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Estrogens and MemoryBasic Research and Clinical Implications$
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Karyn M. Frick

Print publication date: 2020

Print ISBN-13: 9780190645908

Published to Oxford Scholarship Online: February 2020

DOI: 10.1093/oso/9780190645908.001.0001

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Estrogen Treatment in Alzheimer’s Disease

Estrogen Treatment in Alzheimer’s Disease

Translational Implications of Estrogenic Regulation of Memory for Aging and Disease

(p.347) 19 Estrogen Treatment in Alzheimer’s Disease
Estrogens and Memory

Kelly N. Morgan

Carey E. Gleason

Oxford University Press

An effort to mitigate the cumbersome physiological, cognitive, and psychological changes that naturally occur during the menopausal transition has been ongoing for decades. Discrepant findings of symptom presentation and mediation across translational models and among human studies have perplexed researchers for years. Specifically, as an understanding of the role of estrogenic signaling in processes underlying cognition and emotion regulation evolved, researchers speculated that exogenous hormonal therapy might modify disease/symptom onset and course. This chapter describes the variable methodological approaches that likely led to disparities in the literature around hormone therapy use, particularly as it pertains to manipulating symptom onset and course of Alzheimer’s pathology. The authors expound upon current recommendations for exogenous hormone therapy use in aging women and how researchers arrived at these conclusions. Finally, we describe remaining questions regarding hormone therapy use and its long-term impact on cognition and mood, Alzheimer’s disease biomarkers, vascular functioning, and genomic variables.

Keywords:   estrogens, cognition, hormone therapy, hormone replacement therapy, healthy-user bias, Alzheimer’s disease, Women’s Health Initiative, KEEPS, ELITE

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