This refers to the therapeutic strategy and physiological reality that maintaining optimal, balanced levels of key endogenous hormones provides a crucial defense against neuronal damage, cognitive decline, and neurodegenerative processes. Hormones, particularly sex steroids and thyroid hormones, act as powerful modulators of neuronal health, inflammation, and synaptic function. The approach focuses on leveraging the endocrine system’s inherent protective capacity for long-term brain resilience.
Origin
The concept gained prominence from epidemiological and clinical data observing accelerated cognitive decline and neurodegeneration following precipitous hormone loss, such as in menopause or hypogonadism. This evidence suggested a direct neuroprotective role for these molecules beyond their traditional reproductive or metabolic functions. Research now focuses on the molecular mechanisms of steroid action in the brain.
Mechanism
Sex hormones, such as estradiol and testosterone, exert neuroprotection by several mechanisms, including antioxidant activity, modulation of inflammatory cytokines, and direct promotion of synaptogenesis and neurogenesis. They also influence the expression of neurotrophic factors like BDNF. Thyroid hormone is essential for myelin integrity and mitochondrial function in neurons. Maintaining an optimal hormone status ensures these protective mechanisms are fully operational, preserving neural architecture and function.
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