ECTRIMS 2023 | Neuroprotective role of estrogens in MS

Rhonda Voskuhl, MD, University of California, Los Angeles, CA, discusses the neuroprotective benefits of estrogens in multiple sclerosis (MS) treatment. The speaker emphasizes that certain estrogens, targeting the β receptors rather than the α receptors, can mitigate off-target effects like those on breast tissue. Drawing parallels with drug dosing, such as interferon variations, Dr Voskuhl highlights the importance of type, timing, and dose in hormone replacement therapy benefits. An exploration into estriol demonstrated its potential in treating MS, especially during menopause when disabilities worsen. The upcoming multicenter trial aims to administer estriol at mid-pregnancy doses, focusing on preventing cerebral cortex atrophy and enhancing cognition. Dr Voskuhl underscores the need to go beyond treating short-term menopausal symptoms like hot flashes, focusing instead on addressing neurodegenerative mechanisms for long-term benefits. This interview took place at the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS) Congress 2023 in Milan, Italy.

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