Felix McConnell
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Similarly, it was shown that estradiol increases kisspeptin 1 neuronal excitability and glutamate neurotransmission in the hypothalamus in females (Qiu et al., 2018). The influence concentrations of E2 have on glutamate levels may explain the increase in depression that comes with age (Yap et al., 2021). Moreover, estrogens enhance kainate-induced currents in hippocampal neurons from both wild-type (Gu and Moss, 1998) and estrogen-receptor ERα knockout (Gu et al., 1999) mice. Moreover, estrogen was recognized for its unique role in the nervous system, with contributing to synaptic function (Wong and Moss, 1992; Woolley and McEwen, 1992; Warren et al., 1995; Murphy and Segal, 1996; Córdoba Montoya and Carrer, 1997; Murphy et al., 1998; Pozzo-Miller et al., 1999). Interestingly, evidence supports the neuroprotective role of estrogen against diseases and injuries affecting the nervous system.
During the follicular phase, when there is an abundancy of estrogen, there is an increase in serotonin levels. Several studies have indicated a correlation between estrogen and serotonin levels during the menstrual cycle. It is theorized that after 5-HT2A receptor activation, 5-HT1A receptors become unable to reduce 5-HT production, resulting in an increase in 5-HT concentrations (Rybaczyk et al., 2005). GPER and 5-HT1A receptors were found to be co-expressed in the hypothalamus in rats, further supporting this concept (Lu et al., 2009; Xu et al., 2009; Akama et al., 2013).
In summary, the current evidence does not unequivocally support pregnancy itself to pose an increased risk of developing depression, nor does it clearly identify this period as protection for the majority of women from mood disorders. Furthermore, recent findings (Rallis et al., 2014) indicate that symptom levels of depression, anxiety, and stress vary over the course of pregnancy, with women experiencing fewer symptoms during the middle of the pregnancy. Pletzer et al. report significant differences in gray matter density between naturally cycling women and women using oral contraceptives (OC), observing increased gray matter volume in prefrontal and temporal regions in OC users (Pletzer et al., 2010). have been undertaken on the relationship between more general aggressive behavior, and feelings, and testosterone. This increases the reproductive fitness of the parents because their offspring are more likely to survive and reproduce. Men who produce less testosterone are more likely to be in a relationship or married, and men who produce more testosterone are more likely to divorce. However, the testosterone changes observed do not seem to be maintained as relationships develop over time. Women's level of testosterone is higher when measured pre-intercourse vs. pre-cuddling, as well as post-intercourse vs. post-cuddling.|There is disagreement about the clear distinction of a dominance or social aggression network in these frontal-limbic-brainstem regions (Panksepp and Biven 2012). Although the orbitofrontal cortex did not survive our ALE analyses, it has been linked with both the amygdala and brainstem in a threat heightening and inhibiting network as a response to social threat (Terburg and van Honk 2013). The caudate also activates in response to social threat regardless of testosterone level (Beyer et al. 2013). The caudate has been identified as a region that is functionally influenced by levels of FT in response to emotional facial stimuli (Lombardo et al. 2012).|Parkinson disease (PD), is observed twice as frequently in men than women, typically affecting males in their fifth or sixth decade of life . Post-menopausal women account for 60% of patients with AD, with female gender being an independent risk factor for development of AD. Numerous observational studies have linked anti-androgen therapy, commonly used in prostate cancer, with an elevated risk of AD and other neurodegenerative diseases, like Parkinson disease . Additionally, there is an inverse relation between serum or brain testosterone level and hippocampal volume. A study of the effects of pubertal induction with monthly testosterone injections in young boys aged 12 to 17 years receiving glucocorticoids demonstrated no effects on bone density or bone age advancement but improved muscle strength.|In contrast, reproductively active and reproductively inactive males did not differ in the amount of cell proliferation occurring within the dentate gyrus 85,87, suggesting that seasonal fluctuations in androgens may enhance cell survival but not cell proliferation. In support of this hypothesis, reproductively active male meadow voles (with high testosterone levels) had greater levels of new neuron survival compared to reproductively inactive male voles . Male meadow voles show seasonal changes in testosterone, with a peak during the breeding season , and males with higher testosterone levels have a larger hippocampus . Some of the earliest work showing that testosterone influences adult neurogenesis in rodents involved testing seasonal changes in neurogenesis among meadow voles (Microtus pennsylvanicus). Castration had a behavioral effect similar to that caused by the Sem7A knockout (i.e., castrated males preferred investigating male odors over female odors), and testosterone injections in adulthood reversed this effect. These transgenic animals showed a significant increase in neurogenesis within the accessory olfactory bulbs in response to exposure to male urine , a response not observed in wild type males but typical of wild type female mice.