Department of Urology, Jing'an District Central Hospital, Fudan University, Shanghai, China.
Endocrinology. 2018 Dec 1;159(12):3885-3894. doi: 10.1210/en.2018-00660.
Age-related androgen depletion has been implicated in compromised neuroprotection and is involved in the pathogenesis of neurodegenerative disease, including Alzheimer's disease (AD), the leading cause of dementia. Emerging data revealed that reduction of both serum and brain androgen levels in males is associated with increased amyloid-β (Aβ) accumulation, a putative cause of AD. It has been demonstrated that androgens can function as the endogenous negative regulators of Aβ. However, the mechanisms by which androgens regulate Aβ production, degradation, and clearance, as well as the Aβ-induced pathological process in AD, are still elusive. This review emphasizes the contributions of androgen to Aβ metabolism and toxicity in AD and thus may provide novel strategies for prevention and therapeutics.
年龄相关性雄激素缺乏与神经保护作用受损有关,并且与神经退行性疾病(包括阿尔茨海默病(AD))的发病机制有关,AD 是痴呆的主要原因。新出现的数据表明,男性血清和大脑雄激素水平的降低与淀粉样蛋白-β(Aβ)的积累有关,Aβ 是 AD 的一个潜在原因。已经证明,雄激素可以作为 Aβ 的内源性负调节剂。然而,雄激素调节 Aβ 产生、降解和清除的机制,以及 Aβ 在 AD 中的诱导病理过程,仍然难以捉摸。这篇综述强调了雄激素对 AD 中 Aβ 代谢和毒性的贡献,因此可能为预防和治疗提供新的策略。