Hormone change in older women may increase dementia risk

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Menopause, a natural biological process that marks the end of a woman’s menstrual cycles, is a significant phase in women’s lives and is often associated with various physiological changes.

A recent study led by UCLA neurologist Dr. Rhonda Voskuhl has explored the intricate relationship between menopause and cognitive deficits, focusing on the role of estrogen receptor beta (ERβ) in brain cells known as astrocytes.

The study, conducted using female mice as models, provides insights into how the brain is affected during menopause and how it can lead to cognitive impairments.

Understanding the Impact of Menopause on the Brain:

The research published in Nature Communications concentrated on the changes occurring in the brain due to the loss of ovarian hormones in female mice during their middle age, equivalent to human midlife.

The findings revealed that this hormonal loss, combined with aging, led to cognitive impairments and atrophy, particularly in the dorsal hippocampus, a crucial region for memory and learning.

At this stage, there was notable activation of astrocytes and microglia, leading to synaptic loss, which affects the communication between nerve cells.

The study underscores how aging coupled with hormonal changes can be critical to cognitive deficits observed during menopause.

Role of Estrogen Receptor Beta

Astrocytes are supportive brain cells that play a critical role in maintaining the brain’s environment.

The study found that the selective deletion of estrogen receptor beta (ERβ) in astrocytes mirrored the detrimental effects observed due to hormone loss during menopause.

This indicates the pivotal role of ERβ in maintaining the function of the hippocampus during this phase of life.

The changes seen in the estrogen-deficient mice involved abnormal glucose utilization, a crucial aspect that was also observed in post-menopausal women, emphasizing the translational potential of these findings to humans.

Potential Treatments and Future Implications:

This study not only enhances our understanding of the underlying mechanisms linking menopause to cognitive deficits but also offers hope for future treatments.

The mice treated with an ERβ ligand showed improved cognition and reversal of the observed neuropathological changes in the hippocampus.

Even though the research is in its early stages and more studies are needed to develop clinical applications for humans, the findings mark significant progress in our quest to understand and potentially counteract the brain’s response to hormonal changes during menopause.

Conclusion

Menopause is a complex phase accompanied by numerous changes, and this study sheds light on the nuanced ways it impacts brain function.

The role of estrogen receptor beta in astrocytes is pivotal in maintaining cognitive function during menopause, and understanding this can open up avenues for potential treatments in the future.

Although more research is imperative to validate and expand these findings to clinical settings for humans, the revelations of this study bring hope to mitigating the adverse effects of menopause on women’s cognitive health, potentially improving the quality of life for millions of women worldwide.

If you care about dementia, please read studies about low choline intake linked to higher dementia risk, and how eating nuts can affect your cognitive ability.

For more information about brain health, please see recent studies that blueberry supplements may prevent cognitive decline, and results showing higher magnesium intake could help benefit brain health.

The research findings can be found in Nature Communications.

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