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Somatopause, weaknesses of the therapeutic approaches and the cautious optimism based on experimental ageing studies
Vladimir Z Ajdžanovic1, Svetlana Trifunovic1, Dragana Miljic2
1Department of Cytology, Institute for Biological Research "Siniša Stankovic", University of Belgrade, Belgrade, Serbia.
Abstract:
The pathological phenomenon of somatopause, noticeable in hypogonadal ageing subjects, is based on the growth hormone (GH) production and secretion decrease along with the fall in GH binding protein and insulin-like growth factor 1 (IGF-1) levels, causing different musculoskeletal, metabolic and mental issues. From the perspective of safety and efficacy, GH treatment is considered to be highly controversial, while some other therapeutic approaches (application of IGF-1, GH secretagogues, gonadal steroids, cholinesterase-inhibitors or various combinations) exhibit more or less pronounced weaknesses in this respect. Soy isoflavones, phytochemicals that have already demonstrated the health benefits in treated elderly, at least experimentally reveal their potential for the somatopausal symptoms remediation. Namely, genistein enhanced GHRH-stimulated cAMP accumulation and GH release in rat anterior pituitary cells; refreshed and stimulated the somatotropic system (hypothalamic nuclei and pituitary GH cells) function in a rat model of the mild andropause, and stimulated the GH output in ovariectomized ewes as well as the amplitude of GH pulses in the rams. Daidzein, on the other hand, increased body mass, trabecular bone mass and decreased bone turnover in the animal model of severe andropause, while both isoflavones demonstrated blood cholesterol-lowering effect in the same model. These data, which necessarily need to be preclinically and clinically filtered, hint some cautious optimism and call for further innovative designing of balanced soy isoflavone-based therapeutics.
Insights
Soy isoflavones show potential in addressing somatopause symptoms by influencing growth hormone (GH) and insulin-like growth factor 1 (IGF-1) pathways. Further research is needed to confirm their therapeutic benefits for aging individuals.
Area of Science:
- Endocrinology
- Gerontology
- Nutritional Science
Background:
- Somatopause, linked to decreased growth hormone (GH) and insulin-like growth factor 1 (IGF-1), causes musculoskeletal, metabolic, and mental issues in aging individuals.
- Current treatments for somatopause, including GH therapy, present safety and efficacy concerns.
- Soy isoflavones are phytochemicals with demonstrated health benefits, prompting investigation into their potential for somatopausal symptom management.
Purpose of the Study:
- To investigate the potential of soy isoflavones, specifically genistein and daidzein, in ameliorating somatopausal symptoms.
- To evaluate the effects of soy isoflavones on the somatotropic system and related metabolic markers.
Main Methods:
- Experiments involved rat anterior pituitary cells, a rat model of mild andropause, ovariectomized ewes, and rams.
- Assessed genistein's effect on cAMP accumulation, GH release, and somatotropic system function.
- Evaluated daidzein's impact on body mass, bone mass, bone turnover, and cholesterol levels in an animal model of severe andropause.
Main Results:
- Genistein stimulated GH release and somatotropic system function in various animal models.
- Daidzein increased body and bone mass, reduced bone turnover, and lowered cholesterol in a severe andropause model.
- Both isoflavones demonstrated cholesterol-lowering effects.
Conclusions:
- Soy isoflavones, genistein and daidzein, show promise in addressing key aspects of somatopause.
- These findings suggest a potential therapeutic avenue for somatopausal symptoms, warranting further preclinical and clinical validation.
- Development of balanced soy isoflavone-based therapeutics is suggested for future research.
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