Published Papers
Estrogen receptor beta in astrocytes modulates cognitive function in mid-age female mice
Menopausal hormone changes linked to cognitive deficits.
Nature Communications, 14, Article number: 6044 (2023)
Noriko Itoh | Yuichiro Itoh | Cassandra E. Meyer | Timothy Takazo Suen | Diego Cortez-Delgado | Michelle Rivera Lomeli | Sophia Wendin | Sri Sanjana Somepalli | Lisa C. Golden | Allan MacKenzie-Graham | Rhonda R. Voskuhl
ABSTRACT:
Menopause is associated with cognitive deficits and brain atrophy, but the brain region and cell-specific mechanisms are not fully understood. Here, we identify a sex hormone by age interaction whereby loss of ovarian hormones in female mice at midlife, but not young age, induced hippocampal-dependent cognitive impairment, dorsal hippocampal atrophy, and astrocyte and microglia activation with synaptic loss. Selective deletion of estrogen receptor beta (ERβ) in astrocytes, but not neurons, in gonadally intact female mice induced the same brain effects. RNA sequencing and pathway analyses of gene expression in hippocampal astrocytes from midlife female astrocyte-ERβ conditional knock out (cKO) mice revealed Gluconeogenesis I and Glycolysis I as the most differentially expressed pathways. Enolase 1 gene expression was increased in hippocampi from both astrocyte-ERβ cKO female mice at midlife and from postmenopausal women. Gain of function studies showed that ERβ ligand treatment of midlife female mice reversed dorsal hippocampal neuropathology.
The abrupt drop in estrogen levels aligns with neurodegeneration during menopause.
The X factor in neurodegeneration
Journal of Experimental Medicine, 2022
Rhonda Voskuhl | Yuichiro Itoh
ABSTRACT:
Given the aging population, it is important to better understand neurodegeneration in aging healthy people and to address the increasing incidence of neurodegenerative diseases. It is imperative to apply novel strategies to identify neuroprotective therapeutics. The study of sex differences in neurodegeneration can reveal new candidate treatment targets tailored for women and men.
The unique estrogen in PearlPak treatment reduces levels of a neurodegeneration marker in the blood of humans.
Decreased neurofilament light chain levels in estriol-treated multiple sclerosis
Posted Date: September 29th, 2021
Rhonda Voskuhl | Noriko Itoh | Cassandra Meyer | Yuichiro Itoh | Darian Mangu | Timothy Suen | Ellis Jang | Vincent Tse | Allan MacKenzie-Graham
ABSTRACT:
Estrogens have neuroprotective actions depending on estrogen type, dose, and timing in both preclinical models and in women during health and disease. Serum neurofilament light chain is a putative biomarker of neurodegeneration in multiple sclerosis, aging, and other neurodegenerative diseases.
The unique estrogen in PearlPak treatment reduces brain atrophy in humans.
Estriol-mediated neuroprotection in multiple sclerosis localized by voxel-based morphometry
Received: 26 April 2018 | Revised: 5 July 2018 | Accepted: 8 July 2018
Allan MacKenzie-Graham | Jenny Brook | Florian Kurth | Yuichiro Itoh | Cassandra Meyer | Michael J. Montag | He-Jing Wang | Robert Elashoff | Rhonda R. Voskuhl
ABTRACT:
Progressive gray matter (GM) atrophy is a hallmark of multiple sclerosis (MS). Cognitive impairment has been observed in 40%–70% of MS patients and has been linked to GM atrophy. In a phase 2 trial of estriol treatment in women with relapsing–remitting MS (RRMS), higher estriol levels correlated with greater improvement on the paced auditory serial addition test (PASAT) and imaging revealed sparing of localized GM in estriol-treated compared to placebo-treated patients. To better understand the significance of this GM sparing, the current study explored the relationships between the GM sparing and traditional MRI measures and clinical outcomes.
Targeting a distinct estrogen receptor reduces brain atrophy in a pre-clinical model.
