Menopausal hormone therapy and Alzheimer’s disease: A literature review

Yuliya V. Luzik , Sapiyat G. Isaeva , Evgeniya A. Svidinskaya , Mikhail B. Ageev , Elena A. Sosnova

V.F.Snegirev Archives of Obstetrics and Gynecology ›› 2024, Vol. 11 ›› Issue (1) : 25 -34.

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V.F.Snegirev Archives of Obstetrics and Gynecology ›› 2024, Vol. 11 ›› Issue (1) : 25 -34. DOI: 10.17816/2313-8726-2024-11-1-25-34
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Menopausal hormone therapy and Alzheimer’s disease: A literature review

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Abstract

This paper presents a review of the current literature on the possible relationship between menopausal hormone therapy and Alzheimer’s disease. Increasing life expectancy in modern society is steadily leading to health problems in older women. Approximately 46.8 million people worldwide currently have cognitive disorders, and 2/3 of them are women. At the age of ≥65 years, every sixth woman and every eleventh man experience a form of higher nervous system pathologies. Older people are most often diagnosed with Alzheimer’s disease. It is a neurodegenerative disease that leads to problems with memory and cognitive functions and is characterized by changes in behavior and social-adaptive position of a person in society.

One theory states that dementia is caused by changes in the endocrine status during menopause, particularly a decrease in estrogen levels. Currently, hormonal drugs are being considered a way to reduce the risk of neurological disorders. The possibility of preventing dementia, particularly Alzheimer’s disease, has long been of interest to leading experts in this field. The prevention of these diseases and prolongation of active longevity are becoming more relevant than ever. The relationship between menopausal hormone therapy and the risk of Alzheimer’s disease is receiving increasing attention.

Keywords

dementia / Alzheimer’s disease / cognitive disorders / menopause / estrogens / phytoestrogens / oophorectomy / hormonal therapy

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Yuliya V. Luzik, Sapiyat G. Isaeva, Evgeniya A. Svidinskaya, Mikhail B. Ageev, Elena A. Sosnova. Menopausal hormone therapy and Alzheimer’s disease: A literature review. V.F.Snegirev Archives of Obstetrics and Gynecology, 2024, 11(1): 25-34 DOI:10.17816/2313-8726-2024-11-1-25-34

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References

[1]

Russian Association of Gerontologists and Geriatricians, Russian Society of Psychiatrists. Clinical recommendations “Cognitive disorders in the elderly and senile”. Moscow: Ministry of Health of the Russian Federation; 2020. (In Russ).

[2]

Российская ассоциация геронтологов и гериатров, Российское общество психиатров. Клинические рекомендации «Когнитивные расстройства у лиц пожилого и старческого возраста». Москва : Министерство здравоохранения РФ, 2020.

[3]

Wu M, Li M, Yuan J, et al. Postmenopausal hormone therapy and Alzheimer’s disease, dementia, and Parkinson’s disease: A systematic review and time-response meta-analysis. Pharmacol Res. 2020;155:104693. doi: 10.1016/j.phrs.2020.104693

[4]

Wu M., Li M., Yuan J., et al. Postmenopausal hormone therapy and Alzheimer’s disease, dementia, and Parkinson’s disease: A systematic review and time-response meta-analysis // Pharmacol Res. 2020. Vol. 155. P. 104693. doi: 10.1016/j.phrs.2020.104693

[5]

Ishunina TA, Bogolepova IN, Swaab DF. Morphofunctional Changes and Compensatory Mechanisms in the Human Brain with Aging and in Alzheimer’s Disease. Journal of Anatomy and Histopathology. 2020;9(1):77–85. doi: 10.18499/2225-7357-2020-9-1-77-85

[6]

Ишунина Т.А., Боголепова И.Н., Свааб Д.Ф. Морфофункциональные изменения и компенсаторные механизмы в головном мозге человека при старении и болезни Альцгеймера //Журнал анатомии и гистопатологии. 2020. Т. 9, № 1. С. 77–85. doi: 10.18499/2225-7357-2020-9-1-77-85

