This phrase describes the essential and multifaceted role of androgenic hormones, primarily testosterone and its metabolites, in maintaining and supporting optimal neurological and cognitive function. Androgens exert significant influence over mood, spatial cognition, executive function, and overall neuronal resilience throughout the lifespan. Declining androgen levels are often clinically correlated with subtle shifts in cognitive performance and emotional well-being. Their regulatory effects are crucial for neurogenesis and synaptic maintenance.
Origin
The understanding of this connection evolved from recognizing that the brain is a significant target organ for steroid hormones, possessing numerous androgen receptors in critical areas like the hippocampus and frontal cortex. Androgens, meaning “male-producing” substances, were initially studied for their effects on secondary sexual characteristics but their neuroendocrinological importance became increasingly clear through aging and deficiency studies.
Mechanism
Androgens promote brain health through both genomic and non-genomic mechanisms, acting directly on neuronal androgen receptors to influence gene transcription related to cell survival and dendritic arborization. Testosterone can also be locally aromatized into estradiol, a potent neuroprotective estrogen, further mediating its beneficial effects on synaptic function and cerebral blood flow. These actions collectively support the structural integrity and functional capacity of neural networks.
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