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Cited by 342

The DOI matches its OpenAlex record; 41 of the 41 references it cites were found in a registry or an index.

Impact of Progestins on Estrogen-Induced Neuroprotection: Synergy by Progesterone and 19-Norprogesterone and Antagonism by Medroxyprogesterone Acetate

Jon Nilsen, Roberta Dı́az Brinton·2002·Endocrinology

Abstract

Estrogen replacement therapy is associated with improvement of cognitive deficits and reduced incidence of Alzheimer's disease. To compare the impact of therapeutically relevant progestins on estrogen-induced neuroprotection, we treated primary hippocampal neuron cultures with 17beta-E2 and progestin, alone and in combination, 48 h before glutamate insult. Estrogen, progesterone, and 19-norprogesterone, alone or in combination, protected against glutamate toxicity. In contrast, medroxyprogesterone acetate (MPA) failed to protect against glutamate toxicity. Not only was MPA an ineffective neuroprotectant but it attenuated the estrogen- induced neuroprotection when coadministered. We addressed the role of MAPK activation in neuroprotection by ovarian steroids. Estrogen and all three progestins tested, alone or in combination, activated MAPK, indicating another mechanism of protection. Bcl-2 expression has been shown to prevent cell death and is up-regulated by 17beta-E2. Progesterone and 19-norprogesterone, alone or in combination with estrogen, increased Bcl-2 expression. In contrast, MPA blocked estrogen-induced Bcl-2 expression when coadministered. These results may have important implications for the effective use of hormone replacement therapy in the maintenance of neuronal function during menopause and aging and for protection against neurodegenerative diseases such as Alzheimer's disease.

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Metadata

Authors
Nilsen, J., & Brinton, R. D.
Venue
Endocrinology
Published
2002-01
Volume
143
Issue
1
Pages
205-212
ISSN
  • 0013-7227 (ISSN-L)
  • 1945-7170
OpenAlex
W2034341467
Cited by
342
References
41
FWCI
10.01
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Impact of Progestins on Estrogen-Induced Neuroprotection: Synergy by Progesterone and 19-Norprogesterone and Antagonism by Medroxyprogesterone Acetate. https://app.cochat.ai/papers/10.1210/en.143.1.205
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Nilsen, J., & Brinton, R. D. (2002). Impact of Progestins on Estrogen-Induced Neuroprotection: Synergy by Progesterone and 19-Norprogesterone and Antagonism by Medroxyprogesterone Acetate. Endocrinology. https://doi.org/10.1210/en.143.1.205

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