Abstract
Elevated glucocorticoid levels produce hippocampal dysfunction and correlate with individual deficits in spatial learning in aged rats. Previously we related persistent cortisol increases to memory impairments in elderly humans studied over five years. Here we demonstrate that aged humans with significant prolonged cortisol elevations showed reduced hippocampal volume and deficits in hippocampus-dependent memory tasks compared to normal-cortisol controls. Moreover, the degree of hippocampal atrophy correlated strongly with both the degree of cortisol elevation over time and current basal cortisol levels. Therefore, basal cortisol elevation may cause hippocampal damage and impair hippocampus-dependent learning and memory in humans.
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Acknowledgements
This research was supported by grants from the American Alzheimer's Association and the National Institute of Aging (AG09488) to MJM, by a fellowship from the Fonds de la recherche en santé du Québec (FRSQ) to SJL, and was supported in part by NIH grants to MdeL (AG12101, AG13616), and as a part of the NIA Alzheimer's disease core center grant (P30 AG08051). It was also supported by a grant from the John D. and Catherine T. MacArthur Foundation. RLH was a recipient of the VA Clinical Investigator career development award and partially supported by the UCSD NIMH CRC (PHS MH30914-14). The Aging Research Program of the Douglas Hospital is generously supported by ALCAN Canada Ltd.
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Lupien, S., de Leon, M., de Santi, S. et al. Cortisol levels during human aging predict hippocampal atrophy and memory deficits. Nat Neurosci 1, 69–73 (1998). https://doi.org/10.1038/271
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DOI: https://doi.org/10.1038/271