Memory decline after menopause linked to loss of estrogen production in brain

(news.northwestern.edu)

71 points | by gmays 3 hours ago ago

24 comments

  • gavinray an hour ago ago

    Estrogen (specifically Estradiol, E2) is one of the most important systemic hormones in both men and women

    I've spent a significant amount of my free time for the last 15 years studying androgen physiology and self-experimentation.

    Here are a few facts about estradiol that others might find surprising:

    1. E2 acts as a master metabolic/energy regulator in humans. ER-alpha and pan-ER agonists are being developed for obesity and metabolic disorders. Example: SLU-PP-332

    2. Libido in males is regulated by E2. Androgens like testosterone/DHT seem to be required to support the biology of erectile function, but for mental libido estrogen is the primary component.

    3. Estradiol is synergistically anabolic with androgens. This is why cattle hormone implants contain a blend of Trenbolone and E2

    Estrogen has so many supporting functions in brain, muscle, adipose tissue, and bone health...

    Apologies for no citations and rough formatting but currently on a phone. Happy to provide citations when home

    • ranger207 an hour ago ago

      Re #2, in the mtf trans experience high estrogen and low testosterone are correlated with low libido, with some individuals even temporarily stopping antiandrogen medications in order to get some back

      • nostrademons 8 minutes ago ago

        Yeah, your comment squares with (and the GP's point #2 contradicts) what I learned in my college Science & Gender class, which was a combined neuroscience/psychology offering where we read a bunch of papers. Most of them supported that testosterone was the primary driver of libido in both men and women, with higher T levels corresponding to higher sexual desire and lower T levels corresponding to the opposite.

    • toisanji 34 minutes ago ago

      Any remedies to reverse this?

  • Qem an hour ago ago

    > Nearly two-thirds of Americans with Alzheimer’s disease (AD) are women, but the reasons why women are more vulnerable are still not fully understood. Scientists have long theorized that the loss of estrogen after menopause may reduce the brain’s natural protection against memory loss and neurodegeneration.

    The part that makes no sense for me is men ending with smaller rates of dementia, given they had much less estrogen to begin with. Men have less incidence of dementia. Men also have much lager incidence of baldness. Did somebody already study if baldness and dementia are inversely correlated? I don't know, perhaps sunlight exposure in the scalp have neuroprotective effects?

    Given the prevalence of baldness, and the downside of the condition for sexual attractiveness of its bearers, I suspect we will still discover some strong unexpected upside to explain why this trait was selected for regardless.

    • Supernaut 37 minutes ago ago

      > baldness, and the downside of the condition for sexual attractiveness of its bearers

      Just a guess, and I highly doubt there are any reliable statistics on this, but perhaps balding men are less likely to be tempted to abandon their family unit, thereby making it more likely that their children will thrive and carry on their genes?

      I base this theory on my own experience, which is that I went completely bald in my early thirties and haven't had a second look from a woman ever since. Even if I were the sort to want to cheat on my wife, there wouldn't be any takers![0]

      [0] I'm not claiming that bald men are necessarily sexually unattractive. I just know that it didn't work for me, looks-wise.

      • XorNot 33 minutes ago ago

        This seems like an odd conclusion to draw. I'm married with a full head of hair and I couldn't tell you whether or not any woman has ever been interested because I'm not paying attention nor am I trying to draw it.

        • Supernaut 19 minutes ago ago

          Good for you. I always did notice if there was a spark between me and someone I encountered. I wasn't going to act on it if I was already in a relationship, but I found it nice to feel that I had some physical appeal.

          • pengaru 2 minutes ago ago

            You also got older and probably less fit.

            As a bald man my experience has been the main determining factor is how hard am I working on maintaining an athletic physique that year.

    • zulux an hour ago ago

      Men have significant estrogen:

      Men: roughly 10–40 pg/mL Women (not at ovulation): roughly 30–40 pg/mL

      At Ovulation, women spike. Hence, libido changes. If you know, you know.

  • derektank 2 hours ago ago

    The damage the Women’s Health Initiative did to women’s health by conducting the flawed research that got HRT black boxed for twenty years really cannot be overstated. We went from a quarter of women being on estrogen replacement therapy post-menopause at the turn of the millennium to ~5% in 2020. A real case study in institutional failure.

  • thridmddi9e93 2 hours ago ago

    > Nearly two-thirds of Americans with Alzheimer’s disease (AD) are women, but the reasons why women are more vulnerable are still not fully understood.

    Women live much longer and more comfortable lives. Men are more likely to die before alzheimer can even manifest.

    • mirabilis an hour ago ago

      US life expectancy in 2024 for women was 81.4 years; for men, 76.5 [1]; “non-early” symptoms of Alzheimer's typically begin after 65 [2]. I don’t think that the life expectancy average offset of ~5 years is the main factor here.

