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Estrogen and Alzheimer Disease
Plausible Theory, Negative Clinical Trial
Bennett A. Shaywitz, MD;
Sally E. Shaywitz, MD
JAMA. 2000;283:1055-1056.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Whether to use estrogen replacement therapy in postmenopausal women continues to represent a major concern for women and their physicians. In the last few years, it has become clear that estrogen exerts a wide range of effects, including (in addition to its effects on reproduction) effects on the cardiovascular system,1 skeletal system2 and, of particular interest, neuronal systems serving cognitive function, especially memory.3-7
There are good biological reasons to suspect that estrogen may influence cognition in postmenopausal women. Preclinical evidence suggests that estrogen exerts neuronal effects through mechanisms involving both genomic and cell surface receptors. Two estrogen receptors, and , are expressed in brain tissue and appear to be involved in the genomic effects.8 Nongenomic cell surface actions are known as well, with mechanisms that involve second messenger systems and effects on neuronal excitability and ion channels. Effects of estrogen may be . . . [Full Text of this Article]
Author Affiliations: National Institute of Child Health and Human DevelopmentYale Center for the Study of Learning and Attention, Department of Pediatrics, Yale University School of Medicine, New Haven, Conn.
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