Abstract

Postmenopausal diabetic women are at greater risk for heart disease compared with men of similar age and with other risk factors. We examined the hypothesis that 17β-estradiol and trivalent chromium inhibit secretion of the pro-inflammatory cytokine interleukin (IL)-6 and oxidative stress in monocytes exposed to high glucose (HG). U937 human monocytes were cultured with HG (30 mM) with and without 17β-estradiol (0–1000 nM) and chromium chloride (Cr 3+, 0–10 μM) at 37°C for 24 h. Results show that 17β-estradiol inhibits IL-6 and adhesion to endothelial cells ( p <. 05) by HG-treated monocytes. Treatment with 17β-estradiol+Cr 3+ required a significantly lower dose of estradiol-17β compared with 17β-estradiol alone for IL-6 inhibition. 17β-Estradiol+Cr 3+ also inhibited lipid peroxidation and the adhesivity to human endothelial cells in HG-treated monocytes. Thus, 17β-estradiol+Cr 3+ inhibits oxidative stress, IL-6 secretion, and monocytic adhesion to endothelial cells, risk factors in the development of heart disease. The female body requires E but studies on some patients indicate side effects with increased amounts of 17β-estradiol-supplementation. The potential benefit of a lower estrogen dose in combination with chromium is novel and needs to be explored in postmenopausal diabetic women.

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