Abstract
Progesterone modulates gamma-aminobutyric acid and excitatory amino acid neurotransmitter systems and has neuroprotective properties in models of hypoxia-ischemia. This study examined the in vitro effects of allopregnanolone, the active progesterone metabolite, in models of N-methyl-D-aspartate (NMDA)-induced necrosis and apoptosis. Cultured NT2 neurons were exposed to 1 mM NMDA. Lactate dehydrogenase (LDH) release was measured 24 h later. NMDA at a concentration of 1 mM produced a 39 +/- 19% release of total LDH. Exposure to 10 microM allopregnanolone prior to NMDA exposure reduced LDH release by 51% (P = 0.0028). NMDA stimulated apoptotic cell changes defined by terminal dUTP nick-end labeling (TUNEL) and 5,5', 6,6'-tetrachloro-1,1,3,3'-tetra ethlybenzimidazolycarbocyanide iodide staining were reduced to baseline values by both 10 microM allopregnanolone and 100 microM MK-801. Pretreatment with allopregnanolone (0-10 microM) reduced the percentage of TUNEL-positive cells in a dose-dependent manner (EC(50) = 2.7 +/- 0.1 nM). Physiologic concentrations of allopregnanolone provided protection against both necrotic and apoptotic injury induced by NMDA excitotoxicity.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Apoptosis / drug effects
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Apoptosis / physiology*
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Asphyxia Neonatorum / metabolism*
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Asphyxia Neonatorum / physiopathology
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Benzimidazoles
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Carbocyanines
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Cell Count
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Cell Survival / drug effects
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Cell Survival / physiology*
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Dizocilpine Maleate / pharmacology
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Dose-Response Relationship, Drug
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Excitatory Amino Acid Agonists / pharmacology
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Excitatory Amino Acid Antagonists / pharmacology
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Female
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Fluorescent Dyes
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Humans
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Hypoxia-Ischemia, Brain / drug therapy
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Hypoxia-Ischemia, Brain / metabolism*
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Hypoxia-Ischemia, Brain / physiopathology
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In Situ Nick-End Labeling
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Infant, Newborn
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L-Lactate Dehydrogenase / drug effects
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L-Lactate Dehydrogenase / metabolism
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Membrane Potentials / drug effects
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Mitochondria / drug effects
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Mitochondria / metabolism
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N-Methylaspartate / pharmacology
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Neurons / drug effects
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Neurons / metabolism*
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Neuroprotective Agents / metabolism
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Neuroprotective Agents / therapeutic use*
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Neurotoxins / pharmacology
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Pregnancy
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Pregnanolone / pharmacology
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Pregnanolone / therapeutic use
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Progesterone / metabolism
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Progesterone / therapeutic use*
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Tumor Cells, Cultured
Substances
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Benzimidazoles
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Carbocyanines
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Excitatory Amino Acid Agonists
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Excitatory Amino Acid Antagonists
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Fluorescent Dyes
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Neuroprotective Agents
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Neurotoxins
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5,5',6,6'-tetrachloro-1,1',3,3'-tetraethylbenzimidazolocarbocyanine
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Progesterone
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N-Methylaspartate
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Dizocilpine Maleate
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Pregnanolone
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L-Lactate Dehydrogenase