ESTRIOL

Neurology 1999 Apr 12;52(6):1230-8


Estriol ameliorates autoimmune demyelinating disease: implications
for multiple sclerosis.

Kim S, Liva SM, Dalal MA, Verity MA, Voskuhl RR

Department of Neurology, University of California Los Angeles School
of Medicine, USA.

OBJECTIVE: To evaluate the use of estriol in the treatment of  experimental autoimmune encephalomyelitis (EAE) and other cell  mediated autoimmune diseases. BACKGROUND: Experimental autoimmune  encephalomyelitis is a T helper 1 (Th1)-mediated autoimmune  demyelinating disease that is a useful model for the study of immune   responses in MS. Interestingly, both EAE and MS have been shown to be
ameliorated during late pregnancy. METHODS: Estriol, progesterone,  and placebo pellets were implanted in mice during the effector phase  of adoptive EAE. Disease scores were compared between treatment  groups, and autoantigen-specific humoral and cellular responses were examined.

RESULTS: Estriol treatment reduced the severity of EAE  significantly compared with placebo treatment whereas progesterone  treatment had no effect. Estriol doses that induced serum estriol levels that approximated estriol levels during late pregnancy were capable of ameliorating disease. Estriol-treated EAE mice had significantly higher levels of serum antibodies of the immunoglobulin (Ig) G1 isotype specific for the autoantigen myelin basic protein (MBP). Further, MBP-specific T-lymphocyte responses from estriol-treated EAE mice were characterized by significantly increased production of the Th2 cytokine interleukin 10 (IL-10). T lymphocytes were shown to be the primary source of IL-10 within antigen-stimulated splenocyte populations. CONCLUSIONS: Estriol as a hormone involved in immune changes during pregnancy may provide a basis for the novel therapeutic use of estriol for MS and other
putative Th1-mediated autoimmune diseases that improve during late
pregnancy.



PMID: 10214749, UI: 99229562

  This material is provided as general medical information and is not intended as advice for individual patients; please contact your physician for specific recommendations.

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