Estrogen neuroprotection and the critical period hypothesis.

Abstract:

:17β-Estradiol (estradiol or E2) is implicated as a neuroprotective factor in a variety of neurodegenerative disorders. This review focuses on the mechanisms underlying E2 neuroprotection in cerebral ischemia, as well as emerging evidence from basic science and clinical studies, which suggests that there is a "critical period" for estradiol's beneficial effect in the brain. Potential mechanisms underlying the critical period are discussed, as are the neurological consequences of long-term E2 deprivation (LTED) in animals and in humans after natural menopause or surgical menopause. We also summarize the major clinical trials concerning postmenopausal hormone therapy (HT), comparing their outcomes with respect to cardiovascular and neurological disease and discussing their relevance to the critical period hypothesis. Finally, potential caveats, controversies and future directions for the field are highlighted and discussed throughout the review.

journal_name

Front Neuroendocrinol

authors

Scott E,Zhang QG,Wang R,Vadlamudi R,Brann D

doi

10.1016/j.yfrne.2011.10.001

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

85-104

issue

1

eissn

0091-3022

issn

1095-6808

pii

S0091-3022(11)00081-1

journal_volume

33

pub_type

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