What is it about?

The main stream of Alzheimer disease (AD) research has not paid sufficient attention on the causative role of luteinizing hormone (LH) in the AD development in elderly women. This hormone progressively increases with age and stay elevated for decades in these women. Although many details are still missing, there is now an indisputable evidence for a direct as well as an indirect role for LH in the pathogenesis of AD. Realization of this truth can potentially bring new therapeutic possibilities.

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Why is it important?

There are many current therapies and many more are in the pipeline. The search for new ones continues. The therapies based on decreasing LH levels and/or blocking its actions in the brain centers involved in AD and peripheral organs will have a place in therapeutic armamentarium.

Perspectives

Considerable amount of time and resources have been spent testing the hypothesis that estrogen deficiency is responsible for the AD development in elderly women. This hypothesis could not be validated because estrogen replacement therapy do not prevent either the cognitive decline or reduce the AD risk. These findings led to changing the focus to LH and explore the therapeutic benefits of decreasing its levels and/or blocking its actions. Other underlying risk factors such as, family history, life style factors, obesity, diabetes etc, are necessary for LH to induce the disease because not all elderly women, who have elevated LH levels, will develop the AD. LH may also have a causative role in the AD development in elderly men, as they also have an age dependent progressive increase and sustained elevation (perhaps less so than in elderly women) of LH levels.

CV Rao
Florida International University

Read the Original

This page is a summary of: Involvement of Luteinizing Hormone in Alzheimer Disease Development in Elderly Women, Reproductive Sciences, July 2016, SAGE Publications,
DOI: 10.1177/1933719116658705.
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