The interconnected relationship between the male sex hormone testosterone and the brain’s bioenergetic processes, including glucose uptake, oxygen consumption, and ATP production within neuronal and glial cells. Testosterone, and its metabolite estradiol, exert significant neurotrophic and neuroprotective effects, influencing mitochondrial function and overall cellular energy status in key brain regions. This metabolic support is crucial for maintaining cognitive function and mood stability throughout the lifespan.
Origin
This concept is a core area of neuroendocrinology, linking the steroid “Testosterone” with the fundamental process of “Brain Metabolism.” The clinical relevance grew from observations that age-related declines in testosterone often correlate with changes in mood, cognitive decline, and reduced cerebral blood flow, suggesting a direct metabolic role beyond traditional sexual function.
Mechanism
Testosterone influences brain metabolism by binding to androgen receptors and, after conversion by aromatase, to estrogen receptors, which are widely expressed in the brain. Receptor activation regulates the transcription of genes involved in mitochondrial function, glucose transporters, and antioxidant defense systems. By promoting mitochondrial efficiency and reducing oxidative stress, testosterone helps sustain the high energy demands of neuronal communication and plasticity.
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