[7]

Talipova IR, Garafieva SR, Mazitova MI, Mardieva RR. Cognitive disorders and dementia in postmenopausal women. Obstetrics, Gynecology and Reproduction. 2022;16(1):58–65. doi: 10.17749/2313-7347/ob.gyn.rep.2022.255

[8]

Талипова И.Р., Гарафиева С.М., Мазитова М.И., Мардиева Р.Р. Когнитивные расстройства и деменция у женщин в постменопаузе // Акушерство, Гинекология и Репродукция. 2022. Т. 16, № 1. С. 58–65. doi: 10.17749/2313-7347/ob.gyn.rep.2022.255

[9]

Tkach VV, Nuriddinova JeS, Tkach AV. Cognitive disorders in women during menopause. Science-review.ru. 2022;3:91–96. (In Russ).

[10]

Ткач В.В., Нуриддинова Э.С., Ткач А.В. Когнитивные расстройства у женщин в период менопаузы // Научное обозрение. Медицинские науки. 2022. № 3. С. 91–96.

[11]

Scheyer O, Rahman A, Hristov H, et al. Female Sex and Alzheimer’s Risk: The Menopause Connection. J Prev Alzheimers Dis. 2018;5(4):225–230. doi: 10.14283/jpad.2018.34

[12]

Scheyer O., Rahman A., Hristov H., et al. Female Sex and Alzheimer’s Risk: The Menopause Connection // J Prev Alzheimers Dis. 2018. Vol. 5, N. 4. P. 225–230. doi: 10.14283/jpad.2018.34

[13]

Sochocka M, Karska J, Pszczołowska M, et al. Cognitive Decline in Early and Premature Menopause. Int J Mol Sci. 2023;24(7):6566. doi: 10.3390/ijms24076566

[14]

Sochocka M., Karska J., Pszczołowska M., et al. Cognitive Decline in Early and Premature Menopause // Int J Mol Sci. 2023. Vol. 24, N. 7. P. 6566. doi: 10.3390/ijms24076566

[15]

Villaseca P, Cisternas P, Inestrosa NC. Menopause and development of Alzheimer’s disease: Roles of neural glucose metabolism and Wnt signaling. Front Endocrinol (Lausanne). 2022;13:1021796. doi: 10.3389/fendo.2022.1021796

[16]

Villaseca P., Cisternas P., Inestrosa N.C. Menopause and development of Alzheimer’s disease: Roles of neural glucose metabolism and Wnt signaling // Front Endocrinol (Lausanne). 2022. Vol. 13. P. 1021796. doi: 10.3389/fendo.2022.1021796

[17]

Ishunina TA. Changes in cytoarchitectonics, neuronal metabolic activity and estrogen receptor expression in the human hypothalamic and anterior basal forebrain nuclei in aging, Alzheimer’s disease, and vascular dementia. Russian Journal of Operative Surgery and Clinical Anatomy. 2018;2(2):2734. (In Russ). doi: 10.17116/operhirurg20182227

[18]

Ишунина Т.А. Изменения цитоархитектоники, метаболической активности нейронов и экспрессии эстрогеновых рецепторов в ядрах гипоталамуса и переднебазального комплекса мозга человека при старении, болезни Альцгеймера и сосудистом слабоумии // Оперативная хирургия и клиническая анатомия. 2018. Т. 2, № 2. С. 2734. doi: 10.17116/operhirurg20182227

[19]

Tapilskaya NI, Glushakov RI. Endocrinology of cognitive disorders: possibilities of menopausal hormonal therapy. Medical alphabet. 2017;2(10):30–34.

[20]

Тапильская Н.И., Глушаков Р.И. Эндокринология когнитивных расстройств: возможности менопаузальной гормональной терапии // Медицинский алфавит. 2017. Т. 2, № 10. С. 30–34.

