Testosterone Cognitive Impact describes the specific, measurable influence of circulating testosterone levels on neurocognitive domains, particularly those related to spatial ability, executive function, and verbal memory. Clinically, both deficient and supraphysiological levels can impair brain function, underscoring the necessity of maintaining optimized serum concentrations for peak mental performance. This neurohormonal relationship is critical for understanding male and female cognitive aging.
Origin
This concept is established within neuroendocrinology, supported by research demonstrating the presence of androgen receptors in high concentrations in key brain regions like the hippocampus and cortex. It clarifies the direct role of this sex hormone in neurobiology.
Mechanism
Testosterone exerts its effects through direct binding to androgen receptors within neurons and glial cells, as well as via its aromatization to estrogen, which then acts on estrogen receptors. These actions modulate synaptic transmission, promote the synthesis of neurotrophic factors, and regulate cerebral blood flow. Maintaining optimized testosterone levels supports neuronal energy metabolism and integrity, thereby preserving high-fidelity cognitive function.
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