Estrogen replacement therapy in menopausal women has been suggested to be b
eneficial in preventing the progression of cognitive impairment in Alzheime
r disease. We demonstrated previously that the phosphatidylinositol 3-kinas
e (P13-K)/Akt signal transduction pathway plays a pivotal role on the neuro
protection provided by 17 beta -estradiol against acute glutamate toxicity.
In the present study, we investigated the mechanism of neuroprotection aga
inst apoptosis because acute glutamate toxicity predominantly induced necro
sis, 17 beta -estradiol provided neuroprotection against apoptosis induced
by staurosporine. This neuroprotection was inhibited by pretreatment with a
P13-K inhibitor, LY294002. An estrogen receptor specific antagonist, ICI18
2780, also suppressed the neuroprotection provided by 17 beta -estradiol, W
estern blotting analysis demonstrated that treatment with 17 beta -estradio
l induced the phosphorylation of Akt within 5 min, which was suppressed by
pretreatment with LY294002 and ICI182780, Furthermore, 17 beta -estradiol i
nduced phosphorylation of the cAMP response element binding protein (CREB)
at Ser(133) within 15 min and then upregulated Bcl-2 in a P13-K/Akt-depende
nt manner. Because CREB is known to be a transcription factor for Bcl-2, th
ese results suggest that 17 beta -estradiol exerts its antiapoptotic effect
s by CREB phosphorylation and Bcl-2 upregulation via nongenomic activation
of the P13-K/Akt pathway in cultured cortical neurons. (C) 2001 Wiley-Liss.
Inc.