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性激素与女性大脑在整个生命周期中的变化:对抑郁症和阿尔茨海默病风险的认识。

Sex steroids and the female brain across the lifespan: insights into risk of depression and Alzheimer's disease.

机构信息

Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway; NORMENT, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway; NORMENT, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

出版信息

Lancet Diabetes Endocrinol. 2023 Dec;11(12):926-941. doi: 10.1016/S2213-8587(23)00224-3. Epub 2023 Oct 18.

Abstract

Despite widespread sex differences in prevalence and presentation of numerous illnesses affecting the human brain, there has been little focus on the effect of endocrine ageing. Most preclinical studies have focused on males only, and clinical studies often analyse data by covarying for sex, ignoring relevant differences between the sexes. This sex- (and gender)-neutral approach is biased and contributes to the absence of targeted treatments and services for all sexes (and genders). Female health has been historically understudied, with grave consequences for their wellbeing and health equity. In this Review, we spotlight female brain health across the lifespan by informing on the role of sex steroids, particularly oestradiol, on the female brain and on risk for diseases more prevalent in females, such as depression and Alzheimer's disease.

摘要

尽管在影响人类大脑的许多疾病的患病率和表现方面存在广泛的性别差异,但人们对内分泌衰老的影响关注甚少。大多数临床前研究仅关注男性,而临床研究通常通过对性别进行协方差分析来分析数据,忽略了性别之间的相关差异。这种不分性别的(和性别)方法存在偏见,导致针对所有性别(和性别)的靶向治疗和服务的缺失。女性健康在历史上研究不足,对她们的健康和健康公平产生了严重影响。在这篇综述中,我们通过介绍性激素,特别是雌二醇对女性大脑的作用,以及女性更易患的疾病(如抑郁症和阿尔茨海默病)的风险,来关注女性一生中的大脑健康。

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