This term refers to the direct and indirect regulatory effects that circulating endocrine hormones exert on brain structure, function, and cognitive processes such as memory, attention, and executive function. Hormonal fluctuations, whether due to aging, stress, or pathology, can profoundly impact neuronal health and neurotransmitter balance, altering mental acuity and mood stability. Understanding this influence is fundamental for maintaining neurocognitive longevity.
Origin
This area of study has its roots in neuroendocrinology, a specialized field exploring the complex bidirectional communication between the nervous system and the endocrine system. The clinical relevance has grown significantly as researchers elucidate the non-reproductive roles of hormones in brain health. It provides a biological explanation for common cognitive complaints associated with hormonal shifts.
Mechanism
Steroid hormones like estrogen and testosterone readily cross the blood-brain barrier, binding to specific receptors in brain regions critical for cognition, such as the hippocampus and prefrontal cortex. These hormones modulate synaptic plasticity, neurogenesis, and the synthesis of neurotransmitters like serotonin and dopamine. Optimal hormonal balance supports cerebral blood flow and reduces neuroinflammation, thereby preserving cognitive reserve.
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