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The Journal of Neuroscience, July 2, 2003, 23(13):5708-5714
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Cyclic Estrogen Replacement Improves Cognitive Function in Aged Ovariectomized Rhesus Monkeys
Peter R. Rapp,1
John H. Morrison,1 and
Jeffrey A. Roberts2
1Kastor Neurobiology of Aging Laboratories,
Fishberg Research Center for Neurobiology, Department of Geriatrics and Adult
Development, Mount Sinai School of Medicine, New York, New York 10029-6574,
and 2California National Primate Research Center,
University of California, Davis, Davis, California 95616-8615
Among the identified risks and benefits of hormone-replacement therapy, the
effects of treatment on cognitive function in postmenopausal women have proved
difficult to define. Here we conducted a controlled, prospective analysis in a
nonhuman primate model to test whether surgical menopause and estrogen
replacement influence the cognitive outcome of normal aging. Sixteen aged
rhesus monkeys were ovariectomized, and throughout the course of subsequent
neuropsychological assessment, half received a regimen of low-dose, cyclic
estradiol replacement. Hormone treatment substantially reversed the marked
age-related impairment vehicle-injected monkeys exhibited on a delayed
response test of spatial working memory. Modest improvement was also observed
on a delayed nonmatching-to-sample recognition memory task. In contrast,
ovariectomy exacerbated age-related deficits in object discrimination
learning; the magnitude of this effect was equivalent among vehicle- and
estrogen-treated monkeys. Together, these results demonstrate that ovarian
hormone status can broadly influence normal cognitive aging in monkeys,
affecting capacities mediated by multiple brain regions, including the
prefrontal cortex and the medial temporal lobe memory system. The animal model
established here should enable progress toward defining the neurobiological
mechanisms that mediate the beneficial effects of estrogen on age-related
cognitive decline in primates.
Key words: menopause; hormone replacement; cognitive aging; monkey; hippocampus; prefrontal cortex
Received Feb. 25, 2003;
revised Apr. 24, 2003;
accepted Apr. 24, 2003.
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