PMID- 19589396 OWN - NLM STAT- MEDLINE DCOM- 20091104 LR - 20220408 IS - 0006-3002 (Print) IS - 0006-3002 (Linking) VI - 1791 IP - 11 DP - 2009 Nov TI - New insights into the molecular mechanisms underlying effects of estrogen on cholesterol gallstone formation. PG - 1037-47 LID - 10.1016/j.bbalip.2009.06.006 [doi] AB - Epidemiological and clinical studies have found that at all ages women are twice as likely as men to form cholesterol gallstones, and this gender difference begins since puberty and continues through the childbearing years, which highlight the importance of female sex hormones. Estrogen is a crucial hormone in human physiology and regulates a multitude of biological processes. The actions of estrogen have traditionally been ascribed to two closely related classical nuclear hormone receptors, estrogen receptor 1 (ESR1) and ESR2. Recent studies have revealed that the increased risk for cholesterol gallstones in women vs. men is related to differences in how the liver metabolizes cholesterol in response to estrogen. A large number of human and animal studies have proposed that estrogen increases the risk of developing cholesterol gallstones by increasing the hepatic secretion of biliary cholesterol, which, in turn, leads to an increase in cholesterol saturation of bile. Furthermore, it has been identified that hepatic ESR1, but not ESR2, plays a major role in cholesterol gallstone formation in mice in response to high doses of 17beta-estradiol. The mechanisms mediating estrogen's action have become more complicated with the recent identification of a novel estrogen receptor, G protein-coupled receptor 30 (GPR30), a member of the seven-transmembrane G protein-coupled receptor superfamily. In this review, we provide an overview of the evidence for the lithogenic actions of estrogen through ESR1 and discuss the cellular and physiological actions of GPR30 in estrogen-dependent processes and the relationship between GPR30 and classical ESR1 on gallstone formation. FAU - Wang, Helen H AU - Wang HH AD - Department of Medicine, Liver Center and Gastroenterology Division, Beth Israel Deaconess Medical Center, Harvard Medical School and Harvard Digestive Diseases Center, Boston, Massachusetts 02215, USA. FAU - Liu, Min AU - Liu M FAU - Clegg, Deborah J AU - Clegg DJ FAU - Portincasa, Piero AU - Portincasa P FAU - Wang, David Q-H AU - Wang DQ LA - eng GR - DK73917/DK/NIDDK NIH HHS/United States GR - R01 DK070992/DK/NIDDK NIH HHS/United States GR - R01 DK054012/DK/NIDDK NIH HHS/United States GR - R01 DK054012-11/DK/NIDDK NIH HHS/United States GR - R01 DK073917/DK/NIDDK NIH HHS/United States GR - DK70992/DK/NIDDK NIH HHS/United States GR - R01 DK070992-03/DK/NIDDK NIH HHS/United States GR - R01 DK073917-02/DK/NIDDK NIH HHS/United States GR - DK54012/DK/NIDDK NIH HHS/United States GR - R01 DK106249/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20090706 PL - Netherlands TA - Biochim Biophys Acta JT - Biochimica et biophysica acta JID - 0217513 RN - 0 (Estrogens) RN - 0 (Receptors, Estrogen) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Animals MH - Cholesterol/*metabolism MH - Estrogens/chemistry/*metabolism MH - Gallstones/epidemiology/*etiology/*metabolism MH - Humans MH - Receptors, Estrogen/metabolism MH - Sex Characteristics PMC - PMC2756670 MID - NIHMS135164 COIS- Conflict of interest statement: We declare that we have no conflict of interest. EDAT- 2009/07/11 09:00 MHDA- 2009/11/05 06:00 PMCR- 2010/11/01 CRDT- 2009/07/11 09:00 PHST- 2009/05/18 00:00 [received] PHST- 2009/06/25 00:00 [revised] PHST- 2009/06/25 00:00 [accepted] PHST- 2009/07/11 09:00 [entrez] PHST- 2009/07/11 09:00 [pubmed] PHST- 2009/11/05 06:00 [medline] PHST- 2010/11/01 00:00 [pmc-release] AID - S1388-1981(09)00153-X [pii] AID - 10.1016/j.bbalip.2009.06.006 [doi] PST - ppublish SO - Biochim Biophys Acta. 2009 Nov;1791(11):1037-47. doi: 10.1016/j.bbalip.2009.06.006. Epub 2009 Jul 6.