[21]

Kuznetsova IV. Expert Round Table: How to Maintain Women’s Health? View of a cardiologist and gynecologist. Medical Council. 2014;(12). doi: 10.21518/2079-701X-2014-12-10-17

[22]

Кузнецова И.В. Экспертный круглый стол: как сохранить женское здоровье? Взгляд кардиолога и гинеколога // Медицинский Совет. 2014. № 12. doi: 10.21518/2079-701X-2014-12-10-17

[23]

Russian Society of Obstetricians and Gynecologists. Clinical recommendations “Menopause and menopausal condition in women”. Approved by the Ministry of Health of the Russian Federation. Moscow; 2021. (In Russ).

[24]

Российское общество акушеров-гинекологов. Клинические рекомендации «Менопауза и климактерическое состояние у женщины». Утверждены Министерством здравоохранения РФ. Москва, 2021.

[25]

Pyatin VF, Maslova OA, Romanchuk NP. Alzheimer’s Disease and Melatonin/Testosterone/Estrogens: Neurophysiological and Neuroendocrinological Routing of Longevity. Bulletin of Science and Practice. 2022;8(8). doi: 10.33619/2414-2948/81/15

[26]

Пятин В.Ф., Маслова О.А., Романчук Н.П. Болезнь Альцгеймера и мелатонин/тестостерон/эстрогены: нейрофизиологическая и нейроэндокринологическая маршрутизация долголетия // Бюллетень науки и практики. 2022. Т. 8, № 8. doi: 10.33619/2414-2948/81/15

[27]

Kim H, Yoo J, Han K, et al. Hormone therapy and the decreased risk of dementia in women with depression: a population-based cohort study. Alzheimers Res Ther. 2022;14(1):83. doi: 10.1186/s13195-022-01026-3

[28]

Kim H., Yoo J., Han K., et al. Hormone therapy and the decreased risk of dementia in women with depression: a population-based cohort study // Alzheimers Res Ther. 2022. Vol. 14, N. 1. P. 83. doi: 10.1186/s13195-022-01026-3

[29]

Boyle CP, Raji CA, Erickson KI, et al. Estrogen, brain structure, and cognition in postmenopausal women. Hum Brain Mapp. 2021;42(1):24–35. doi: 10.1002/hbm.25200

[30]

Boyle C.P., Raji C.A., Erickson K.I., et al. Estrogen, brain structure, and cognition in postmenopausal women // Hum Brain Mapp. 2021. Vol. 42, N. 1. P. 24–35. doi: 10.1002/hbm.25200

[31]

Kuznetsov MR, Papysheva OV, Orlov BB, Sorokina IV. Hormones and Vessels: Pros and Cons. Doctor.Ru. 2020;19(6):85–90. doi: 10.31550/1727-2378-2020-19-6-85-90

[32]

Кузнецов М.Р., Папышева О.В., Орлов Б.Б., Сорокина И.В. Гормоны и сосуды: pro et contra // Доктор.Ру. 2020. Т. 19, № 6. С. 85–90. doi: 10.31550/1727-2378-2020-19-6-85-90

[33]

Jessen F. Pharmacological prevention of cognitive decline and dementia // Bundesges und heitsblatt Gesundheits for schung Gesundheits schutz. 2020;63(5):506–511. (In German). doi: 10.1007/s00103-020-03120-z

[34]

Jessen F. Pharmacological prevention of cognitive decline and dementia // Bundesges und heitsblatt Gesundheits for schung Gesundheits schutz. 2020. Vol. 63, N. 5. P. 506–511. (In German). doi: 10.1007/s00103-020-03120-z

[35]

Saleh RNM, Hornberger M, Ritchie CW, Minihane AM. Hormone replacement therapy is associated with improved cognition and larger brain volumes in at-risk APOE4 women: results from the European Prevention of Alzheimer’s Disease (EPAD) cohort. Alzheimers Res Ther. 2023;15(1):10. doi: 10.1186/s13195-022-01121-5

