This describes the process of therapeutically or physiologically increasing the capacity of neurosteroids to promote structural and functional changes in the nervous system, a process known as neuroplasticity. Neurosteroids, synthesized de novo in the brain, modulate neurotransmitter receptors and influence synaptogenesis, thereby supporting learning, memory, and mood regulation. Enhancement aims to fortify the brain’s adaptive capacity and resilience against neurological aging.
Origin
The term is rooted in the discovery of neurosteroids, which are distinct from hormones produced by peripheral endocrine glands, and the subsequent realization of their powerful neuromodulatory role. The focus on ‘plasticity enhancement’ reflects a clinical goal to leverage these endogenous compounds for cognitive restoration and mental well-being. This represents a targeted strategy in regenerative neuroendocrinology.
Mechanism
Neurosteroids, such as allopregnanolone and DHEA, act rapidly by allosterically modulating ligand-gated ion channels, particularly GABA-A and NMDA receptors, altering neuronal excitability and signal integration. They also exert genomic effects by binding to intracellular receptors, promoting the transcription of genes involved in neuronal growth factors and myelin synthesis. Enhancing their activity or concentration directly supports synaptogenesis and dendritic arborization, which are the physical substrates of brain plasticity.
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