Menopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition

Abstract All women undergo the menopause transition (MT), a neuro-endocrinological process that impacts aging trajectories of multiple organ systems including brain. The MT occurs over time and is characterized by clinically defined stages with specific neurological symptoms. Yet, little is known of...

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Autores principales: Lisa Mosconi, Valentina Berti, Jonathan Dyke, Eva Schelbaum, Steven Jett, Lacey Loughlin, Grace Jang, Aneela Rahman, Hollie Hristov, Silky Pahlajani, Randolph Andrews, Dawn Matthews, Orli Etingin, Christine Ganzer, Mony de Leon, Richard Isaacson, Roberta Diaz Brinton
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:81daf184b2aa468d8c9123d6c47009dc2021-12-02T17:52:41ZMenopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition10.1038/s41598-021-90084-y2045-2322https://doaj.org/article/81daf184b2aa468d8c9123d6c47009dc2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90084-yhttps://doaj.org/toc/2045-2322Abstract All women undergo the menopause transition (MT), a neuro-endocrinological process that impacts aging trajectories of multiple organ systems including brain. The MT occurs over time and is characterized by clinically defined stages with specific neurological symptoms. Yet, little is known of how this process impacts the human brain. This multi-modality neuroimaging study indicates substantial differences in brain structure, connectivity, and energy metabolism across MT stages (pre-menopause, peri-menopause, and post-menopause). These effects involved brain regions subserving higher-order cognitive processes and were specific to menopausal endocrine aging rather than chronological aging, as determined by comparison to age-matched males. Brain biomarkers largely stabilized post-menopause, and gray matter volume (GMV) recovered in key brain regions for cognitive aging. Notably, GMV recovery and in vivo brain mitochondria ATP production correlated with preservation of cognitive performance post-menopause, suggesting adaptive compensatory processes. In parallel to the adaptive process, amyloid-β deposition was more pronounced in peri-menopausal and post-menopausal women carrying apolipoprotein E-4 (APOE-4) genotype, the major genetic risk factor for late-onset Alzheimer’s disease, relative to genotype-matched males. These data show that human menopause is a dynamic neurological transition that significantly impacts brain structure, connectivity, and metabolic profile during midlife endocrine aging of the female brain.Lisa MosconiValentina BertiJonathan DykeEva SchelbaumSteven JettLacey LoughlinGrace JangAneela RahmanHollie HristovSilky PahlajaniRandolph AndrewsDawn MatthewsOrli EtinginChristine GanzerMony de LeonRichard IsaacsonRoberta Diaz BrintonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-16 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Lisa Mosconi
Valentina Berti
Jonathan Dyke
Eva Schelbaum
Steven Jett
Lacey Loughlin
Grace Jang
Aneela Rahman
Hollie Hristov
Silky Pahlajani
Randolph Andrews
Dawn Matthews
Orli Etingin
Christine Ganzer
Mony de Leon
Richard Isaacson
Roberta Diaz Brinton
Menopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition
description Abstract All women undergo the menopause transition (MT), a neuro-endocrinological process that impacts aging trajectories of multiple organ systems including brain. The MT occurs over time and is characterized by clinically defined stages with specific neurological symptoms. Yet, little is known of how this process impacts the human brain. This multi-modality neuroimaging study indicates substantial differences in brain structure, connectivity, and energy metabolism across MT stages (pre-menopause, peri-menopause, and post-menopause). These effects involved brain regions subserving higher-order cognitive processes and were specific to menopausal endocrine aging rather than chronological aging, as determined by comparison to age-matched males. Brain biomarkers largely stabilized post-menopause, and gray matter volume (GMV) recovered in key brain regions for cognitive aging. Notably, GMV recovery and in vivo brain mitochondria ATP production correlated with preservation of cognitive performance post-menopause, suggesting adaptive compensatory processes. In parallel to the adaptive process, amyloid-β deposition was more pronounced in peri-menopausal and post-menopausal women carrying apolipoprotein E-4 (APOE-4) genotype, the major genetic risk factor for late-onset Alzheimer’s disease, relative to genotype-matched males. These data show that human menopause is a dynamic neurological transition that significantly impacts brain structure, connectivity, and metabolic profile during midlife endocrine aging of the female brain.
format article
author Lisa Mosconi
Valentina Berti
Jonathan Dyke
Eva Schelbaum
Steven Jett
Lacey Loughlin
Grace Jang
Aneela Rahman
Hollie Hristov
Silky Pahlajani
Randolph Andrews
Dawn Matthews
Orli Etingin
Christine Ganzer
Mony de Leon
Richard Isaacson
Roberta Diaz Brinton
author_facet Lisa Mosconi
Valentina Berti
Jonathan Dyke
Eva Schelbaum
Steven Jett
Lacey Loughlin
Grace Jang
Aneela Rahman
Hollie Hristov
Silky Pahlajani
Randolph Andrews
Dawn Matthews
Orli Etingin
Christine Ganzer
Mony de Leon
Richard Isaacson
Roberta Diaz Brinton
author_sort Lisa Mosconi
title Menopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition
title_short Menopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition
title_full Menopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition
title_fullStr Menopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition
title_full_unstemmed Menopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition
title_sort menopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/81daf184b2aa468d8c9123d6c47009dc
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