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Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Abstract:
The decrease of different hormones during aging could play some role in the decline of physical and mental functions of elderly people. Whereas estrogen secretion is almost abolished in menopause, there is a gradual decline of other hormones such as testosterone (T) in men as well as growth hormone (GH) or dehydropepian-drosteronesulfate (DHEAS). As "pause" means cessation in Greek, the term of "clise" (decline) seems to be more appropriate for the 3 latter hormones (e.g. androclise versus andropause). The administration of T and GH to elderly men can increase muscle mass, bone mineral content and decrease fat mass. Long term treatment with estrogens can decrease cardiovascular mortality of postmenopausal women. DHEA administration increases perceived well-being in both sexes. However treatments with T and DHEA risk to induce the growth of an occult prostate cancer and a long term treatments with estrogen can increase the risk of breast cancer. There is a strong association between circulating IGF-I levels and the relative risks of breast and prostate cancer. We hypothesize that the decrease of the latter hormones partially protects against the increasing occurrence of hormonosensitive cancers with aging. The administration of these hormones could oppose this process and increase the carcinogenic risk.
Insights
Hormone decline in aging may impair physical and mental functions. Lowering hormone levels might protect against hormone-sensitive cancers, but hormone replacement therapy could increase cancer risk.
Area of Science:
- Endocrinology
- Gerontology
- Oncology
Context:
- Aging is associated with a decline in various hormones, including testosterone (T), growth hormone (GH), and dehydroepiandrosterone sulfate (DHEAS).
- Hormone replacement therapies (HRT) like T, GH, and estrogen show benefits in elderly individuals, such as increased muscle mass and decreased cardiovascular mortality.
- However, HRT with T and DHEA carries risks, including potential induction of prostate cancer, and estrogen therapy may increase breast cancer risk.
Purpose:
- To explore the role of hormone decline in aging-related functional decline.
- To investigate the potential protective effect of decreased hormone levels against hormone-sensitive cancers.
- To examine the carcinogenic risks associated with hormone replacement therapies.
Summary:
- Aging leads to decreased levels of hormones like testosterone, growth hormone, and DHEAS, potentially affecting physical and mental functions.
- While hormone therapies can improve certain aspects of aging, they also present risks, such as increased cancer incidence.
- A hypothesis suggests that reduced hormone levels during aging may offer partial protection against hormone-sensitive cancers, and hormone administration could elevate this risk.
Impact:
- Understanding the complex relationship between aging, hormones, and cancer risk is crucial for developing safer therapeutic strategies.
- This research highlights the need for careful consideration of potential carcinogenic risks when administering hormone therapies to the elderly.
- Further investigation is warranted to balance the benefits of hormone replacement with the potential increase in cancer risk.
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