Display options
Share it on

Am J Transl Res. 2009 Jan 20;1(2):131-47.

Potential role of estrogen in the pathobiology and prevention of Alzheimer's disease.

American journal of translational research

Whitney Wharton, Carey E Gleason, Katelin R Lorenze, Tamara S Markgraf, Michele L Ries, Cynthia M Carlsson, Sanjay Asthana

PMID: 19956426 PMCID: PMC2776312

Abstract

Over a decade of converging findings from clinical, observational and basic science research indicate that estrogen administration during the menopausal transition exerts beneficial effects on cognition and decreases a woman's risk of developing Alzheimer's disease (AD) later in life. This review article stresses the research focus of AD prevention, and introduces hormone therapy (HT) as a probable catalyst that may achieve this goal. Furthermore, this article outlines 3 mechanisms proposed to mediate estrogen's beneficial effects, discusses the controversy surrounding HT administration, and presents the most promising estrogen related research in AD prevention and treatment. Although controversial, cumulative evidence suggests that the potential of estrogen initiated during perimenopause to prevent AD needs to be systematically evaluated.

Keywords: Alzheimer's disease; Estrogen; cognition; estrogen therapy; hormone therapy; postmenopausal cognition; women's health initiative

References

  1. J Neurosci. 1998 May 1;18(9):3180-5 - PubMed
  2. Jpn J Physiol. 2003 Jun;53(3):193-203 - PubMed
  3. Arch Intern Med. 2002 Sep 23;162(17):1934-42 - PubMed
  4. J Cereb Blood Flow Metab. 2001 Apr;21(4):422-9 - PubMed
  5. Brain Res. 2002 May 24;937(1-2):58-65 - PubMed
  6. J Neurosci. 2006 Oct 11;26(41):10332-48 - PubMed
  7. Psychoneuroendocrinology. 2006 Sep;31(8):965-75 - PubMed
  8. Biochem Biophys Res Commun. 2000 Mar 5;269(1):165-71 - PubMed
  9. Cell Mol Life Sci. 2005 Feb;62(3):299-312 - PubMed
  10. J Clin Endocrinol Metab. 1999 Feb;84(2):606-10 - PubMed
  11. BMC Neurosci. 2006 Nov 03;7:74 - PubMed
  12. J Cell Biochem. 2004 Oct 1;93(2):358-73 - PubMed
  13. Ann N Y Acad Sci. 1996 Dec 16;802:42-9 - PubMed
  14. Eur J Pharmacol. 2003 Sep 30;478(1):35-8 - PubMed
  15. Steroids. 2004 Sep;69(10):637-45 - PubMed
  16. Mol Pharmacol. 2005 Jan;67(1):105-13 - PubMed
  17. J Comp Neurol. 2004 Feb 16;469(4):507-21 - PubMed
  18. J Neuropathol Exp Neurol. 1994 Sep;53(5):438-47 - PubMed
  19. Life Sci. 1994;55(13):1071-81 - PubMed
  20. Neuroreport. 1999 Apr 26;10(6):1369-72 - PubMed
  21. Am J Epidemiol. 1998 Mar 15;147(6):574-80 - PubMed
  22. Circulation. 2001 Oct 9;104(15):1773-8 - PubMed
  23. J Comp Neurol. 2001 Jul 16;436(1):64-81 - PubMed
  24. Neurosci Lett. 2002 May 3;323(3):191-4 - PubMed
