Estrogen, which classically affects areas of the brain related to reproduct
ion, has also been found to affect brain regions important in learning and
memory. Additionally, it has been suggested that estrogen exerts protective
effects against neurodegenerative diseases such as Alzheimer's disease. Im
portant mechanisms by which estrogen may confer protection are through the
maintenance or modulation of existing synapses, or by the production of new
ones. It has now been demonstrated that estrogen can increase synaptogenes
is and spine production in the hippocampus, both in vivo as well as in prim
ary hippocampal neurons in culture. The latter model system is the primary
focus of this review. Synaptogenesis and spine production have been well ch
aracterized in developing and adult animals, and parallels between the syna
ptic morphology reflecting these processes can be readily observed in high-
density primary hippocampal cultures. Moreover, in culture, estrogen induce
s a variety of ultra structural modifications, many of which occur in vivo,
that have been linked to various in vivo models of learning and memory. Fo
r these reasons, high-density hippocampal culture systems should be regarde
d as valuable tools with which to predict in vivo physiology, and may well
be particularly useful for studies of the neuroprotective effects of estrog
en.