      1. https://www.cdc.gov/nchs/products/databriefs/db548.htm 2. https://www.mayoclinic.org/diseases-conditions/alzheimers-di...

      • throw8394jrjr an hour ago ago

        It also said "comfortable lives".

        Also compare retirement ages, years worked, income (hard mental work)... it is well known that alzhaimer is corellated with brain activity (like solving suduku puzzles). Watching tv all day is not very healthy for brain...

        • mirabilis 25 minutes ago ago

          Yes, I didn’t address that portion of your original post, as I was silently agreeing with you that men perform vital social and economic activity such as pick-up truck, football, and bitcoin, whereas women do nothing all day save for frivolous non-labor activities such as raising children.

    • jona-f 2 hours ago ago

      Well, I went out to disprove your thesis, thinking we can easily look at countries where men live longer than women in another country.

      For example, women in the US have a lower life expectancy than men in Australia (go figure). Now women are less than 1.4 times more likely than men to get dementia in australia, but about 2 times more likely to get alzheimer in the US. So that kind of points in your direction, but that is of course wildly inaccurate, cause one is mentioning dementia the other only alzheimer and whatnot.

      https://www.worldometers.info/demographics/life-expectancy/ https://www.aihw.gov.au/reports/dementia/dementia-in-aus/con... https://www.alz.org/getmedia/ef8f48f9-ad36-48ea-87f9-b740346...

      Edit: qwen and glm seem to also agree with parent. "Age is the dominant risk factor".

    • phoronixrly an hour ago ago

      Eh, are you citing sone peer-reviewed research or are you making stuff up?

      • throw8394jrjr an hour ago ago

        It is just a bro science, sorry. Correlation and simple statistics is not real scientific method, and does not fit into modern research!

  • analog8374 2 hours ago ago

    Memory is environment-associated. Which is to say, these memories that you have are connected to the environment that you find yourself in. Change your environment and your memory, to a degree proportional to the environment change, breaks.

    This is why sometimes you enter a room and forget why you came in.

    This can explain the phenomenon referred to in the op. A woman enters a room devoid of estrogen and her memory breaks.

    • phoronixrly an hour ago ago

      Eh, have you seen any research on this or are you quoting own experience?

      • stevenhuang 18 minutes ago ago

        All of the claims above wrt memory reads quite mundane and adequately non assertive, but I'm a layperson.

        I do believe it's well established that memory is associative. It's why roses are associated with love, because of Valentine's Day. If you see roses or smell roses, you will recall memories of your loved ones maybe, especially if you have given them roses.

        Whether the decline in estrogen content of a room can be the dominant mechanism for momentary memory loss is a separate claim and more dubious sounding to me though (estrogen behaving like a pheromone??), but it's not like I have looked into this deeply so idk.

  • Scroll_Swe an hour ago ago

    So they should drink more beer then?

    btw guys, stop drinking beer. Makes you so so fat and give you tits. The more you know.

  • rendaw an hour ago ago

    I'm a bit confused about exactly what's novel here. Here's an article from at least a year earlier talking about memory decline after menopause being linked to lower estrogen: https://health.clevelandclinic.org/memory-loss-in-middle-age...

    The article keeps bouncing between talking about estrogen loss generally, and the extracellular matrix (ECM), and doesn't connect the two until about halfway through the article where it says estrogen loss was studied in the ECM... but then it goes back to talking about stuff unrelated to the ECM.

    I thought "production" might be the key word here, but that's barely mentioned in the article either.

    Looking at the actual study: https://onlinelibrary.wiley.com/doi/full/10.1111/acel.70551 the variables were: sex, age, stopping estrogen production in just the brain or the whole body. AFAIU:

    1. Memory and social issues: old, female, either stoppage

    2. Depression: either age, female, either stoppage

    3. ECM changes: either age, either sex, reduced brain estrogen (whole body not tested?)

    The article says:

    > In mice, ... in females [estrogen] is produced predominantly in the brain.

    But the paper says:

    > In rodents, aromatase is expressed almost exclusively in the brain and gonads (Bulun et al. 2005; Zhao et al. 2009). Old female mice are thus heavily reliant on estrogen synthesis in the brain after the cessation of estrous cycles (equivalent to menopause in women).

    IIUC in humans it's not produced in the brain, so the idea was to replicate that in mice artificially and see what affect it has on brain function. And... it led to decline in memory function in mice.

    So I guess we're back to my first question, which is how was this commonly known if this is a new study drawing that link.

    TLDR though I think the conclusion isn't that we've established a link, but that we've confirmed there's some other female-male difference that allows estrogen to have this effect.

    Edit: no, I'm still confused. The paper concludes:

    > Furthermore, brain-specific estrogen deficiency, achieved through targeted deletion of aromatase, led to alterations in hippocampal ECM that correlated with behavioral changes and memory impairment

    This is wrong, right? Alterations to ECM happened in males and females, but the behavioral changes and memory impairment were in women only...