RT Journal Article SR Electronic T1 Rapid, Estrogen Receptor–Mediated Signaling: Why Is the Endothelium So Special? JF Science's STKE JO Sci. STKE FD American Association for the Advancement of Science SP pe28 OP pe28 DO 10.1126/stke.2882005pe28 VO 2005 IS 288 A1 Kim, Kyung Hee A1 Bender, Jeffrey R. YR 2005 UL http://stke.sciencemag.org/content/2005/288/pe28.abstract AB Classical, ligand-activated genomic effects of estrogen receptors (ERs) were once thought to mediate all estrogen responses. It is now accepted that rapid, nongenomic responses, mediated by ER-containing membrane complexes, occur in many tissues. The endothelium is a major target of such responses and is the critical regulatory tissue that, when normally functional, determines a state of "vascular health." When dysfunctional, the phenotypic and functional alterations result in vascular pathology, the most common form of which is atherosclerosis. Nitric oxide (NO) is a vascular protective substance generated by endothelial NO synthase (eNOS) in endothelial cells. The engagement of membrane ERs by 17β-estradiol (E2) is a potent stimulus to eNOS activation and NO release. Here, we describe the multimolecular components of ER-containing membrane complex assembly and the mechanisms directing ER targeting to caveolae microdomains in the plasma membrane. We discuss the possibility that various ERα splice forms, expressed in endothelial cells, may be particularly efficient signal transducers and may use classical receptor domains for membrane targeting and insertion. Finally, we discuss the biomedical ramifications of ER-mediated endothelial activation, including the controversies surrounding hormone replacement therapy and cardiovascular disease.