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Published on: May 20, 2024
Androgen Therapy in Neurodegenerative Diseases
Vittorio Emanuele Bianchi1, Laura Rizzi2, Elena Bresciani2
1Department of Endocrinology and Metabolism, Clinical Center Stella Maris, Strada Rovereta, Falciano, San Marino.
Androgen therapy shows promise for neurodegenerative diseases like Alzheimer's and MS by protecting neurons and aiding recovery. Further clinical studies are needed to confirm these neuroprotective effects in larger patient populations.
Area of Science:
- Neurobiology
- Neurology
- Endocrinology
Background:
- Neurodegenerative diseases involve neuron loss and dysfunction.
- Androgens exhibit neuroprotective and axonal regeneration properties in animal models.
- Neuronal androgen receptors suggest therapeutic potential.
Purpose of the Study:
- To review the potential of androgen therapy for neurodegenerative diseases.
- To summarize existing evidence on androgen effects in AD, PD, MS, and ALS.
- To highlight the need for further clinical investigation.
Main Methods:
- Review of existing studies on androgen therapy in neurodegenerative diseases.
- Analysis of effects on inflammation, amyloid-β, cognition, remyelination, and motoneuron recovery.
- Assessment of clinical data availability and limitations.
Main Results:
- Androgen therapy reduced inflammation, amyloid-β, and cognitive decline in Alzheimer disease.
- Improvements in remyelination were observed in multiple sclerosis.
- Variable results were noted in Parkinson disease.
- Androgen administration promoted motoneuron recovery and axonal regeneration in ALS.
Conclusions:
- Androgen therapy demonstrates potential neuroprotective and regenerative effects across various neurodegenerative conditions.
- Limited clinical data exists, necessitating large-scale human trials.
- Androgen therapy is a safe, low-cost option warranting further investigation.
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