What is there to know about the effects of progestins on the human brain and cognition?

IF 6.5 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Frontiers in Neuroendocrinology Pub Date : 2022-10-01 DOI:10.1016/j.yfrne.2022.101032
Ramune Griksiene, Rasa Monciunskaite, Osvaldas Ruksenas
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引用次数: 6

Abstract

Progestins are an important component of hormonal contraceptives (HCs) and hormone replacement therapies (HRTs). Despite an increasing number of studies elucidating the effects of HCs and HRTs, little is known about the effects of different types of progestins included in these medications on the brain. Animal studies suggest that various progestins interact differently with sex steroid, mineralocorticoid and glucocorticoid receptors and have specific modulatory effects on neurotransmitter systems and on the expression of neuropeptides, suggesting differential impacts on cognition and behavior. This review focuses on the currently available knowledge from human behavioral and neuroimaging studies pooled with evidence from animal research regarding the effects of progestins on the brain. The reviewed information is highly relevant for improving women’s mental health and making informed choices regarding specific types of contraception or treatment.

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关于黄体酮对人类大脑和认知的影响,我们知道些什么?
孕激素是激素避孕药(hc)和激素替代疗法(HRTs)的重要组成部分。尽管越来越多的研究阐明了hcc和hrt的作用,但人们对这些药物中不同类型的黄体酮对大脑的影响知之甚少。动物研究表明,各种孕激素与性类固醇、矿皮质激素和糖皮质激素受体的相互作用不同,对神经递质系统和神经肽的表达有特定的调节作用,这表明对认知和行为的影响是不同的。这篇综述的重点是目前从人类行为和神经影像学研究中获得的知识,以及从动物研究中获得的关于黄体酮对大脑影响的证据。经审查的资料与改善妇女的心理健康和就具体的避孕或治疗方式作出知情选择高度相关。
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来源期刊
Frontiers in Neuroendocrinology
Frontiers in Neuroendocrinology 医学-内分泌学与代谢
CiteScore
13.30
自引率
6.80%
发文量
62
审稿时长
68 days
期刊介绍: Frontiers in Neuroendocrinology (FIN) publishes a wide range of informative articles including comprehensive reviews, systematic reviews, opinion pieces, and meta-analyses. While the majority of reviews are invited, we also embrace unsolicited reviews and meta-analyses, as well as proposals for thematic special issues, provided they meet our rigorous quality standards. In addition, we encourage authors to submit commentaries that concisely present fresh ideas or offer further analysis to delve deeper into the implications of an article published in our journal.
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