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雌激素与人类脑网络:结构和功能神经影像学研究的系统综述

Estrogens and human brain networks: A systematic review of structural and functional neuroimaging studies.

作者信息

Ruehr Livia, Hoffmann Kim, May Emily, Münch Marie Luise, Schlögl Haiko, Sacher Julia

机构信息

Center for Integrative Women's Health and Gender Medicine, Medical Faculty and University of Leipzig Medical Center, Leipzig, Germany; Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1A, 04103 Leipzig, Germany; Max Planck School of Cognition, Stephanstraße 1A, 04103 Leipzig, Germany; Clinic of Cognitive Neurology, University of Leipzig Medical Center, Liebigstraße 16, 04103 Leipzig, Germany.

Center for Integrative Women's Health and Gender Medicine, Medical Faculty and University of Leipzig Medical Center, Leipzig, Germany; Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1A, 04103 Leipzig, Germany; Clinic of Cognitive Neurology, University of Leipzig Medical Center, Liebigstraße 16, 04103 Leipzig, Germany; Humboldt-Universität zu Berlin, Berlin School of Mind and Brain, Unter den Linden 6, 10099 Berlin, Germany.

出版信息

Front Neuroendocrinol. 2025 Apr;77:101174. doi: 10.1016/j.yfrne.2024.101174. Epub 2024 Dec 27.

Abstract

Estrogen fluctuations during the menstrual cycle, puberty, postpartum, or in the menopausal transition are associated with cognitive, affective, and behavioral effects. Additionally, estrogens are essential in hormonal contraception, menopausal hormone therapy, or gender-affirming hormone therapy. This systematic review summarizes findings on the role of estrogens for structure, function, and connectivity of human brain networks. We searched PubMed, Web of Science, and ScienceDirect for neuroimaging articles assessing estrogens published since 2008. We included 54 studies (N = 2,494 participants) on endogenous estrogen, and 28 studies (N = 1,740 participants) on exogenous estrogen conditions. Estrogen-related changes were reported for emotion, reward, memory, and resting-state networks, and in regional white and gray matter, with a particular neural plasticity in the hippocampus and amygdala. By examining study designs, imaging measures, and analysis methods, this review highlights the role of neuroimaging in advancing neuroendocrine and neurocognitive research, particularly promoting brain health for women and individuals with ovaries.

摘要

月经周期、青春期、产后或绝经过渡期间的雌激素波动与认知、情感和行为影响有关。此外,雌激素在激素避孕、绝经激素治疗或性别确认激素治疗中至关重要。本系统综述总结了雌激素对人类脑网络结构、功能和连通性作用的研究结果。我们在PubMed、科学网和科学Direct数据库中检索了自2008年以来评估雌激素的神经影像学文章。我们纳入了54项关于内源性雌激素的研究(N = 2494名参与者)和28项关于外源性雌激素状况的研究(N = 1740名参与者)。报告了雌激素相关的情绪、奖赏、记忆和静息态网络变化,以及区域白质和灰质变化,海马体和杏仁核具有特殊的神经可塑性。通过检查研究设计、成像测量和分析方法,本综述强调了神经影像学在推进神经内分泌和神经认知研究中的作用,特别是促进女性和有卵巢个体的脑健康。

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