Estrogen Treatment Prevents Gray Matter Atrophy in Experimental Autoimmune Encephalomyelitis
Journal of Neuroscience Research 90:1310–1323 (2012)
Allan J. MacKenzie-Graham | Gilda A. Rinek| Andrea Avedisian| Laurie B. Morales| Elizabeth Umeda| Benoit Boulat| Russell E. Jacobs| Arthur W. Toga| Rhonda R. Voskuhl
ABSTRACT:
Gray matter atrophy is an important correlate to clinical disability in multiple sclerosis (MS), and many treatment trials include atrophy as an outcome measure. Atrophy has been shown to occur in experimental autoimmune encephalomyelitis (EAE), the most commonly used animal model of MS. The clinical severity of EAE is reduced in estrogen-reated mice, but it remains unknown whether estrogen treatment can reduce gray matter atrophy in EAE. In this study, mice with EAE were treated with either estrogen receptor (ER)-a ligand or ER-b ligand, and diffusion tensor images (DTI) were collected and neuropathology was performed. DTI showed atrophy in the cerebellar gray matter of vehicle-treated EAE mice compared with healthy controls but not in ER-a or ER-b ligand-treated EAE mice. Neuropathology demonstrated that Purkinje cell numbers were decreased in vehicle-treated EAE mice, whereas neither ER ligand-treated EAE groups showed a decrease. This is the first report of a neuroprotective therapy in EAE that unambiguously prevents gray matter atrophy while sparing a major neuronal cell type. Fractional anisotropy (FA) in the cerebellar white matter was decreased in vehicle- and ER-b ligand-treated but not in ER-a ligand-treated EAE mice. Inflammatory cell infiltration was increased in vehicle- and ER-b ligand-treated but not in ER-a ligand-treated EAE mice. Myelin staining was decreased in vehicle-treated EAE mice and was spared in both ER ligand-treated groups. This is consistent with decreased FA as a potential biomarker for inflammation rather than myelination or axonal damage in the cerebellum in EAE.
Targeting a distinct estrogen receptor in the brain restores cognitive function in a pre-clinical model.
Estriol preserves synaptic transmission in the hippocampus during autoimmune demyelinating disease.
www.laboratoryinvestigation.org August 2012
Marina O. Ziehn | Andrea A. Avedisian | Shannon M. Dervin | Thomas J. O’Dell | Rhonda R. Voskuhl
ABSTRACT:
Cognitive deficits occur in over half of multiple sclerosis patients, with hippocampal-dependent learning and memory
commonly impaired. Data from in vivo MRI and post-mortem studies in MS indicate that the hippocampus is targeted.
However, the relationship between structural pathology and dysfunction of the hippocampus in MS remains unclear.
Hippocampal neuropathology also occurs in experimental autoimmune encephalomyelitis (EAE), the most commonly
used animal model of MS. Although estrogen treatment of EAE has been shown to be anti-inflammatory and neuroprotective in the spinal cord, it is unknown if estrogen treatment may prevent hippocampal pathology and dysfunction. In the current study, we examined excitatory synaptic transmission during EAE and focused on pathological changes in synaptic protein complexes known to orchestrate functional synaptic transmission in the hippocampus. We then
determined if estriol, a candidate hormone treatment, was capable of preventing functional changes in synaptic transmission and corresponding hippocampal synaptic pathology.
Targeting a distinct estrogen receptor induces repair in the brain in a pre-clinical model.
Gene expression in oligodendrocytes during remyelination reveals cholesterol homeostasis as a therapeutic target in multiple sclerosis
Rhonda R. Voskuhl | Noriko Itoh| Alessia Tassoni| Macy Akiyo Matsukawa| Emily Ren| Vincent Tse| Ellis Jang| Timothy Takazo Suen| and Yuichiro Itoh
ABSTRACT:
Regional differences in neurons, astrocytes, oligodendrocytes, and microglia exist in the brain during health, and regional differences in the transcriptome may occur for each cell type during neurodegeneration. Multiple sclerosis (MS) is multifocal, and regional differences in the astrocyte transcriptome occur in experimental autoimmune encephalomyelitis (EAE), an MS model. MS and EAE are characterized by inflammation, demyelination, and axonal damage, with minimal remyelination. Here, RNA-sequencing analysis of MS tissues from six brain regions suggested a focus on oligodendrocyte lineage cells (OLCs) in corpus callosum. Olig1-RiboTag mice were used to determine the translatome of OLCs in vivo in corpus callosum during the remyelination phase of a chronic cuprizone model with axonal damage. Cholesterol-synthesis gene pathways dominated as the top up-regulated pathways in OLCs during remyelination. In EAE, remyelination was induced with estrogen receptor-β (ERβ) ligand treatment, and up-regulation of cholesterol-synthesis gene expression was again observed in OLCs. ERβ-ligand treatment in the cuprizone model further increased cholesterol synthesis gene expression and enhanced remyelination. Conditional KOs of ERβ in OLCs demonstrated that increased cholesterol-synthesis gene expression in OLCs was mediated by direct effects in both models. To address this direct effect, ChIP assays showed binding of ERβ to the putative estrogen response element of a key cholesterol-synthesis gene (Fdps). As fetal OLCs are exposed in utero to high levels of estrogens in maternal blood, we discuss how remyelinating properties of estrogen treatment in adults during injury may recapitulate normal developmental myelination through targeting cholesterol homeostasis in OLCs.