|A physiological dose of progesterone in ovariectomized rats has been reported to reduce glutamate-response by 87% via attenuation of non-NMDA receptors (AMPA, Kainate) (Smith et al., 1987b). In humans, evidence for hormone-dependent modulatory effects on brain structure stems from hormonal replacement therapy (HRT) studies. Both estrogen and progesterone exert acute effects on synaptic physiology through the activation of multiple intracellular signaling pathways (Minami et al., 1990; Krebs et al., 2000; Wu et al., 2005), including the MAPK/ERK and the Akt pathway which are both part to a non-genomic signaling cascade linked to the promotion of cell survival (Singh, 2001). Furthermore, several lines of evidence support a main impact of sex hormones on brain development and plasticity (Marino et al., 2006).|In male rats, experimental augmentation of testosterone during adolescence (between PND45 and 60) increases dopamine synthesis (Purves-Tyson et al. 2012) and stimulates midbrain expression of DR2 mRNA, dopamine transporter (DAT) mRNA, DAT protein, and vesicular monoamine transporter (VMAT) mRNA at the level of the cell body (Purves-Tyson, under review). Some effects of stress/sex hormones on cortical and subcortical dopamine parameters bear similarities with dopaminergic abnormalities seen in schizophrenia, suggesting a possible role for sex/stress hormones at adolescence in influencing risk for psychiatric illness via modulation of dopamine neurotransmission. Adolescence is a time of increased responsiveness to sex and stress hormones, during which the maturing dopaminergic neural circuitry is profoundly influenced by these factors. For women with PCOS, hormones like birth control pills can be used to help lessen the effects of this increased level of testosterone. The developmental role of testosterone in the expression of androgen receptors, as well as the role of genotype, appears to strongly influence hormone sensitivity in adulthood. It is vital to consider, for example, male and female populations separately, given their non-overlapping ranges in normal testosterone levels, as well as the different levels of other hormones between men and women (e.g. estrogen, cortisol, etc.). Experiments with rats and mice that have tested the relative importance of DHT and estradiol in regulating neurogenesis in males suggest that testosterone’s effects on adult neurogenesis are via an androgen-dependent pathway.|Specifically, testosterone, along with anti-Müllerian hormone (AMH) promote growth of the Wolffian duct and degeneration of the Müllerian duct respectively. Examples include genital virilisation such as midline fusion, phallic urethra, scrotal thinning and rugation, and phallic enlargement; although the role of testosterone is far smaller than that of dihydrotestosterone. Testosterone can either directly exert effects on target tissues or be metabolized by 5α-reductase into dihydrotestosterone (DHT) or aromatized to estradiol (E2). Testosterone can be described as having anabolic and androgenic (virilising) effects, though these categorical descriptions are somewhat arbitrary, as there is a great deal of mutual overlap between them. Since testosterone levels decrease as men age, testosterone is sometimes used in older men to counteract this deficiency. As the metabolism of testosterone in males is more pronounced, the daily production is about 20 times greater in men. In humans and most other vertebrates, testosterone is secreted primarily by the testicles of males and, to a lesser extent, the ovaries of females.}
Higher testosterone levels in men reduce the risk of becoming or staying unemployed. Testosterone levels play a major role in risk-taking during financial decisions. If a father's testosterone levels decrease in response to hearing their baby cry, it is an indication of empathizing with the baby. While the extent of paternal care varies between cultures, higher investment in direct child care has been seen to be correlated with lower average testosterone levels as well as temporary fluctuations.
Future studies should not only be replicated to ensure accuracy among findings of the relationship of E2 and DA, but also should include males as they are severely underrepresented in this line of research. Other studies observed no change in D2 availability in the striatum during both the high and low-estrogen phases of the menstrual cycle (Petersen et al., 2021). Several studies indicate that OVX decreases D2 binding while chronic E2 increases D2 binding in the striatum and NAc core (Bazzett and Becker, 1994; Le Saux et al., 2006). Apart from affecting transcription within the dopaminergic system, E2 has been shown to affect D2receptor. Attention needs to be especially paid to other populations in addition to females as there is limited information pertaining to the effects of E2 on the serotonergic system in males. 5-HT2A are excitatory neuron receptors that when activated desensitize 5-HT1A consequently increasing serotonin concentration (Zhang et al., 2001; Kugaya et al., 2003; Moses-Kolko et al., 2003; Rybaczyk et al., 2005).