# Estrogen receptor signaling, inflammation and ozone toxicity

> **NIH NIH R00** · UNIVERSITY OF CONNECTICUT STORRS · 2024 · $248,383

## Abstract

PROJECT SUMMARY (See instructions): 
Macrophages contribute to ozone toxicity by regulating both the initiation and resolution of lung 
inflammation; these processes are mediated by distinct macrophage subpopulations broadly classified as 
proinflammatory/cytotoxic (M1) and anti-inflammatory/wound repair (M2) macrophages. M1 and M2 
macrophage activation is controlled, in part, by intracellular metabolism; thus, while high glycolytic capacity 
is associated with M1 activity, increases in fatty acid oxidation and mitochondrial oxidative phosphorylation 
are required for M2 macrophage activation. New data suggest that ozone toxicity is due to impaired M2 
activation and a failure to resolve inflammation, however, mechanisms are not known. A preliminary RNAseq analysis of lung macrophages collected after ozone exposure revealed significant enrichment of the 
estrogen receptor signaling pathway among differentially expressed genes. This was associated with an 
increase in glycolytic metabolism and down-regulation of PPARγ expression, a transcription factor known 
to promote M2 phenotype and resolution of inflammation by shifting intracellular metabolism to fatty acid 
oxidation. Estrogen has been shown to regulate PPARγ expression by activating estrogen receptor alpha 
(ESR1) located at the cell membrane, and to promote macrophage anti-inflammatory activity by shifting 
metabolism to fatty acid oxidation; we speculate that this pathway is important in macrophage responses to 
ozone. We hypothesize that ozone interferes with extra-nuclear ESR1 signaling in macrophages and 
downstream activation of PPARγ; this leads to impaired fatty acid oxidation and M2 macrophage 
activation resulting in aberrant resolution of inflammation and increased tissue injury. Two aims are 
proposed to test this hypothesis. In the first aim, I will analyze the role for ESR1 signaling in macrophage 
immunometabolism and phenotypic activation. Aim 2 will focus on 1) elucidation of mechanisms by which 
ozone interferes with extra-nuclear ESR1 signaling, 2) the role of extra-nuclear ESR1 in macrophage 
bioenergetics and phenotype in response to ozone and how this influences lung injury, and 3) developing 
strategies to mitigate ozone-induced lung injury by rescuing extra-nuclear ESR1 signaling. Results of these 
studies will provide novel data on general mechanisms underlying macrophage responses to inhaled ozone 
and mechanistic evidence supporting sex-based differences in pulmonary responses. Findings that ESR1 
is critical in these pathways will highlight estrogen signaling as a key driver of sexual dimorphism in lung 
disease and indicate that individualized exposure limits and therapeutic strategies may be required to 
prevent disease and to target distinct pathways driving toxicity in men and women. I will leverage my 
training in macrophage biology, ESR1 signaling, bioinformatics, and intracellular metabolism acquired 
during the K99 award period to develop an independen...

## Key facts

- **NIH application ID:** 10835126
- **Project number:** 5R00ES032473-04
- **Recipient organization:** UNIVERSITY OF CONNECTICUT STORRS
- **Principal Investigator:** Ley C Smith
- **Activity code:** R00 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $248,383
- **Award type:** 5
- **Project period:** 2023-05-01 → 2026-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10835126

## Citation

> US National Institutes of Health, RePORTER application 10835126, Estrogen receptor signaling, inflammation and ozone toxicity (5R00ES032473-04). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10835126. Licensed CC0.

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