The direct and indirect effects of androgen hormones, such as testosterone and dihydrotestosterone (DHT), on various cognitive functions in the brain. This encompasses processes like memory, spatial ability, executive function, and attention. Fluctuations or deficiencies in androgen levels can significantly modulate neural activity and neurotransmitter systems, leading to observable changes in mental performance and clarity.
Origin
The term combines ‘androgen,’ from the Greek andros (man) and -gen (producing), with ‘impact cognition,’ referring to the measurable effect on mental processes. Its clinical relevance emerged from endocrinology studies observing cognitive differences and changes in individuals with altered androgen status, such as in aging males or those undergoing hormonal therapy. This concept is fundamentally rooted in the neuroendocrinology of the central nervous system.
Mechanism
Androgens exert their influence by binding to specific androgen receptors located in critical brain regions, including the hippocampus and prefrontal cortex. Furthermore, testosterone can be locally converted into estrogen via the aromatase enzyme, allowing for secondary effects through estrogen receptors, which also play a vital role in neuroprotection and synaptic plasticity. This dual-pathway action modulates gene expression and neuronal signaling cascades, thereby regulating the structural integrity and functional capacity of cognitive networks.
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