PMID: 3746406Aug 1, 1986Paper

Glucocorticoid toxicity in the hippocampus: reversal by supplementation with brain fuels

The Journal of Neuroscience : the Official Journal of the Society for Neuroscience
R M Sapolsky

Abstract

Glucocorticoids (GCs) can damage neurons of the hippocampus, the principal target tissue in the brain for the hormone. Hippocampal neuron loss during aging in the rat is accelerated by prolonged GC exposure and decelerated by adrenalectomy. GCs appear to damage these neurons indirectly by inducing a state of vulnerability and thus impairing their capacity to survive a variety of metabolic challenges. As such, high physiological concentrations of the steroid increase hippocampal damage induced by an antimetabolite toxin, an excitotoxin, or hypoxia-ischemia. Conversely, adrenalectomy attenuates the damage caused by these insults. This study suggests that GCs endanger hippocampal neurons by impairing their energy metabolism. Neurons are extremely vulnerable to such disruption, all the insults potentiated by GCs either impair energy production or pathologically increase energy consumption, and GCs inhibit glucose utilization in the hippocampus. Administration of different brain fuels--glucose, mannose, fructose, or the ketone beta-hydroxybutyrate--reduced hippocampal damage induced by coadministration of GCs and either of 2 different neurotoxins (kainic acid and 3-acetylpyridine). This appeared to be due to a reduction in the damag...Continue Reading

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