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Endocrine Reviews 20 (3): 279-307
Copyright © 1999 by The Endocrine Society

Estrogen Actions in the Central Nervous System1

Bruce S. McEwen and Stephen E. Alves

Harold and Margaret Milliken Hatch Laboratory of Neuroendocrinology, Rockefeller University, New York, New York 10021

I. Introduction
II. Mechanisms of Estrogen Action
A. "Genomic" and "nongenomic" mechanisms
B. Steroid hormone actions on gene expression
C. Subtypes of estrogen receptors
D. Steroid hormone actions on putative receptors on membranes
E. Rapid actions of steroids on neuronal excitability
F. Steroid hormone actions via second messengers
G. Neuroprotective effects of estrogens
H. Summary
III. Areas of the Brain Affected Outside of the Hypothalamus
A. Studies of hypothalamic and extrahypothalamic actions of estrogens
B. Estrogens and the cholinergic system
C. Estrogens and the serotonergic system
D. Catecholaminergic neurons
E. Spinal cord
F. Hippocampus
G. Glial cells, endothelial cells, and the blood-brain barrier
H. Summary
IV. Effects of Estrogens on Learning and Memory
V. Estrogens, Neuroprotection, and Alzheimer’s Disease
VI. Conclusions




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