The biological mechanism by which the steroid hormone estrogen, particularly 17-beta estradiol, exerts a protective effect on neuronal structure and function, safeguarding the central nervous system from various forms of damage, including oxidative stress, inflammation, and ischemia. This neuroprotection is crucial for maintaining cognitive function, mood stability, and reducing the risk of neurodegenerative conditions. The effect is contingent upon adequate estrogen levels and functional estrogen receptors in the brain.
Origin
This clinical concept emerged from decades of neuroscience and endocrinology research, noting the decline in cognitive health and increased incidence of neurodegenerative diseases in women following menopause. The term highlights the non-reproductive, essential role of estrogen as a neurosteroid. It underscores the brain’s status as a significant target tissue for sex hormones.
Mechanism
Estrogen’s neuroprotective actions occur through multiple pathways, including binding to estrogen receptors (ER-alpha and ER-beta) located in neurons and glial cells, which modulates gene transcription related to neuronal survival and growth. Furthermore, estrogen acts as an antioxidant, directly reducing free radical damage, and it regulates cerebral blood flow. This dual genomic and non-genomic mechanism ensures comprehensive defense against neuronal insults.
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