The functional interaction, or "cross-talk," between estrogen receptor (ER)
and the proinflammatory transcription factor nuclear factor (NF)-kappaB de
monstrated in vitro has been suggested to play a role in estrogen preventio
n of cardiovascular disease. Here, we demonstrate that this reciprocal cros
s-talk occurs in vivo. Ovariectomized C57BL/6 mice fed an atherogenic diet
had increased hepatic levels of active NF-kappaB and numerous inflammatory
genes, including MHC invariant chain (Ii), vascular cell adhesion molecule-
1, tumor necrosis factor-alpha, and RANTES. Treatment with 17 alpha -ethiny
lestradiol (EE) strongly blocked induction of these genes but had no effect
on their basal expression levels. ER was required for this activity, becau
se the antagonist ICI 182,780 completely blocked the inhibitory activity of
EE. Gene activation by EE was not required for inhibition of inflammatory
gene expression, because both the phytoestrogen genistein and low doses of
EE were effective in blocking inflammatory gene induction without inducing
marker genes such as intestinal trefoil factor (ITF) or myo-inositol-1-phos
phate synthase (IPS). The in vivo transcriptional interference was reciproc
al, with EE induction of ITF and IPS greatly reduced in animals fed the ath
erogenic diet versus chow-fed controls. This interference was specific to t
he liver, because diet had no effect on uterine weight increases produced b
y EE. Transfection experiments confirmed that the extent of inhibition of E
R-mediated transcription by inflammatory stimuli correlated with the extent
of NF-kappaB activation. These results suggest that the cross-talk between
ER and NF-kappaB does occur in vivo and may indeed contribute significantl
y to the cardioprotective effects of estrogen.