PMID- 36979006 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240510 IS - 2076-3921 (Print) IS - 2076-3921 (Electronic) IS - 2076-3921 (Linking) VI - 12 IP - 3 DP - 2023 Mar 20 TI - 17beta-Estradiol Suppresses Gastric Inflammatory and Apoptotic Stress Responses and Restores nNOS-Mediated Gastric Emptying in Streptozotocin (STZ)-Induced Diabetic Female Mice. LID - 10.3390/antiox12030758 [doi] LID - 758 AB - Gastroparesis (Gp) is a severe complication of diabetes mellitus (DM) observed predominantly in women. It is characterized by abnormal gastric emptying (GE) without mechanical obstruction in the stomach. Nitric oxide (NO) is an inhibitory neurotransmitter produced by neuronal nitric oxide synthase (nNOS). It plays a critical role in gastrointestinal (GI) motility and stomach emptying. Here, we wanted to demonstrate the protective effects of supplemental 17beta-estradiol (E(2)) on NO-mediated gastric function. We showed E(2) supplementation to alleviate oxidative and inflammatory stress in streptozotocin (STZ)-induced diabetic female mice. Our findings suggest that daily administration of E(2) at therapeutic doses is beneficial for metabolic homeostasis. This restoration occurs via regulating and modulating the expression/function of glycogen synthase kinase-3beta (GSK-3beta), nuclear factor-erythroid 2 p45-related factor 2 (Nrf2), Phase II enzymes, MAPK- and nuclear factor kappa-light-chain-enhancer of activated B cells (NFkB)-mediated inflammatory cytokines (IL-1beta, IL-6, TNFalpha, IGF-1), and gastric apoptotic regulators. We also showed E(2) supplementation to elevate GCH-1 protein levels in female diabetic mice. Since GCH-1 facilitates the production of tetrahydrobiopterin (BH(4), cofactor for nNOS), an increase in GCH-1 protein levels in diabetic mice may improve their GE and nitrergic function. Our findings provide new insights into the impact of estrogen on gastric oxidative stress and intracellular inflammatory cascades in the context of Gp. FAU - Sprouse, Jeremy AU - Sprouse J AD - Department of Oral Diagnostic Sciences and Research, School of Dentistry, Meharry Medical College, Nashville, TN 37208, USA. AD - Department of Endodontics, School of Dentistry, Meharry Medical College, Nashville, TN 37208, USA. FAU - Sampath, Chethan AU - Sampath C AUID- ORCID: 0000-0002-6396-227X AD - Department of Oral Diagnostic Sciences and Research, School of Dentistry, Meharry Medical College, Nashville, TN 37208, USA. FAU - Gangula, Pandu AU - Gangula P AUID- ORCID: 0000-0001-7259-570X AD - Department of Oral Diagnostic Sciences and Research, School of Dentistry, Meharry Medical College, Nashville, TN 37208, USA. LA - eng GR - S21 MD000104/MD/NIMHD NIH HHS/United States GR - SC1 GM121282/GM/NIGMS NIH HHS/United States GR - U54 MD007586/MD/NIMHD NIH HHS/United States GR - SC1GM121282/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20230320 PL - Switzerland TA - Antioxidants (Basel) JT - Antioxidants (Basel, Switzerland) JID - 101668981 PMC - PMC10045314 OTO - NOTNLM OT - MAPK OT - NFkappaB OT - Nrf2 OT - apoptosis OT - estradiol OT - estrogen receptors OT - gastroparesis OT - inflammation OT - nitrergic relaxation OT - nitric oxide OT - oxidative stress COIS- The authors declare no conflict of interest. EDAT- 2023/03/30 06:00 MHDA- 2023/03/30 06:01 PMCR- 2023/03/20 CRDT- 2023/03/29 01:17 PHST- 2023/02/02 00:00 [received] PHST- 2023/03/09 00:00 [revised] PHST- 2023/03/12 00:00 [accepted] PHST- 2023/03/30 06:01 [medline] PHST- 2023/03/29 01:17 [entrez] PHST- 2023/03/30 06:00 [pubmed] PHST- 2023/03/20 00:00 [pmc-release] AID - antiox12030758 [pii] AID - antioxidants-12-00758 [pii] AID - 10.3390/antiox12030758 [doi] PST - epublish SO - Antioxidants (Basel). 2023 Mar 20;12(3):758. doi: 10.3390/antiox12030758.