The continuous, adaptive structural and functional reorganization of the brain and spinal cord in response to environmental stimuli, experience, injury, or systemic physiological changes. This remodeling encompasses changes in synaptic connectivity, neuronal morphology, and the supportive role of glial cell populations. In clinical endocrinology, it underscores the brain’s dynamic response to shifts in the circulating hormonal environment.
Origin
The term is derived from neuroscience, with ‘Central Nervous System’ (CNS) specifying the anatomical location and ‘Remodeling’ describing the ongoing, adaptive architectural changes. Its application in the health and wellness domain emphasizes the potential for directed self-repair and functional improvement over time.
Mechanism
Neurohormones, including glucocorticoids and sex steroids, profoundly influence CNS remodeling by modulating the transcription of genes related to synaptic structure and plasticity. Chronic exposure to high cortisol levels can induce dendritic regression, while neurotrophins and estrogens promote synaptogenesis and neuronal outgrowth. This intricate hormonal regulation determines the extent and quality of the nervous system’s adaptive capacity to maintain optimal function.
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