Neurosteroids are synthesized de novo in the brain from cholesterol or peri
pheral steroid precursors and modulate inhibitory gamma-aminobutyric acid (
GABA,) and excitatory N-methyl-D-aspartate (NMDA) receptors. Evidence indic
ates that neurosteroids are neuroprotective and important during neurodevel
opment. We tested the hypothesis that neurosteroids increase embryonic neur
onal survival following anoxia in rat embryonic day 18 cerebral cortical cu
ltures to examine potential neurosteroid modulation of this insult during e
arly development. Twenty-four hours after plating in serum-free medium, cul
tures were exposed to DHEA, DHEAS, or allopregnanolone (10(-10), 10(-8), or
10(-6) M), Or vehicle, for 24 h (n =9 per treatment condition). Cultures w
ere then subjected to anoxia for 2 h and subsequently reincubated for 24 h
prior to neuron immunostaining with microtubule-associated protein 2 (MAP-2
) antibody. Supernatant from DHEA and DHEAS-exposed cultures was tested for
17 beta-estradiol metabolite formation by radioimmunoassay. DHEA 10(-6) an
d 10(-8) M significantly increased neuron survival by 85-87% following anox
ia. DHEAS 10(-6) M significantly increased neuron survival by 74% following
anoxia, but DHEAS 10(-10) M decreased neuron survival after this insult. A
llopregnanolone had modest effects on neuron survival that did not attain s
tatistical significance. 17 beta-Estradiol concentrations were below the li
mit of detection in all specimens tested (sensitivity 4.7 nM). Our data ind
icate that pretreatment with DHEA and DHEAS at physiologically relevant con
centrations promotes neuronal survival following anoxia in embryonic rat ce
rebral cortical cultures, and that these effects are not secondary to 17 be
ta-estradiol metabolite formation. DHEA and DHEAS modulation of anoxia in e
mbryonic neurons may be relevant to disorders of neurodevelopment involving
this insult. (C) 2000 Elsevier Science B.V. All rights reserved.