MohanKumar SM, Kasturi BS, Shin AC, Balasubramanian P, Gilbreath ET, Subramanian M, MohanKumar PS. Chronic estradiol exposure induces oxidative stress in the hypothalamus to decrease hypothalamic dopamine and cause hyperprolactinemia. Am J Physiol Regul Integr Comp Physiol 300: R693-R699, 2011. First published December 22, 2010 doi:10.1152/ajpregu.00481.2010.-Estrogens are known to cause hyperprolactinemia, most probably by acting on the tuberoinfundibular dopaminergic (TIDA) system of the hypothalamus. Dopamine (DA) produced by TIDA neurons directly inhibits prolactin secretion and, therefore, to stimulate prolactin secretion, estrogens inhibit TIDA neurons to decrease DA production. However, the mechanism by which estrogen produces this effect is not clear. In the present study, we used a paradigm involving chronic exposure to low levels of estradiol-17 (E2) to mimic prolonged exposures to environmental and endogenous estrogens. We hypothesized that chronic exposure to low levels of E2 induces oxidative stress in the arcuate nucleus (AN) of the hypothalamus that contains TIDA neurons and causes nitration of tyrosine hydroxylase (TH), the ratelimiting enzyme in the synthesis of DA. This results in a significant decrease in DA and consequently, hyperprolactinemia. To investigate this, adult, intact female cycling rats were implanted with slow-release E2 pellets (20 ng/day) for 30, 60, or 90 days and were compared with old (16 -18 mo old) constant estrous (OCE) rats. Chronic E2 exposure significantly increased the expression of glial fibrillary acidic protein and the concentrations of interleukin-1 (IL-1) and nitrate in the AN that contains perikarya of TIDA neurons and increased nitration of TH in the median eminence (ME) that contains the terminals. These levels were comparable to those seen in OCE rats. We observed a significant decrease in DA concentrations in the ME and hyperprolactinemia in an exposure-dependent manner similar to that seen in OCE rats. It was concluded that chronic exposure to low levels of E2 evokes oxidative stress in the AN to inhibit TIDA neuronal function, most probably leading to hyperprolactinemia. prolactin; nitration; tyrosine hydroxylase ESTROGENS ARE PLEIOTROPIC hormones and have been shown to have several beneficial effects: Estrogen therapy can prevent bone loss (27) and decrease the risk of coronary disease (45). Estrogens can also provide neuroprotection during ischemic brain injury and Alzheimer's disease and are believed to improve memory in postmenopausal women (13,40,43). In rats, both acute (5) and subchronic treatment (16, 23) with moderate to high doses of estradiol are known to increase prolactin (PRL) levels. PRL levels also increase during aging, specifically after rats have been in the constant estrous state for 4 or 5 mo (10). This increase in PRL levels is known to promote mammary and pituitary tumor formation (15,17). Estrogen is known to act directly on the pituitary gland and also inhibit hypothalamic dopamine (DA) to stimulate PRL release (10). While seve...