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Prepublished online as a Blood First Edition Paper on June 5, 2003; DOI 10.1182/blood-2003-02-0649.

Submitted February 28, 2003
Accepted May 23, 2003
Gender-specific alterations in neutrophil apoptosis: the role of estradiol and progesterone
Eleanor J Molloy, Amanda J O'Neill, Julie J Grantham, Margaret Sheridan-Pereira, John M Fitzpatrick, David W Webb, and R William G Watson*
Surgery, Mater Misericordiae University Hospital, Dublin, Ireland; Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland
Surgery, Mater Misericordiae University Hospital, Dublin, Ireland
Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland
Paediatrics, Coombe Women's Hospital, Dublin, Ireland
* Corresponding author; email: bwatson{at}mater.ie.
Females are conferred with immunological and survival benefits, compared to males. Female sex steroids have been shown to contribute to this sexual dimorphism. Furthermore, during human pregnancy when female sex hormones are elevated neutrophil apoptosis is delayed. This study examines the specific effects of estradiol and progesterone on neutrophil apoptosis and function in normal adult males and females. We also examined the contribution of these hormones to the persistence and resolution of an inflammatory response. Spontaneous apoptosis was significantly decreased in females compared to males. Physiological doses of estradiol and progesterone caused a further delay in spontaneous apoptosis in both males and females but did not diminish Fas antibody induced apoptosis. The delay in apoptosis was mediated at the level of the mitochondria with decreased release of cytochrome c, which may alter caspase cleavage and activity. There were no associated alterations in neutrophil CD11b but reactive oxygen intermediates (ROI) production in females was increased. Thus, female sex hormones mediate delayed neutrophil apoptosis in both genders and enhance female intracellular ROI production. Modulating hormonal responses may be an effective therapeutic tool in combating inflammatory diseases.

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