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Gene & Protein in Disease                                               GPER1 in brain and heart diseases



            In addition, the impact of nutrition, particularly polyphenol   results in the secretion of inflammatory modulators,
            metabolites, as well as environmental factors has been   elimination of the burden, and the end of the inflammatory
            widely  discussed  in terms  of neurodegenerative 41-43  and   process. Nevertheless, in several cases, clearance of
            cardiovascular diseases.  Moreover, the binding of   the inflammatory region is not sufficient and chronic
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            isoflavones to GPER1 is considered highly probable, as   neuroinflammation occurs.  Although several studies
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            reported in several in silico molecular docking studies and   have already demonstrated a neuroprotective role by
            in vitro studies.  As a central link between environmental   the activation of GPER1 in animal models, 53-55  Bai et al.
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            factors and genetics,  epigenetic modifications of GPER1   showed that GPER1 is directly involved in the regulation of
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            expression have recently been analyzed in the context of   neuroinflammation by modulating microglial activation,
            different diseases. Studies have shown that GPER1   thereby exerting cognitive-improving effects in rats. In
            expression profiles are driven by sex-specific epigenetics in   particular, not only reduced microglial activation but
            a diabetic mouse model  or drive cell apoptosis in SKBR3   also suppression of NOD-, leucine-rich repeat, and pyrin
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            and MDA-MB-231 breast cancer cells through the     domain-containing protein 3 (NLRP3)-inflammasome
            epigenetic downregulation of GPER1 expression.     activation and interleukin (IL)-1β signaling, as well
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            Furthermore, endocrine-disrupting chemicals, such as   as upregulation of the endogenous anti-inflammatory
            ethinylestradiol,  alter the DNA  methylation  of  several   factor IL-1 receptor antagonist, was demonstrated in
            genes, with GPER1 being a gene with the highest number   rat neurons in the hippocampal CA1 region after global
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            of alterations in its methylation patterns across three   cerebral ischemia.  Similar results were demonstrated by
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            generations of the model organism Menidia beryllina.  In   Pan et  al., who reported reduced neuronal apoptosis and
            a prenatal-exposure mouse model, benzophenone-3    favored microglial polarization to the anti-inflammatory
            induced apoptosis and neurotoxicity, accompanied with an   type M2 through the intravenous injection of G-1 into male
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            altered methylation status of apoptosis-related and ER   rats  suffering  from  traumatic  brain  injury.   Consistent
            genes, including hypomethylation of GPER1. In addition, a   with  this,  Zhang  et al.  revealed  that  G-1-mediated
            decrease in the mRNA and protein expression levels of   activation of GPER1 on microglia in ovariectomized
            ERα and ERβ and additional upregulation of GPER1   (OVX) female mice after middle cerebral artery occlusion
            expression were detected.  Recently, epigenetic modulation   inhibited toll-like receptor 4 (TLR4)-mediated microglial
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            has been explored in Alzheimer’s disease (AD) and   inflammation and improved neurological deficits as well
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            Parkinson’s disease (PD), wherein resveratrol (grapes),   as  alleviated neuronal  injuries.   This GPER1-associated
            curcumin (turmeric), and epigallocatechin gallate (EGCG;   neuroprotective mechanism was also reported by Peng
            green  tea)  exhibited  their  neuroprotective ability by   et al., who depicted a neural stem cell-derived exosome-
            modifying DNA methylation patterns, histone acetylation,   mediated transport of zinc-finger-enhancer-binding
            and non-coding RNA expression.  Nevertheless, in the   protein 1 to microglia promoting the expression of GPER1
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            context of neurological or cardiovascular diseases, there is   and reducing the activation of the TLR4/nuclear factor
            a lack of information on the direct relationship between   kappa-light-chain-enhancer of activated B-cells (NF-κB)
            epigenetic modifications that result in GPER1 alterations.   pathway and neuroinflammation.  However, not only
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            In this review, we have provided bundled information on   microglia but also astrocytes were shown to be regulated
            GPER1 and its key role in sex-specific differences in   by GPER1 activation in the context of neuroprotection.
            cardiovascular and neurological diseases, based on state-  For instance, Wang et al. demonstrated that G-1-mediated
            of-the-art research that provided a deep insight into the   neuroprotection in mice after middle cerebral artery
            role of GPER1 in several pathways and receptor interactions   occlusion is completely blocked in GPER1-knockout (KO)
            in both in vitro and in vivo models.               mice (no statement on sex) and that GPER1 activation led
                                                               to reduced inflammatory cytokine release and restoration
            2. GPER1 and its role in neurological              of autophagy imbalance in glutamate-exposed cultured
            diseases                                           murine astrocytes.  This anti-inflammatory effect of
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                                                               GPER1 activation in astrocytes was also reported by
            2.1. Neuroinflammation, learning, and memory       Yuan  et al., who demonstrated that silencing GPER1
            Neuroinflammation is not only an obvious link between   inhibited the protective effect of insulin-like growth factor
            several neurodegenerative diseases, such as AD, PD, and   1 (IGF-1) on 1-methyl-4-phenylpyridinium-induced
            Huntington’s disease but also a potentially crucial player   inflammatory responses both in vitro and in vivo in male
            in the pathophysiology of these diseases. In general,   mice.  Finally, in the context of the gut–brain axis, Yin
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            neuroinflammation acts as an inherent protective   et al. showed an ameliorative effect of dietary tryptophan
            mechanism in the CNS, where glial cells react to injury   on neurodegeneration and inflammation in aging male
            and disease by recognizing specific patterns, which   mice accompanied with an increase in the expression


            Volume 4 Issue 1 (2025)                         3                               doi: 10.36922/gpd.4632
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