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Nathan Goodyear

Regulatory effects of estriol on T cell migra... [J Neuroimmunol. 2002] - PubMed - NCBI - 0 views

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    Pregnancy is a immunosuppressive state.  Estriol therapy mimics that through decrease in T cell migration and activation.  Estriol moved the Tcells to a Th2 dominance and also was found to inhibit NF-kappaB.  Estriol decreased TNF-alpa through IL-10 production.
Nathan Goodyear

Treatment of multiple sclerosis with the pregnanc... [Ann Neurol. 2002] - PubMed - NCBI - 0 views

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    Estriol, the dominant estrogen in pregnancy shown to decrease MS symptoms.  When Estriol was stopped, MS lesions relapsed.  Estriol binds to ERbeta at a rate of 5:1 compared to ER alpha.
Nathan Goodyear

Therapeutic Testosterone Administration Preserves Excitatory Synaptic Transmission in t... - 0 views

  • direct androgen receptor activation is not a mutually exclusive requirement of testosterone-mediated neuroprotection.
  • Testosterone treatment after EAE induction restores synaptic transmission and corresponding synaptic protein levels within the hippocampus during EAE
  • A growing body of evidence suggests that testosterone enhances hippocampal synaptogenesis
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  • This study demonstrates that testosterone treatment either before or after EAE disease induction partially restores deficits in synaptic transmission, preserves presynaptic and postsynaptic integrity, and prevents hippocampal pathology.
  • treatment with a pregnancy estrogen, estriol, can prevent deficits in excitatory synaptic transmission in the hippocampus during EAE
  • testosterone is important to the maintenance of normal synaptic spine density in the hippocampus
  • estriol treatment was also capable of preserving levels of synaptic proteins that are known to orchestrate functional synaptic transmission within the hippocampus.
  • Estriol is a therapeutic candidate in MS because it has widespread effects on the immune system and the CNS
  • MS patients have significantly decreased relapse rates during the third trimester of pregnancy, when estriol levels are most elevated, and relapse rates rebound during the postpartum period coinciding with an abrupt decline in serum estriol levels
  • In nonpregnant MS patients, estriol treatment has been shown to significantly reduce gadolinium-enhancing lesion number and volumes measured by MRI
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    Testosterone restores/preserves nerve synapsis within the hippocampus in autoimmune demyelinating disease.  Testosterone appears to have neuroprotection.  The authors conclude that the majority of the protective effect was through aromatase activity.
Nathan Goodyear

Immune Modulation in Multiple Sclerosis Patients Treated with the Pregnancy Hormone Est... - 0 views

  • A beneficial effect of pregnancy on clinical symptoms has been observed in MS and other Th1-mediated autoimmune diseases, including rheumatoid arthritis (RA), psoriasis, uveitis, and thyroiditis
  • In general, Th1 lymphocytes secrete proinflammatory cytokines (e.g., IL-2, IL-12, IFN-γ, and TNF-α) that promote cellular immunity, while Th2 lymphocytes produce anti-inflammatory cytokines (e.g., IL-4, IL-5, IL-6, and IL-10) that promote humoral immunity
  • Th2 cytokines are associated with the down-regulation of Th1 cytokines and may confer protection from Th1-mediated autoimmune diseases
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  • During pregnancy, there is a shift from Th1 to Th2 that occurs both locally, at the fetal maternal interface, (23, 24, 25), and systemically
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    MS is in part a Th1 autoimmune disease.  Estriol therapy induces a shift to Th2 through increase in Th10.  Estriol also decreases TNF-alpha cytokine production.
Nathan Goodyear

http://www.anh-usa.org/wp-content/uploads/2010/03/1Estriol_MS_2.pdf - 0 views

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    High dose Estriol found to be effective therapy in Th1 MS.  This pilot study used 8mg of Estriol daily.
Nathan Goodyear

Estriol and Progesterone: A New Role for Sex Hormones - 0 views

  • Pregnancy-associated Th2 shift has been proposed as a mechanism underlying the improvement of Th1-mediated autoimmune diseases (as rheumatoid arthritis, multiple sclerosis (MS), autoimmune thyoriditis, uveitis, and psoriatic arthritis
  • Th2-mediated autoimmune diseases (as systemic lupus erythematosus)
  • During pregnancy PRG serum level increases by a factor of 4, while estrogen estriol (E3) serum concentration increases by a factor of 20
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  • In pregnant women at or near term there is a daily production of about 300 μmol (80 mg) of E3 and 1 mmol (300 mg) of PRG
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    Estriol and Progesterone associated, as found with pregnancy, associated with decrease in Th1 autoimmune disease.
Nathan Goodyear

