Estrogen exerts a variety of electrophysiological, neurotrophic, and metabo
lic effects on neurons in the adult central nervous system. Recent epidemio
logical studies have suggested that estrogen, as hormone replacement therap
y in postmenopausal women, may be protective against Alzheimer's disease; t
he biological basis for a potential neuroprotective effect of estrogen in h
umans is an area of intense current research. This review summarizes electr
ophysiological and cellular effects of estrogen on neuronal function, with
particular emphasis on hypothalamic and hippocampal neurons. Classic electr
ophysiological studies are compared with more recent cellular and molecular
analyses in an effort to illuminate significant relationships between data
gathered over the last 30 years and from varied sources. Hypotheses are ma
de for the mechanisms of estrogen action in the brain as well as the functi
onal consequences of estrogen's effects for both normal brain function and
pathological states.