  25. Ann N Y Acad Sci. 2005 Jun;1052:57-74 - PubMed
  26. Neurobiol Learn Mem. 2009 Mar;91(3):315-22 - PubMed
  27. Front Biosci. 2008 May 01;13:5387-405 - PubMed
  28. Am J Physiol Heart Circ Physiol. 2003 Jul;285(1):H241-50 - PubMed
  29. Steroids. 2002 Apr;67(5):339-46 - PubMed
  30. Am J Physiol Endocrinol Metab. 2006 Aug;291(2):E261-7 - PubMed
  31. Am J Physiol Heart Circ Physiol. 2007 May;292(5):H2333-40 - PubMed
  32. Acta Pharmacol Sin. 2007 Aug;28(8):1129-35 - PubMed
  33. Lancet. 2003 Aug 9;362(9382):428-32 - PubMed
  34. Neurology. 2001 Aug 28;57(4):605-12 - PubMed
  35. Maturitas. 2006 Jun 20;54(3):222-8 - PubMed
  36. Ann N Y Acad Sci. 2001 Dec;949:215-22 - PubMed
  37. Am J Physiol Heart Circ Physiol. 2004 Aug;287(2):H588-94 - PubMed
  38. Metabolism. 1996 Apr;45(4):411-4 - PubMed
  39. JAMA. 2002 Nov 6;288(17):2123-9 - PubMed
  40. Neuroscience. 2000;101(3):485-512 - PubMed
  41. Chin Med Sci J. 2006 Dec;21(4):214-8 - PubMed
  42. Neuropsychopharmacology. 2000 Jul;23(1):69-78 - PubMed
  43. JAMA. 2002 Jul 17;288(3):321-33 - PubMed
  44. Am J Obstet Gynecol. 1993 Nov;169(5):1226-32 - PubMed
  45. J Neurosci. 2001 Sep 1;21(17):6949-56 - PubMed
  46. Menopause. 2006 Jan-Feb;13(1):139-47 - PubMed
  47. Mol Endocrinol. 2002 May;16(5):938-46 - PubMed
  48. Mech Ageing Dev. 2000 Dec 1;120(1-3):65-75 - PubMed
  49. Steroids. 2002 May;67(6):413-9 - PubMed
  50. Neurology. 2006 Dec 12;67(11):2039-41 - PubMed
  51. Neurosci Biobehav Rev. 2000 Jan;24(1):143-7 - PubMed
  52. Psychoneuroendocrinology. 2001 Aug;26(6):577-90 - PubMed
  53. Am J Physiol Heart Circ Physiol. 2000 Aug;279(2):H511-9 - PubMed
  54. Nat Med. 1998 Apr;4(4):447-51 - PubMed
  55. J Pharmacol Exp Ther. 2004 Jul;310(1):135-40 - PubMed
  56. J Neurosci. 2003 Mar 15;23(6):2340-7 - PubMed
  57. J Steroid Biochem Mol Biol. 2003 Jun;85(2-5):473-82 - PubMed
  58. JAMA. 2002 Nov 6;288(17):2170-2 - PubMed
  59. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2006 Sep-Dec;13(3-4):291-307 - PubMed
  60. Prog Cardiovasc Dis. 1995 Nov-Dec;38(3):223-42 - PubMed
  61. Lancet. 1996 Aug 17;348(9025):429-32 - PubMed
  62. Am J Physiol. 1997 Nov;273(5):H2248-56 - PubMed
  63. Neurology. 1997 Jun;48(6):1517-21 - PubMed
  64. Proc Natl Acad Sci U S A. 2004 Feb 17;101(7):2185-90 - PubMed
  65. Arterioscler Thromb Vasc Biol. 2003 Feb 1;23(2):198-203 - PubMed
  66. JAMA. 2003 May 28;289(20):2717-9 - PubMed
  67. Arch Neurol. 2003 Aug;60(8):1119-22 - PubMed
  68. J Neural Transm Suppl. 2000;(60):345-50 - PubMed
  69. JAMA. 2004 Jun 23;291(24):2947-58 - PubMed
  70. Horm Behav. 2008 Sep;54(4):528-33 - PubMed
  71. J Neurosci. 1985 Oct;5(10):2801-8 - PubMed
  72. J Med Genet. 2004 Feb;41(2):104-12 - PubMed
