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Vitamin D deficiency reduces the benefits of progesterone treatment after brain injury in aged rats.

Abstract
Administration of the neurosteroid progesterone (PROG) has been shown to be beneficial in a number of brain injury models and in two recent clinical trials. Given widespread vitamin D deficiency and increasing traumatic brain injuries (TBIs) in the elderly, we investigated the interaction of vitamin D deficiency and PROG with cortical contusion injury in aged rats. Vitamin D deficient (VitD-deficient) animals showed elevated inflammatory proteins (TNFα, IL-1β, IL-6, NFκB p65) in the brain even without injury. VitD-deficient rats with TBI, whether given PROG or vehicle, showed increased inflammation and greater open-field behavioral deficits compared to VitD-normal animals. Although PROG was beneficial in injured VitD-normal animals, in VitD-deficient subjects neurosteroid treatment conferred no improvement over vehicle. A supplemental dose of 1,25-dihydroxyvitamin D(3) (VDH) given with the first PROG treatment dramatically improved results in VitD-deficient rats, but treatment with VDH alone did not. Our results suggest that VitD-deficiency can increase baseline brain inflammation, exacerbate the effects of TBI, and attenuate the benefits of PROG treatment; these effects may be reversed if the deficiency is corrected.
AuthorsMilos Cekic, Sarah M Cutler, Jacob W VanLandingham, Donald G Stein
JournalNeurobiology of aging (Neurobiol Aging) Vol. 32 Issue 5 Pg. 864-74 (May 2011) ISSN: 1558-1497 [Electronic] United States
PMID19482377 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2009 Elsevier Inc. All rights reserved.
Chemical References
  • Cytokines
  • Progesterone
Topics
  • Aging (drug effects, metabolism)
  • Animals
  • Brain (drug effects, metabolism)
  • Brain Injuries (drug therapy, metabolism)
  • Cytokines (metabolism)
  • Disease Models, Animal
  • Male
  • Progesterone (therapeutic use)
  • Rats
  • Rats, Inbred F344
  • Vitamin D Deficiency (drug therapy, metabolism, physiopathology)

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