[36]

Saleh R.N.M., Hornberger M., Ritchie C.W., Minihane A.M. Hormone replacement therapy is associated with improved cognition and larger brain volumes in at-risk APOE4 women: results from the European Prevention of Alzheimer’s Disease (EPAD) cohort // Alzheimers Res Ther. 2023. Vol. 15, N. 1. P. 10. doi: 10.1186/s13195-022-01121-5

[37]

Stefanowski B, Kucharski M, Szeliga A, et al. Cognitive decline and dementia in women after menopause: Prevention strategies. Maturitas. 2023;168:53–61. doi: 10.1016/j.maturitas.2022.10.012

[38]

Stefanowski B., Kucharski M., Szeliga A., et al. Cognitive decline and dementia in women after menopause: Prevention strategies // Maturitas. 2023. Vol. 168. P. 53–61. doi: 10.1016/j.maturitas.2022.10.012

[39]

Koire A, Joffe H, Buckley R. Menopausal Hormone Therapy and the Mind: The Role of Hormone Replacement in the Prevention and Treatment of Cognitive Decline, Dementia, and Cognitive Dysfunction of Depression. Harv Rev Psychiatry. 2022;30(4):215–225. doi: 10.1097/HRP.0000000000000339

[40]

Koire A., Joffe H., Buckley R. Menopausal Hormone Therapy and the Mind: The Role of Hormone Replacement in the Prevention and Treatment of Cognitive Decline, Dementia, and Cognitive Dysfunction of Depression // Harv Rev Psychiatry. 2022. Vol. 30, N. 4. P. 215–225. doi: 10.1097/HRP.0000000000000339

[41]

Schupf N, Lee JH, Pang D, et al. Epidemiology of estrogen and dementia in women with Down syndrome. Free Radic Biol Med. 2018;114:62–68. doi: 10.1016/j.freeradbiomed.2017.08.019

[42]

Schupf N., Lee J.H., Pang D., et al. Epidemiology of estrogen and dementia in women with Down syndrome // Free Radic Biol Med. 2018. Vol. 114. P. 62–68. doi: 10.1016/j.freeradbiomed.2017.08.019

[43]

Mills ZB, Faull RLM, Kwakowsky A. Is Hormone Replacement Therapy a Risk Factor or a Therapeutic Option for Alzheimer’s Disease? Int J Mol Sci. 2023;24(4):3205. doi: 10.3390/ijms24043205

[44]

Mills Z.B., Faull R.L.M., Kwakowsky A. Is Hormone Replacement Therapy a Risk Factor or a Therapeutic Option for Alzheimer’s Disease? // Int J Mol Sci. 2023. Vol. 24, N. 4. P. 3205. doi: 10.3390/ijms24043205

[45]

Demographic Yearbook of Russia. 2023. (Statistical collection, Rosstat) [Internet]. Moscow: Federal State Statistics Service; 2023. (In Russ). [cited 2023 Oct 9]. Available from:

[46]

Демографический ежегодник России. 2023. (Статистический сборник, Росстат). [Internet]. Mосква : Федеральная служба государственной статистики, 2023. Дата обращения: 10.09.2023. Доступ по ссылке: https://rosstat.gov.ru/folder/12781

[47]

https://rosstat.gov.ru/folder/12781

[48]

Улумбекова Г.Э., Худова И.Ю. Оценка демографического, социального и экономического эффекта при приёме менопаузальной гормональной терапии // Высшая школа организации и управления здравоохранением ― Комплексный медицинский консалтинг (ВШОУЗ–КМК). 2020. Т. 6, № 4. С. 23–53. doi: 10.24411/2411-8621-2020-14002

[49]

