PMID- 27923908 OWN - NLM STAT- MEDLINE DCOM- 20170810 LR - 20190627 IS - 1540-9538 (Electronic) IS - 0022-1007 (Print) IS - 0022-1007 (Linking) VI - 214 IP - 1 DP - 2017 Jan TI - Estrogen activation of microglia underlies the sexually dimorphic differences in Nf1 optic glioma-induced retinal pathology. PG - 17-25 LID - 10.1084/jem.20160447 [doi] AB - Children with neurofibromatosis type 1 (NF1) develop low-grade brain tumors throughout the optic pathway. Nearly 50% of children with optic pathway gliomas (OPGs) experience visual impairment, and few regain their vision after chemotherapy. Recent studies have revealed that girls with optic nerve gliomas are five times more likely to lose vision and require treatment than boys. To determine the mechanism underlying this sexually dimorphic difference in clinical outcome, we leveraged Nf1 optic glioma (Nf1-OPG) mice. We demonstrate that female Nf1-OPG mice exhibit greater retinal ganglion cell (RGC) loss and only females have retinal nerve fiber layer (RNFL) thinning, despite mice of both sexes harboring tumors of identical volumes and proliferation. Female gonadal sex hormones are responsible for this sexual dimorphism, as ovariectomy, but not castration, of Nf1-OPG mice normalizes RGC survival and RNFL thickness. In addition, female Nf1-OPG mice have threefold more microglia than their male counterparts, and minocycline inhibition of microglia corrects the retinal pathology. Moreover, pharmacologic inhibition of microglial estrogen receptor-beta (ERbeta) function corrects the retinal abnormalities in female Nf1-OPG mice. Collectively, these studies establish that female gonadal sex hormones underlie the sexual dimorphic differences in Nf1 optic glioma-induced retinal dysfunction by operating at the level of tumor-associated microglial activation. CI - (c) 2017 Toonen et al. FAU - Toonen, Joseph A AU - Toonen JA AD - Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110. FAU - Solga, Anne C AU - Solga AC AD - Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110. FAU - Ma, Yu AU - Ma Y AD - Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110. FAU - Gutmann, David H AU - Gutmann DH AD - Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110 gutmannd@wustl.edu. LA - eng GR - R01 CA195692/CA/NCI NIH HHS/United States GR - R01 CA214146/CA/NCI NIH HHS/United States GR - T32 NS007205/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20161206 PL - United States TA - J Exp Med JT - The Journal of experimental medicine JID - 2985109R RN - 0 (Estrogen Receptor beta) RN - 0 (Estrogens) SB - IM MH - Animals MH - Estrogen Receptor beta/physiology MH - Estrogens/*pharmacology MH - Female MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Microglia/*drug effects MH - Nerve Fibers/pathology MH - Neurofibromatosis 1/*pathology MH - Optic Nerve Glioma/*pathology MH - Retina/*pathology MH - Retinal Ganglion Cells/pathology MH - Sex Characteristics PMC - PMC5206494 EDAT- 2016/12/08 06:00 MHDA- 2017/08/11 06:00 PMCR- 2017/07/01 CRDT- 2016/12/08 06:00 PHST- 2016/03/29 00:00 [received] PHST- 2016/09/23 00:00 [revised] PHST- 2016/11/11 00:00 [accepted] PHST- 2016/12/08 06:00 [pubmed] PHST- 2017/08/11 06:00 [medline] PHST- 2016/12/08 06:00 [entrez] PHST- 2017/07/01 00:00 [pmc-release] AID - jem.20160447 [pii] AID - 20160447 [pii] AID - 10.1084/jem.20160447 [doi] PST - ppublish SO - J Exp Med. 2017 Jan;214(1):17-25. doi: 10.1084/jem.20160447. Epub 2016 Dec 6.