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卵巢切除术和雌激素替代疗法的认知效应会受到衰老的调节。

The cognitive effects of ovariectomy and estrogen replacement are modulated by aging.

作者信息

Savonenko A V, Markowska A L

机构信息

Neuromnemonics Laboratory, Department of Psychology, The Johns Hopkins University, 558 Ross Research Building, 720 Rutland Avenue, 21218, Baltimore, MD, USA.

出版信息

Neuroscience. 2003;119(3):821-30. doi: 10.1016/s0306-4522(03)00213-6.

Abstract

Recent experimental and clinical studies suggest that estrogen may be an important factor influencing neuronal function during normal and pathological aging. Using different behavioral paradigms in rodents, estrogen replacement was shown to enhance learning and memory as well as attenuate learning deficits associated with cholinergic impairment. The goal of this study was to determine whether cognitive sensitivity to estrogen manipulations (short-term ovariectomy and chronic estrogen replacement) is affected by aging. Middle-aged and old female Fischer-344 rats were used to estimate the effects of estrogen manipulations at two different stages of reproductive aging. At middle age, when the females underwent an initial stage of reproductive aging (irregular cyclicity), ovariectomy did not significantly affect the acquisition of the T-maze active avoidance as compared with Sham rats, while estrogen replacement decreased behavioral vulnerability to scopolamine. However, when tested at more advanced stage of aging (consistent diestrus), old ovariectomized rats were more sensitive to scopolamine as compared with the control rats. Moreover, estrogen treatment at this age did not produce any protective effect against scopolamine. Contrasting findings of the effects of estrogen replacement in middle-aged and old rats suggest that the ability of estrogen to enhance the basal forebrain cholinergic function declines with age. These data indicate that aging processes may substantially modulate the mechanisms of estrogen action. A "time window" during which hormone replacement must be initiated in order to be effective could be determined in terms of the stages of reproductive senescence. This study is the first to clearly demonstrate that the cognitive effects of estrogen replacement are still preserved during the initial stages of reproductive aging (irregular cyclicity) and dramatically limited as aging progresses (cessation of proestrus).

摘要

近期的实验和临床研究表明,雌激素可能是影响正常及病理性衰老过程中神经元功能的重要因素。在啮齿动物中采用不同的行为范式研究发现,雌激素替代疗法可增强学习和记忆能力,并减轻与胆碱能损伤相关的学习缺陷。本研究的目的是确定对雌激素干预(短期卵巢切除和长期雌激素替代)的认知敏感性是否受衰老影响。选用中年和老年雌性Fischer-344大鼠来评估雌激素干预在生殖衰老两个不同阶段的作用。在中年时,雌性大鼠处于生殖衰老的初始阶段(月经周期不规律),与假手术组大鼠相比,卵巢切除对T迷宫主动回避任务的习得没有显著影响,而雌激素替代则降低了对东莨菪碱的行为易感性。然而,在衰老更晚期(持续的间情期)进行测试时,老年卵巢切除大鼠与对照大鼠相比对东莨菪碱更为敏感。此外,在这个年龄段进行雌激素治疗对东莨菪碱没有产生任何保护作用。中年和老年大鼠雌激素替代作用的对比结果表明,雌激素增强基底前脑胆碱能功能的能力会随年龄下降。这些数据表明,衰老过程可能会显著调节雌激素的作用机制。根据生殖衰老阶段可以确定激素替代疗法必须开始的“时间窗”,以使其有效。本研究首次明确证明,雌激素替代疗法的认知效应在生殖衰老的初始阶段(月经周期不规律)仍然存在,但随着衰老进展(动情前期停止)会显著受限。

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