Chronic stress alters local estradiol expression across brain regions in a sex-dependent manner

Women are twice as likely as men to develop Major Depressive Disorder (MDD), and current MDD therapies are only effective for about a third of patients. Hormonal transitions, specifically those involving estradiol (E2), have been found to contribute to this increased vulnerability in women. This study aimed to investigate potential mechanisms underlying the sex differences seen in MDD vulnerability, specifically the role of E2. The brain region-specific changes induced by chronic stress differ for female rats than for male rats. Therefore, we aimed to determine the effects of sex and chronic stress on E2 expression in four brain regions: the hippocampus, medial prefrontal cortex, amygdala, and cerebellum. Sprague-Dawley rats (n = 48, 24 males, 24 females; n=12/Tx group) were subjected to daily wire mesh restraint stress (6 h/21 days), and were euthanized and dissected the day following the end of chronic restraint stress (day 22). Ultra high-pressure liquid chromatography-mass spectroscopy was used to directly measure E2 in the brain regions. Quantitative real-time PCR was used to indirectly assess E2 expression via mRNA for aromatase (ARO-L) and estrogen receptors (ERβ, ERɑ, and GPR30), as well as expression of inflammatory cytokines (IL-1β and TNF-ɑ). Our findings suggest that chronic stress may lead to changes in local estradiol expression in the brain that are both sex-dependent and brain region-specific, while the data are preliminary given the small sample size. We found that expression of ARO-L mRNA, a measure of local E2 production, tended to increase in the HIPP, but decrease in the mPFC following chronic stress, and in the mPFC this pattern was only observed in males. Local estradiol production in the brain seems to act as a potential compensatory mechanism in the hippocampus, but as a protective mechanism in the mPFC, which is highly sensitive to chronic stress.