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,




Departments of *Pathology and
Internal Medicine, University of Heidelberg, Heidelberg, Germany;
Department of Nephrology, Endocrinology, and Metabolic Diseases, Medical University of Silesia, Katowice, Poland;
Department of Gynecological Endocrinology and Reproductive Medicine, University Womens Hospital, Heidelberg, Germany; ||Institute of Pathophysiology, Semmelweis University, Budapest, Hungary; and ¶Department of Pathology, University of Erlangen, Erlangen, Germany.
Correspondence to Dr. Marie-Luise Gross, Department of Pathology, University of Heidelberg, Im Neuenheimer Feld 220/221, 69120 Heidelberg, Germany. Phone: 0049-6221-562668; Fax: 0049-6221-455251; E-mail: Marie-Luise_Gross{at}med.uni-heidelberg.de
ABSTRACT. Renal diseases tend to be less severe among premenopausal female patients, compared with male patients. Experimental data on the effects of estrogens on renal damage are controversial, and potential underlying mechanisms have not been fully clarified. Three-month-old, female, uninephrectomized (UNX), sham-operated or ovariectomized (OVX) SHRsp rats were left untreated or received either 17
-estradiol 3-benzoate (25 µg/d) or estriol (0.02 mg/d) daily. After 3 mo, indices of renal damage (glomerulosclerosis index and tubulointerstitial damage index) and glomerular geometric parameters were investigated. The expression of desmin, TGF-
, endothelin-1, collagen IV, endothelial nitric oxide synthase, and estrogen receptors
and
in the glomeruli and tubulointerstitium was immunohistochemically evaluated. Estradiol and estriol did not significantly affect kidney weights or BP. Estradiol and estriol caused significant reductions in albuminuria (vehicle-treated UNX/OVX animals, 25.4 ± 8.52 mg/24 h; estradiol-treated UNX/OVX animals, 15.37 ± 6.12 mg/24 h; estriol-treated UNX/OVX animals, 6.54 ± 2.24 mg/24 h). The glomerulosclerosis index was significantly lower in estriol- and estradiol-treated animals (estradiol-treated UNX/OVX animals, 0.69 ± 0.16; estriol-treated UNX/OVX animals, 0.21 ± 0.12; P < 0.05), compared with vehicle-treated animals (1.46 ± 0.09); the tubulointerstitial damage index exhibited a similar pattern. The mean glomerular volume was significantly less in estrogen-treated animals. UNX/OVX animals demonstrated significantly greater expression of TGF-
and endothelin-1 in immunohistochemical, in situ hybridization, and reverse transcription-PCR assays. This increase was abrogated by estriol but not estradiol. Similarly, significantly higher glomerular and tubulointerstitial expression of proliferating cell nuclear antigen and collagen IV was observed in UNX/OVX animals, and expression was decreased by estriol but not estradiol. It was concluded that, in the UNX model of spontaneous renal damage, glomerular lesions and glomerular hypertrophy were reduced by estriol but less consistently by estradiol. In parallel, loss of podocytes, evidence of podocyte injury (i.e., desmin expression), and expression of mediator systems of glomerular damage were decreased, pointing to a major renoprotective action of estriol.
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