Dergi Ara >>
Yıl:2005; Cilt: 13; Sayı: Ek 1>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 2005;13(Ek 1):45-51
Kadın üreme hormonları ve Alzheimer hastalığı
P Çetinay, B Tokatlıoğlu, Ş Gülseren
Atatürk Eğitim ve Araştırma Hastanesi 1. Psikiyatri Kliniği, İzmir
Alzheimer tipi demans, ilerleyici bilişsel ve bellek kaybı ile giden santral sinir sisteminin nörodejeneratif bir hastalığıdır. Postmenopozal kadınlarda Alzheimer tipi demans gelişme riski erkeklere oranla daha fazladır. Postmenopozal kadınlarda görülen bu risk artışı menopozla birlikte endojen östrojen düzeylerindeki azalmayla ilişkili olabilir. Östrojenin beta-amiloid oluşumunu inhibe etmesi, kolinerjik aktiviteyi uyarması, oksidatif stresle bağlantılı hücre zararını azaltması ve damarsal risklere karşı koruma gibi nöroprotektif etkileri vardır. Östrojenin hastalık gelişme riskini düşürdüğü ya da Alzheimer'i olanlarda bilişsel işlevleri düzeltebildiği bildirilmiştir. Bu makalede, demans nedenleri arasında en büyük grubu oluşturan AH ile kadın üreme hormonları arasındaki ilişki gözden geçirilmiştir.

Female reproductive hormones and Alzheimer disease
Dementia of Alzheimer's type is a neurodegenerative disease which may cause progressive cognitive and memory loss. Women have a higher risk of Alzheimer's disease at postmenopusal period. The higher risk of Alzheimer's disease at postmenopausal period may be related to decreased level of the endogenous oestrogen. Oestrogen has some neuroprotective effects such as, inhibition of beta amyloid, stimulation of the cholinergic activity, decrease the cell injury by oxidative stress and protection of vascular system. Epidemiologic studies support that oestrogen can reduce the risk of Alzheimer's disease. Oestrogen has also beneficial effects on cognitive functions. Probable association between Alzheimer's Disease (AD), the most common form of dementia and female reproductive hormones is reviewed in this article.

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