The direct and indirect influences of estrogen hormones, primarily estradiol, on the structure and function of the central nervous system, specifically impacting cognitive domains. These effects include the modulation of memory, attention, verbal fluency, and mood regulation. Estrogen is recognized as a potent neurosteroid with significant actions across the brain, particularly in areas rich in estrogen receptors like the hippocampus and prefrontal cortex.
Origin
This term is rooted in neuroendocrinology and the clinical observation of cognitive changes coinciding with natural or surgically induced estrogen fluctuations, such as during the menstrual cycle, perimenopause, and postmenopause. Research elucidating the presence of estrogen receptors in key cognitive regions solidified the scientific basis for these cognitive roles. The clinical relevance is particularly acute when considering postmenopausal cognitive health.
Mechanism
Estrogen exerts its effects through both genomic and rapid non-genomic pathways in neuronal and glial cells. It promotes synaptic plasticity, increases cerebral blood flow, and exhibits potent neuroprotective and anti-inflammatory actions within the brain parenchyma. The hormone also modulates the synthesis and release of various monoamine neurotransmitters, including acetylcholine and serotonin, which are critical for optimal cognitive processing and mood stability, facilitating a positive neurocognitive shift.
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