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Background: Gastroparesis affects predominantly females; however, the biological basis for this gender bias is completely unknown. Several lines of evidence suggest that nitrergic dependent stomach motility function is reduced in diabetic gastroparesis and that nNOS is estrogen-regulated. Aims: The purpose of this study was to investigate whether reduced levels of estradiol-17β (E 2 ) down-regulates tetrahydrobiopterin (BH 4 , a cofactor for nNOS dimerization and enzyme activity) biosynthesis and therefore nNOS mediated gastric motility would be impaired in a mouse model of chronic estrogen deficiency, follicle stimulating hormone receptor knock-out female mice (FORKO). Methods: In-bred 12-week-old female FORKO mice were obtained from our FORKO breeding colony. Gastric emptying was measured in overnight fasting mice. Nitrergic relaxation (AUC/mg tissue) was measured at 2 Hz through electric field stimulation using gastric antrum str ips prepared from WT and FORKO mice. Protein expression for nNOSα, BH 4 biosynthesis enzymes (GCH-1, DHFR) and estrogen receptors (α, β) were measured in gastric antrum by western blotting. Levels of BH 4 and oxidized BH 2 , B biopterin levels were determined by HPLC. Results: In FORKO, compared to wild type (WT) stomachs we indentified (1) reduced (%) gastric emptying (64 ± 2.5 vs. 77.6 ± 0.88), (2) greater reduction in nitregic relaxation (-0.13 ± 0.012 vs. -0.28 ± 0.012), (3) increased nNOS dimerization (0.48 ± 0.02 vs. 0.34 ± 0.05), (4) decreased NO release whether measured at 24 h (0.6 ± 0.04 vs. 1.7 ± 0.22, p < 0.05) or at 48 h (3.4 ± 0.26 vs. 5.0 ± 0.15, p < 0.05) of incubation, (5) decreased GCH-1 (1.9 ± 0.06 vs. 2.3 ± 0.04), DHFR (1.8 ± 0.14 vs. 2.4 ± 0.07) and ERα (2.7 ± 0.4 vs. 3.9 ± 0.4) and (6) increased oxidized biopterin levels and decreased ratio of BH 4 versus BH 2 + B. Conclusion: We conclude that chronic estrogen deficiency negatively modifies the function of both BH 4 and nNOS thereby contributing to the development of gastroparesis in a FORKO mouse model. © 2013 Springer Science+Business Media New York.

Original publication

DOI

10.1007/s10620-013-2610-4

Type

Journal article

Journal

Digestive Diseases and Sciences

Publication Date

01/06/2013

Volume

58

Pages

1507 - 1515