy in postmenopausal women may enhance cognitive function and reduce neurodegeneration associated with Alzheimer's disease and stroke. This study assesses whether physiologic levels of estradiol prevent brain injury in an in vivo model of permanent focal ischemia. Sprague-Dawley rats were ovariectomized; they then were implanted, immediately or at the onset of ischemia, with capsules that produced physiologically low or physiologically high 17β-estradiol levels in serum (10 or 60 pg/mL, respectively). One week after ovariectomy, ischemia was induced. Estradiol pretreatment significantly reduced overall infarct volume compared with oil-pretreated controls (mean ± SD: oil = 241 ± 88; low = 139 ± 91; high = 132 ± 88 mm3); this protective effect was regionally specific to the cortex, since no protection was observed in the striatum. Baseline and ischemic regional CBF did not differ between oil and estradiol pretreated rats, as measured by laser Doppler flowmetry. Acute estradiol treatment did not protect against ischemic injury: Our finding that estradiol pretreatment reduces injury demonstrates that physiologic levels of estradiol can protect against neurodegeneration.

Original languageEnglish
Pages (from-to)1253-1258
Number of pages6
JournalJournal of Cerebral Blood Flow and Metabolism
Issue number11
StatePublished - Nov 1998


  • Cerebral ischemia
  • Estrogen
  • Menopause
  • Neuroprotection
  • Plasticity
  • Stroke

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine


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