  73. Endocrinology. 2005 Jul;146(7):2933-41 - PubMed
  74. Vascul Pharmacol. 2002 Feb;38(2):99-108 - PubMed
  75. Aust N Z J Psychiatry. 2005 Nov-Dec;39(11-12):959-63 - PubMed
  76. J Neurosci. 1992 Jul;12(7):2549-54 - PubMed
  77. Behav Neurosci. 2001 Apr;115(2):384-93 - PubMed
  78. Synapse. 2000 Jan;35(1):39-44 - PubMed
  79. Eur J Pharmacol. 2001 Nov 2;430(2-3):175-83 - PubMed
  80. Maturitas. 2000 Mar 31;34(3):275-81 - PubMed
  81. Mol Endocrinol. 2005 Feb;19(2):277-89 - PubMed
  82. FASEB J. 2000 Jun;14(9):1202-14 - PubMed
  83. Endocrinology. 2002 Jan;143(1):205-12 - PubMed
  84. Women Health. 2006;43(1):37-57 - PubMed
  85. Clin Exp Pharmacol Physiol. 2002 Jan-Feb;29(1-2):73-8 - PubMed
  86. Recent Prog Horm Res. 2002;57:357-84 - PubMed
  87. Proc Natl Acad Sci U S A. 1992 May 15;89(10):4668-72 - PubMed
  88. Atherosclerosis. 2001 Dec;159(2):357-65 - PubMed
  89. Neuroscience. 2002;113(1):167-75 - PubMed
  90. JAMA. 2003 May 28;289(20):2651-62 - PubMed
  91. Brain Res. 1997 Feb 21;749(1):143-6 - PubMed
  92. Novartis Found Symp. 2000;230:94-107; discussion 107-11 - PubMed
  93. Curr Drug Targets CNS Neurol Disord. 2004 Aug;3(4):297-313 - PubMed
  94. Arch Neurol. 1994 Sep;51(9):896-900 - PubMed
  95. Arch Gen Psychiatry. 1998 Sep;55(9):809-15 - PubMed
  96. Mol Pharmacol. 2005 Oct;68(4):959-65 - PubMed
  97. J Soc Gynecol Investig. 2000 May-Jun;7(3):175-83 - PubMed
  98. Am J Physiol Endocrinol Metab. 2003 Jan;284(1):E184-92 - PubMed
  99. Psychoneuroendocrinology. 1999 Aug;24(6):657-77 - PubMed
  100. Neurology. 1999 Dec 10;53(9):1992-7 - PubMed
  101. J Clin Endocrinol Metab. 2006 May;91(5):1802-10 - PubMed
  102. J Comp Neurol. 2003 Oct 27;465(4):540-50 - PubMed
  103. Nature. 2006 Oct 19;443(7113):787-95 - PubMed
  104. Am J Physiol Heart Circ Physiol. 2000 Aug;279(2):H610-8 - PubMed
  105. Brain Res. 2006 Oct 18;1115(1):135-47 - PubMed
  106. Proc Natl Acad Sci U S A. 2006 Nov 7;103(45):16983-8 - PubMed
  107. Int J Clin Pharmacol Ther. 2003 Aug;41(8):346-53 - PubMed
  108. Arterioscler Thromb Vasc Biol. 2002 Dec 1;22(12):1952-61 - PubMed
  109. Science. 2003 Nov 14;302(5648):1138-9 - PubMed
  110. Neurology. 2000 May 23;54(10):1949-54 - PubMed
  111. J Neurochem. 2000 Oct;75(4):1447-54 - PubMed
  112. Neuroscience. 2000;99(4):605-12 - PubMed
  113. Neuroscience. 2000;96(1):41-9 - PubMed
  114. Am J Physiol Heart Circ Physiol. 2004 May;286(5):H2010-9 - PubMed
  115. Steroids. 2002 May;67(6):471-5 - PubMed
  116. Cereb Cortex. 2004 Feb;14(2):215-23 - PubMed
  117. Exp Gerontol. 1994 May-Aug;29(3-4):431-6 - PubMed
  118. J Psychol. 2006 Nov;140(6):533-47 - PubMed
  119. Endocrinology. 2004 Jan;145(1):113-25 - PubMed
  120. Front Neuroendocrinol. 2000 Jan;21(1):95-101 - PubMed
