The
estrogen receptor (ER) mediates estrogenic activity in a variety of organs, including those in the reproductive, cardiovascular, immune, and central nervous systems. Experimental studies have demonstrated that 17beta-estradiol (E2) protects the heart from
ischemia-reperfusion injury. Two
estrogen receptors, ER alpha and ER beta, mediate the actions of
estrogen; however, it is not certain which ER mediates the cardioprotective effects of E2. In the present study, the ER-selective agonists 4,4',4''-[4-propyl-(1H)-
pyrazole-1,3,5-triyl]tris-
phenol (PPT; ER alpha) and
2,3-bis(4-hydroxyphenyl)-propionitrile (
DPN; ER beta) were assessed for their cardioprotective potential in an in vivo rabbit model of
ischemia-reperfusion injury. Anesthetized female rabbits were administered PPT (3 mg/kg),
DPN (3 mg/kg), E2 (20 microg/rabbit), or vehicle intravenously 30 min before a 30-min occlusion of the left anterior descending coronary artery followed by 4 h of reperfusion. Acute treatment with E2 (17.7 +/- 2.9%; P < 0.001) and PPT (18.1 +/- 2.9%; P < 0.001), but not
DPN (45.3 +/- 2.4%) significantly decreased
infarct size as a percent of area at risk compared with vehicle (45.3 +/- 2.4%). Coadministration of PPT or E2 with the ER antagonist ICI-182,780 limited the
infarct size-sparing effect of the compounds (43.8 +/- 6.6% and 40.6 +/- 5.7% respectively, expressed as a percentage of risk region). PPT reduced the release of cardiac-specific
troponin-I and reduced the tissue deposition of the
membrane attack complex and
C-reactive protein similar to that of E2. The results indicate that activation of ER alpha, but not ER beta, is required for the observed cardioprotective effects of E2.