Evidence map›Paper›PMID 30587540›Full record

ArticleThe Journal of neuroscience : the official journal of the Society for Neuroscience2019

Adverse Effects of Aromatase Inhibition on the Brain and Behavior in a Nonhuman Primate.

Nicole J Gervais, Luke Remage-Healey, Joseph R Starrett, Daniel J Pollak, Jessica A Mong, Agnès Lacreuse

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. One size does not fit all: how type of menopause and hormone therapy matters for brain health.The British journal of psychiatry : the journal of mental science · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Deciphering the Influence of Estradiol and Estrogen Receptors on Cognitive Function: A Bibliometric Analysis and Emerging Research Trends.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. A neural circuit perspective on brain aromatase.Frontiers in neuroendocrinology · 2022
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Nicole J GervaisDepartment of Psychological and Brain Sciences and Center for Neuroendocrine Studies, University of Massachusetts, Amherst, Massachusetts 01003 and nicole.gervais@utoronto.ca.ORCID 0000-0003-2773-7830
Luke Remage-HealeyDepartment of Psychological and Brain Sciences and Center for Neuroendocrine Studies, University of Massachusetts, Amherst, Massachusetts 01003 and.ORCID 0000-0002-5243-034X
Joseph R StarrettDepartment of Psychological and Brain Sciences and Center for Neuroendocrine Studies, University of Massachusetts, Amherst, Massachusetts 01003 and.ORCID 0000-0002-0073-0252
Daniel J PollakDepartment of Psychological and Brain Sciences and Center for Neuroendocrine Studies, University of Massachusetts, Amherst, Massachusetts 01003 and.ORCID 0000-0003-3738-0361
Jessica A MongDepartment of Pharmacology, University of Maryland School of Medicine, Baltimore, Maryland 21201.ORCID 0000-0002-6992-6288
Agnès LacreuseDepartment of Psychological and Brain Sciences and Center for Neuroendocrine Studies, University of Massachusetts, Amherst, Massachusetts 01003 and.ORCID 0000-0003-2890-9649
University of Massachusetts Amherst · USUniversity of Maryland, Baltimore · US

Funding

Rapid Estrogen Signaling in Brain Circuits that Guide Complex BehaviorR01NS082179 · NINDS · UNIVERSITY OF MASSACHUSETTS AMHERST · PI LUKE R REMAGE-HEALEY · 2014 to 2026
$3.8M
Sex differences in cognitive and brain aging: a primate modelR01AG046266 · NIA · UNIVERSITY OF MASSACHUSETTS AMHERST · PI LACREUSE, AGNES · 2014 to 2018
$2.1M
NIA NIH HHS R01 AG046266NINDS NIH HHS R01 NS082179
6 · The paper itself

Abstract

Breast cancer patients using aromatase inhibitors (AIs) as an adjuvant therapy often report side effects, including hot flashes, mood changes, and cognitive impairment. Despite long-term use in humans, little is known about the effects of continuous AI administration on the brain and cognition. We used a primate model of human cognitive aging, the common marmoset, to examine the effects of a 4-week daily administration of the AI letrozole (20 μg, p.o.) on cognition, anxiety, thermoregulation, brain estrogen content, and hippocampal pyramidal cell physiology. Letrozole treatment was administered to both male and female marmosets and reduced peripheral levels of estradiol (E2), but unexpectedly increased E2 levels in the hippocampus. Spatial working memory and intrinsic excitability of hippocampal neurons were negatively affected by the treatment possibly due to increased hippocampal E2. While no changes in hypothalamic E2 were observed, thermoregulation was disrupted by letrozole in females only, indicating some impact on hypothalamic activity. These findings suggest adverse effects of AIs on the primate brain and call for new therapies that effectively prevent breast cancer recurrence while minimizing side effects that further compromise quality of life.

Indexed as

AnimalsAnxietyAromatase InhibitorsBehavior, AnimalBody Temperature RegulationBrainBrain ChemistryCallithrixCognitionEstradiolEstrogensHippocampusLetrozolePsychomotor PerformancePyramidal CellsSex CharacteristicsAromatase InhibitorsEstradiolEstrogensLetrozoleanxietyaromatase inhibitorshippocampal physiologyneuroestradiolspatial working-memorythermoregulation

Identifiers

PMID30587540
PMCPMC6382974
OpenAlexW2907025823

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.