Evaluating the role of hormone therapy in postmenopausal women with Alzheimer's disease

Scientific paper - Review paper

• Author: Jelena Osmanović-Barilar
• Author: Melita Šalković-Petrišić
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Basic Medical Sciences

Abstract (english)

Hormone therapy (HT) is prescribed during or after menopausal transition to replace the decline in estrogen and progesterone levels. While some studies indicate that estrogen and progesterone depletion in postmenopausal women might carry a significant risk for developing sporadic Alzheimer's disease (sAD), which may be reduced by HT, recent clinical trials oppose this beneficial effect. This review points to possible reasons for these mixed data by considering the issues of both preclinical and clinical trials, in particular, the representativeness of animal models, timing of HT initiation, type of HT (different types of estrogen compounds, estrogen monotherapy vs. estrogen-progesterone combined therapy), mode of drug delivery (subcutaneous, transdermal, oral, or intramuscular), and hormone dosage used, as well as the heterogeneity of the postmenopausal population in clinical trials (particularly considering their sAD stage, anti-AD therapy, and hysterectomy status). Careful planning of future preclinical and clinical HT interventional studies might help to elucidate the effect of HT on cognitive status in postmenopausal women with sAD, which will eventually contribute to more effective sAD prevention and treatment.

• Keywords (english): Alzheimer Disease/blood; Alzheimer Disease/drug therapy; Alzheimer Disease/psychology; Animals; Apolipoproteins E/metabolism; Clinical Trials as Topic; Cognition/drug effects; Disease Models, Animal; Dose-Response Relationship, Drug; Estrogen Replacement Therapy/methods; Estrogens/administration & dosage; Estrogens/adverse effects; Estrogens/blood; Estrogens/therapeutic use; Female; Humans; Memory/drug effects; Postmenopause/metabolism; Postmenopause/psychology; Progesterone/administration & dosage; Progesterone/adverse effects; Progesterone/blood; Progesterone/therapeutic use
• Language: english
• Publication type: Scientific paper - Review paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Accepted version
• Journal title: Drugs & Aging
• Numbering: vol. 33, no. 11, pp. 787-808
• p-ISSN: 1170-229X
• DOI: https://doi.org/10.1007/s40266-016-0407-9
• URN:NBN: urn:nbn:hr:105:631932
• Publication: 2016-11
• Document URL: https://doi.org/10.1007/s40266-016-0407-9
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 08:59:54