雌激素对大脑的影响:它是阿尔茨海默病的神经保护剂吗?

Effects of estrogen in the brain: is it a neuroprotective agent in Alzheimer's disease?

作者信息

Correia Sónia C, Santos Renato X, Cardoso Susana, Carvalho Cristina, Santos Maria S, Oliveira Catarina R, Moreira Paula I

机构信息

Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.

出版信息

Curr Aging Sci. 2010 Jul;3(2):113-26. doi: 10.2174/1874609811003020113.

Abstract

Over the last decades estrogen has been recognized to be involved in normal brain function due to its neurothrophic and neuroprotective effects. Estrogen is intimately associated with neuronal survival, mitochondrial function, neuroinflammation and cognition through genomic as well as non-genomic pathways. It is also known that the neuroprotective actions mediated by estrogens are interlinked with the insulin-like growth factor-1 (IGF-1) signaling pathway. This review is mainly devoted to explore the physiological and pathophysiological effects of estrogen and its signaling pathways in the brain. The molecular mechanisms underlying these effects are also debated. Finally, we discuss the potential neuroprotection afforded by estrogens in Alzheimer's disease pathophysiology focusing in the "window of opportunity" for the initiation of estrogen therapy as a critical factor in the fight against neurodegeneration.

摘要

在过去几十年中,雌激素因其神经营养和神经保护作用而被认为与正常脑功能有关。雌激素通过基因组和非基因组途径与神经元存活、线粒体功能、神经炎症和认知密切相关。还已知雌激素介导的神经保护作用与胰岛素样生长因子-1(IGF-1)信号通路相互关联。本综述主要致力于探讨雌激素及其信号通路在大脑中的生理和病理生理作用。这些作用背后的分子机制也存在争议。最后,我们讨论雌激素在阿尔茨海默病病理生理学中提供的潜在神经保护作用,重点关注雌激素治疗开始的“机会窗口”,这是对抗神经退行性变的关键因素。

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