  121. J Neuroendocrinol. 2000 Aug;12(8):784-94 - PubMed
  122. Clin Obstet Gynecol. 2008 Sep;51(3):618-26 - PubMed
  123. Science. 2005 Oct 7;310(5745):51-3; author reply 51-3 - PubMed
  124. Arch Neurol. 2001 Mar;58(3):466-72 - PubMed
  125. Stroke. 2002 Jun;33(6):1685-91 - PubMed
  126. Neuroreport. 1998 Oct 5;9(14):3285-91 - PubMed
  127. J Clin Endocrinol Metab. 2005 Nov;90(11):6113-22 - PubMed
  128. Pharmacol Biochem Behav. 2006 May;84(1):112-9 - PubMed
  129. Am J Physiol. 1994 Apr;266(4 Pt 1):C975-80 - PubMed
  130. JAMA. 1998 Mar 4;279(9):688-95 - PubMed
  131. Brain Res. 2007 Oct 3;1172:48-59 - PubMed
  132. Proc Natl Acad Sci U S A. 2000 Mar 14;97(6):2892-7 - PubMed
  133. Microvasc Res. 2001 Jan;61(1):28-39 - PubMed
  134. J Neuroimmunol. 2006 May;174(1-2):82-91 - PubMed
  135. J Appl Physiol (1985). 2001 Nov;91(5):2391-9; discussion 2389-90 - PubMed
  136. Trends Endocrinol Metab. 2001 Aug;12(6):273-6 - PubMed
  137. Neurobiol Aging. 1994;15 Suppl 2:S195-7 - PubMed
  138. Endocrinology. 2003 Oct;144(10):4466-77 - PubMed
  139. J Am Coll Cardiol. 2003 Apr 16;41(8):1358-63 - PubMed
  140. Circ Res. 2000 Oct 13;87(8):677-82 - PubMed
  141. Neuroscience. 2007 Apr 25;146(1):60-8 - PubMed
  142. Br J Psychiatry. 1968 Jul;114(512):797-811 - PubMed
  143. JAMA. 2004 Jun 23;291(24):2959-68 - PubMed
  144. J Neurochem. 2000 Jun;74(6):2490-6 - PubMed
  145. Proc Natl Acad Sci U S A. 2005 Dec 27;102(52):19198-203 - PubMed
  146. Stroke. 2004 Sep;35(9):2200-5 - PubMed
  147. Am J Psychiatry. 2001 Feb;158(2):227-33 - PubMed
  148. Ann N Y Acad Sci. 2001 Dec;949:223-34 - PubMed
  149. Am J Physiol Heart Circ Physiol. 2001 Jul;281(1):H155-60 - PubMed
  150. Neurochem Res. 2008 Sep;33(9):1811-20 - PubMed
  151. J Cereb Blood Flow Metab. 1999 Mar;19(3):231-45 - PubMed
  152. Fertil Steril. 2001 Dec;76(6):1101-7 - PubMed
  153. Proc Natl Acad Sci U S A. 2006 Apr 11;103(15):5644-51 - PubMed
  154. Pharmacology. 2002 May;65(1):26-31 - PubMed
  155. Stroke. 2002 Feb;33(2):600-5 - PubMed
  156. Am J Public Health. 1998 Sep;88(9):1337-42 - PubMed
  157. Am J Physiol. 1998 Jul;275(1):H292-300 - PubMed
  158. Exp Neurol. 2006 Jan;197(1):197-205 - PubMed
  159. Neurobiol Aging. 2000 Mar-Apr;21(2):245-55 - PubMed
  160. JAMA. 2003 May 28;289(20):2663-72 - PubMed
  161. Trends Endocrinol Metab. 2003 Jul;14(5):228-35 - PubMed
  162. JAMA. 2001 Mar 21;285(11):1489-99 - PubMed
  163. Endocr Rev. 2002 Oct;23(5):665-86 - PubMed
  164. Adv Drug Deliv Rev. 2008 Oct-Nov;60(13-14):1504-11 - PubMed
  165. Steroids. 2007 May;72(5):381-405 - PubMed
  166. Neuroreport. 2004 Jan 19;15(1):89-93 - PubMed
  167. Circulation. 1995 Dec 15;92(12):3431-5 - PubMed

Publication Types

Grant support