Ulumbekova GE, Khudova IYu. Demographic, social and economic effects of menopause hormonal therapy. Graduate School of Healthcare Organization and Management ― Complex Medical Consulting (VSHOUZ–KMK). 2020;6(4):23–53. doi: 10.24411/2411-8621-2020-14002

[50]

Marjoribanks J., Farquhar C., Roberts H., Lethaby A., Lee J. Long-term hormone therapy for perimenopausal and postmenopausal women // Cochrane Database Syst Rev. 2017. Vol. 1, N. 1. P. CD004143. doi: 10.1002/14651858.CD004143.pub5

[51]

Marjoribanks J, Farquhar C, Roberts H, Lethaby A, Lee J. Long-term hormone therapy for perimenopausal and postmenopausal women. Cochrane Database Syst Rev. 2017;1(1):CD004143. doi: 10.1002/14651858.CD004143.pub5

[52]

Shang Y. Does Hormone Replacement Therapy Increase Women’s Risk of Dementia? // Neurology. 2022. Vol. 99, N. 17. P. e1954–e1956. doi: 10.1212/WNL.0000000000201390

[53]

Shang Y. Does Hormone Replacement Therapy Increase Women’s Risk of Dementia? Neurology. 2022;99(17):e1954–e1956. doi: 10.1212/WNL.0000000000201390

[54]

Shumaker S.A., Legault C., Kuller L., et al. Conjugated equine estrogens and incidence of probable dementia and mild cognitive impairment in postmenopausal women: Women’s Health Initiative Memory Study // JAMA. 2004. Vol. 291, N. 24. P. 2947–2958. doi: 10.1001/jama.291.24.2947

[55]

Shumaker SA, Legault C, Kuller L, et al. Conjugated equine estrogens and incidence of probable dementia and mild cognitive impairment in postmenopausal women: Women’s Health Initiative Memory Study. JAMA. 2004;291(24):2947–2958. doi: 10.1001/jama.291.24.2947

[56]

Sung Y.F., Tsai C.T., Kuo C.Y., et al. Use of Hormone Replacement Therapy and Risk of Dementia: A Nationwide Cohort Study // Neurology. 2022. Vol. 99, N. 17. P. e1835–e1842. doi: 10.1212/WNL.0000000000200960

[57]

Sung YF, Tsai CT, Kuo CY, et al. Use of Hormone Replacement Therapy and Risk of Dementia: A Nationwide Cohort Study. Neurology. 2022:99(17):e1835–e1842. doi: 10.1212/WNL.0000000000200960

[58]

Vinogradova Y., Dening T., Hippisley-Cox J., et al. Use of menopausal hormone therapy and risk of dementia: nested case-control studies using QResearch and CPRD databases // BMJ. 2021. Vol. 374. P. n2182. doi: 10.1136/bmj.n2182

[59]

Vinogradova Y, Dening T, Hippisley-Cox J, et al. Use of menopausal hormone therapy and risk of dementia: nested case-control studies using QResearch and CPRD databases. BMJ. 2021;374:n2182. doi: 10.1136/bmj.n2182

[60]

Cheng P.F., Chen J.J., Zhou X.Y., et al. Do soy isoflavones improve cognitive function in postmenopausal women? A meta-analysis // Menopause. 2015. Vol. 22, N. 2. P. 198–206. doi: 10.1097/GME.0000000000000290

[61]

Cheng PF, Chen JJ, Zhou XY, et al. Do soy isoflavones improve cognitive function in postmenopausal women? A meta-analysis. Menopause. 2015;22(2):198–206. doi: 10.1097/GME.0000000000000290

[62]

Kritz-Silverstein D., Von Mühlen D., Barrett-Connor E., Bressel M.A. Isoflavones and cognitive function in older women: the SOy and Postmenopausal Health In Aging (SOPHIA) Study // Menopause. 2003. Vol. 10, N. 3. P. 196–202. doi: 10.1097/00042192-200310030-00004