Oestrogen and colorectal cancer: mechan... [Int J Colorectal Dis. 2013] - PubMed - NCBI - 0 views

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    Estrogen early protects against colon cancer, but estrogen increases proliferation late.  The problem here is the estrogens involved.  If ER beta is shown to be highly expressed in the colon, then Estriol would be of benefit as it preferentially binds to ER beta at a rate of 5:1 and Estradiol at a rate of 1:1.  Estriol is currently used in Europe in advanced breast cancer.
Nathan Goodyear

Accuracy of salivary estriol testing compared to t... [Am J Obstet Gynecol. 1999] - Pub... - 0 views

  • CONCLUSION: Salivary estriol assessment was more accurate in predicting outcome than was modified Creasy scoring.
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    Accuracy of salivary estriol testing compared to traditional risk factor assessment in predicting preterm birth.
Nathan Goodyear

Salivary estriol as risk assessment for preterm labor: A prospective trial - 0 views

  • Detection of an early estriol surge or increased level (≥2.3 ng/ml) may be clinically helpful in identifying women at elevated risk for preterm labor and birth, allowing for evaluation of biologically based interventions in controlled trials.
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    salivary estriol to assess preterm labor
Nathan Goodyear

Estriol treatment ameliorates disease in male... [J Neuroimmunol. 2004] - PubMed - NCBI - 0 views

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    Estriol found to be beneficial in experimental model of MS called EAE.  The effect would be through E3's preferential binding to ERbeta.  This study finds benefit in men and women.
Nathan Goodyear

Serial salivary estriol to detect an increased ris... [Obstet Gynecol. 2000] - PubMed r... - 0 views

  • CONCLUSION: Elevated salivary E3 is associated with increased risk of preterm birth in asymptomatic women and symptomatic women who present for evaluation of preterm labor.
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    salivary estriol, again, validated n PTL risk assessment
Nathan Goodyear

The Physiologic Role and Use of Estriol - 0 views

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    benefits of Estriol in breast cancer risk
Nathan Goodyear

Salivary progesterone and estriol among pregnant w... [Am J Obstet Gynecol. 2008] - Pub... - 1 views

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    saliva testing of progesterone and estriol not questioned, but used to predict outcomes
Nathan Goodyear

Saliva as a fluid for measurement of estriol level... [Am J Obstet Gynecol. 1999] - Pub... - 0 views

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    Saliva is a reliable way to assess estriol levels
Nathan Goodyear

Lack of normal increase in saliva estriol/progeste... [Am J Obstet Gynecol. 1992] - Pub... - 0 views

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    salivary estriol/progesterone in late pregnancy correlates with other studies showing changes in hormone levels at initiation of labor
Nathan Goodyear

Salivary estriol as risk assessment for preterm la... [Am J Obstet Gynecol. 1995] - Pub... - 0 views

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    salivary estriol
Nathan Goodyear

Nongenomic actions of estradiol compared with estrone and estriol in pituitary tumor ce... - 0 views

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    good discussion of the nongenomic signaling that occurs from Estradiol, Estrone, and Estriol.
Nathan Goodyear

Estriol acts as a GPR30 antagonist in estrogen receptor-negative breast cancer cells. -... - 0 views

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    Estriol found to inhibit GPR30 signaling in ER negative cancer cell study.
Nathan Goodyear

Benefit of pregnancy in inflammatory arthritis -- Straub et al. 64 (6): 801 -- Annals o... - 0 views

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    Pregnancy shifts the immune system to a balance of Th2 expression.  Pregnancy is associated with decrease inflammation i.e. an immunosuppressive state.  Estriol and Progesterone are dominantly produced during pregnancy.   An associated decrease in autoimmune disease is present as a result of the immunosuppressive state of pregnancy.
Nathan Goodyear

Estrogen Treatment in Multiple Sclerosis - 0 views

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    Good review of the pathogenesis of MS and estrogen therapies effects on MS.  Particularly are the benefits seen with Estriol.
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