Progesterone blocks multiple routes of ion flux
Brooke G Kelley1, Paul G Mermelstein
1Department of Neuroscience, University of Minnesota, Minneapolis, Minnesota 55455, United States.
Abstract:
The administration of progesterone as a neuroprotective agent following traumatic brain injury has recently entered phase III clinical trials. Previous work has demonstrated that therapeutic concentrations of progesterone decrease excitotoxicity through direct inhibition of voltage-gated calcium channels, an action independent of the nuclear progesterone receptor. Here we report using cultured rat striatal neurons that these same concentrations of progesterone also block voltage-gated potassium channels, sodium channels and GABA(A) currents. The actions of progesterone act at the surface membrane of neurons in a steroid specific, voltage-independent, concentration-dependent manner. Notably, these broad actions of progesterone on ion channel and neurotransmitter receptor function mirror those of dihydropyridines, and indicate potential shared mechanisms of action, the prospective of additional therapeutic applications, and possibly, untoward effects.
Insights
Progesterone shows neuroprotective effects by blocking multiple ion channels in neurons, independent of its nuclear receptor. This action may offer new therapeutic avenues for brain injury but also suggests potential side effects.
Area of Science:
- Neuroscience
- Pharmacology
- Cellular Biology
Background:
- Progesterone is being investigated as a neuroprotective agent for traumatic brain injury (TBI).
- Previous research indicated progesterone inhibits excitotoxicity by blocking voltage-gated calcium channels, independent of the progesterone receptor.
Purpose of the Study:
- To investigate the effects of therapeutic progesterone concentrations on other neuronal ion channels and currents.
- To elucidate the mechanism of progesterone's neuroprotective action.
Main Methods:
- Cultured rat striatal neurons were used to study the effects of progesterone.
- Electrophysiological techniques were employed to assess ion channel and neurotransmitter receptor function.
Main Results:
- Progesterone blocked voltage-gated potassium channels, sodium channels, and GABA(A) currents at therapeutic concentrations.
- These actions were steroid-specific, voltage-independent, and concentration-dependent, occurring at the neuronal surface membrane.
Conclusions:
- Progesterone exhibits broad effects on neuronal ion channels, similar to dihydropyridines.
- These findings suggest shared mechanisms of action, potential for expanded therapeutic applications, and possible adverse effects of progesterone in TBI treatment.
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