[63]

Kritz-Silverstein D, Von Mühlen D, Barrett-Connor E, Bressel MA. Isoflavones and cognitive function in older women: the SOy and Postmenopausal Health In Aging (SOPHIA) Study. Menopause. 2003;10(3):196–202. doi: 10.1097/00042192-200310030-00004

[64]

Domańska A., Orzechowski A., Litwiniuk A., et al. The Beneficial Role of Natural Endocrine Disruptors: Phytoestrogens in Alzheimer’s Disease // Oxid Med Cell Longev. 2021. Vol. 2021. P. 3961445. doi: 10.1155/2021/3961445

[65]

Domańska A, Orzechowski A, Litwiniuk A, et al. The Beneficial Role of Natural Endocrine Disruptors: Phytoestrogens in Alzheimer’s Disease. Oxid Med Cell Longev. 2021;2021:3961445. doi: 10.1155/2021/3961445

[66]

Stute P., Wienges J., Koller A.S., et al. Cognitive health after menopause: Does menopausal hormone therapy affect it? // Best Pract Res Clin Endocrinol Metab. 2021. Vol. 35, N. 6. P. 101565. doi: 10.1016/j.beem.2021.101565

[67]

Stute P, Wienges J, Koller AS, et al. Cognitive health after menopause: Does menopausal hormone therapy affect it? Best Pract Res Clin Endocrinol Metab. 2021;35(6):101565. doi: 10.1016/j.beem.2021.101565

[68]

Bagit A., Hayward G.C., MacPherson R.E.K. Exercise and estrogen: common pathways in Alzheimer’s disease pathology // Am J Physiol Endocrinol Metab. 2021. Vol. 321, N. 1. P. E164–E168. doi: 10.1152/ajpendo.00008.2021

[69]

Bagit A, Hayward GC, MacPherson REK. Exercise and estrogen: common pathways in Alzheimer’s disease pathology. Am J Physiol Endocrinol Metab. 2021;321(1):E164–E168. doi: 10.1152/ajpendo.00008.2021

[70]

Scheyer O., Rahman A., Hristov H., et al. Female Sex and Alzheimer’s Risk: The Menopause Connection // J Prev Alzheimers Dis. 2018. Vol. 5, N. 4. P. 225–230. doi: 10.14283/jpad.2018.34

[71]

Scheyer O, Rahman A, Hristov H, et al. Female Sex and Alzheimer’s Risk: The Menopause Connection. J Prev Alzheimers Dis. 2018;5(4):225–230. doi: 10.14283/jpad.2018.34

[72]

Savolainen-Peltonen H., Rahkola-Soisalo P., Hoti F., et al. Use of postmenopausal hormone therapy and risk of Alzheimer’s disease in Finland: nationwide case-control study // BMJ. 2019. Vol. 364. P. l665. doi: 10.1136/bmj.l665

[73]

Savolainen-Peltonen H, Rahkola-Soisalo P, Hoti F, et al. Use of postmenopausal hormone therapy and risk of Alzheimer’s disease in Finland: nationwide case-control study. BMJ. 2019;364:l665. doi: 10.1136/bmj.l665

[74]

Chávez-Pérez C., Ceballos-Ramírez A., Suárez-Castro A. Efectos del uso del 17β-estradiol y la genisteína en la enfermedad de Alzheimer en mujeres con menopausia // Rev Esp Geriatr Gerontol. 2021. Vol. 56, N. 4. P. 236–240. (In Spanish). doi: 10.1016/j.regg.2021.04.005

[75]

Chávez-Pérez C, Ceballos-Ramírez A, Suárez-Castro A. Efectos del uso del 17β-estradiol y la genisteína en la enfermedad de Alzheimer en mujeres con menopausia. Rev Esp Geriatr Gerontol. 2021;56(4):236–240. (In Spanish). doi: 10.1016/j.regg.2021.04.005

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