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.
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Authors | Milos Cekic, Sarah M Cutler, Jacob W VanLandingham, Donald G Stein |
Journal | Neurobiology of aging
(Neurobiol Aging)
Vol. 32
Issue 5
Pg. 864-74
(May 2011)
ISSN: 1558-1497 [Electronic] United States |
PMID | 19482377
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2009 Elsevier Inc. All rights reserved. |
Chemical References |
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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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