The essential role of thyroid hormones, primarily the active triiodothyronine ($text{T}3$), in safeguarding neural tissue integrity against insults such as excitotoxicity, oxidative stress, and ischemic injury throughout the lifespan. These hormones are fundamentally vital for maintaining neuronal energy homeostasis and supporting optimal synaptic function in the adult brain. Deficiencies in systemic thyroid status are strongly associated with impaired cognitive maintenance and an increased risk for neurodegenerative processes.
Origin
This concept arises from clinical neurology and endocrinology, recognizing that thyroid hormones are permissive factors required for normal brain development and ongoing maintenance in mature systems. “Neuroprotection” denotes their active, multifaceted role in preserving cellular viability and function within the central nervous system.
Mechanism
Thyroid hormones exert their protective effects by transcriptionally upregulating key mitochondrial enzymes, thereby ensuring robust $text{ATP}$ production necessary to meet the exceptionally high energy demands of neural tissue. They also directly influence the expression of antioxidant enzymes, which helps to reduce intracellular reactive oxygen species that cause cumulative cellular damage. Furthermore, $text{T}3$ modulates the expression of critical growth factors and receptor systems that directly support synaptic transmission efficiency and overall neuronal survival pathways.
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