Cortical Volume Integrity refers to the preservation of the physical size and structural health of the cerebral cortex, the brain’s outer layer responsible for higher-level functions like memory, language, and consciousness. Clinically, maintaining this integrity is a key metric in longevity and hormonal health, as age-related hormonal decline can contribute to cortical thinning and atrophy. It is a quantifiable measure of brain health, often assessed via neuroimaging, that correlates directly with sustained cognitive function. Preserving cortical volume is a primary goal of neuroprotective strategies.
Origin
The term draws from neuroanatomy and clinical neuroimaging, specifically using ‘Cortical Volume’ as a quantitative measure of brain structure and ‘Integrity’ to denote its healthy, unimpaired state. Its application in endocrinology highlights the recognized role of systemic hormones in influencing central nervous system architecture. This concept underscores the structural basis of cognitive resilience.
Mechanism
Hormones such as testosterone, estrogen, and dehydroepiandrosterone (DHEA) exert neurotrophic effects by interacting with receptors on cortical neurons and glial cells. These interactions promote cellular survival, stimulate synaptogenesis, and reduce neuroinflammation and oxidative stress, which are primary drivers of age-related atrophy. By maintaining these hormonal levels within an optimal range, the structural support for the cortical tissue is maximized, thereby preserving its volume and functional capacity.
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