Impact of Andropause on Multiple Sclerosis

Andropause results from the natural decrease in testosterone levels that occurs with age. In contrast to menopause, which is a universal, well-characterized process associated with absolute gonadal failure, andropause ensues after gradual decline of both hypothalamic-pituitary-gonadal axis activity,...

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Autores principales: Maria C. Ysrraelit, Jorge Correale
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/fa51307753d743f89ed150b8abd1deca
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spelling oai:doaj.org-article:fa51307753d743f89ed150b8abd1deca2021-11-05T08:37:06ZImpact of Andropause on Multiple Sclerosis1664-229510.3389/fneur.2021.766308https://doaj.org/article/fa51307753d743f89ed150b8abd1deca2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.766308/fullhttps://doaj.org/toc/1664-2295Andropause results from the natural decrease in testosterone levels that occurs with age. In contrast to menopause, which is a universal, well-characterized process associated with absolute gonadal failure, andropause ensues after gradual decline of both hypothalamic-pituitary-gonadal axis activity, as well as of testicular function, a process which usually develops over a period of many years. Increasing evidence on greater risk of Multiple sclerosis (MS) associated with lower testosterone levels is being reported. Likewise, epidemiological studies have shown a later age of onset of MS in men, relative to women, which could perhaps respond to the decline in protective testosterone levels. In this review, we will discuss the role of androgens in the development and function of the innate and adaptive immune response, as well as in neuroprotective mechanisms relevant to MS. Testosterone effects observed in different animal models and in epidemiological studies in humans will be discussed, as well as their correlation with physical disability and cognitive function levels. Finally, published and ongoing clinical trials exploring the role of androgens, particularly at key stages of sexual maturation, will be reviewed.Maria C. YsrraelitJorge CorrealeFrontiers Media S.A.articleandropausetestosteroneagingsex hormonesmultiple sclerosisNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic andropause
testosterone
aging
sex hormones
multiple sclerosis
Neurology. Diseases of the nervous system
RC346-429
spellingShingle andropause
testosterone
aging
sex hormones
multiple sclerosis
Neurology. Diseases of the nervous system
RC346-429
Maria C. Ysrraelit
Jorge Correale
Impact of Andropause on Multiple Sclerosis
description Andropause results from the natural decrease in testosterone levels that occurs with age. In contrast to menopause, which is a universal, well-characterized process associated with absolute gonadal failure, andropause ensues after gradual decline of both hypothalamic-pituitary-gonadal axis activity, as well as of testicular function, a process which usually develops over a period of many years. Increasing evidence on greater risk of Multiple sclerosis (MS) associated with lower testosterone levels is being reported. Likewise, epidemiological studies have shown a later age of onset of MS in men, relative to women, which could perhaps respond to the decline in protective testosterone levels. In this review, we will discuss the role of androgens in the development and function of the innate and adaptive immune response, as well as in neuroprotective mechanisms relevant to MS. Testosterone effects observed in different animal models and in epidemiological studies in humans will be discussed, as well as their correlation with physical disability and cognitive function levels. Finally, published and ongoing clinical trials exploring the role of androgens, particularly at key stages of sexual maturation, will be reviewed.
format article
author Maria C. Ysrraelit
Jorge Correale
author_facet Maria C. Ysrraelit
Jorge Correale
author_sort Maria C. Ysrraelit
title Impact of Andropause on Multiple Sclerosis
title_short Impact of Andropause on Multiple Sclerosis
title_full Impact of Andropause on Multiple Sclerosis
title_fullStr Impact of Andropause on Multiple Sclerosis
title_full_unstemmed Impact of Andropause on Multiple Sclerosis
title_sort impact of andropause on multiple sclerosis
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/fa51307753d743f89ed150b8abd1deca
work_keys_str_mv AT mariacysrraelit impactofandropauseonmultiplesclerosis
AT jorgecorreale impactofandropauseonmultiplesclerosis
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