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Testosterone may reduce production of Alzheimer's protein

NEW YORK, Jan 31 (Reuters Health) -- Could testosterone supplements help prevent Alzheimer's disease? It is possible, according to results of a new study in which researchers exposed nerve cells to the male hormone.

In the presence of testosterone, nerve cells collected from rats and mice tended to produce a harmless or beneficial form of beta-amyloid protein rather than the form that makes up plaques in the brains of Alzheimer's disease patients.

"The testosterone directs the metabolism so that much more goes to the good pathway and much less to the bad pathway," study co-author Dr. Paul Greengard said in an interview with Reuters Health. "In other words, you get much less beta-amyloid peptide and you get more of this secretory beta-amyloid precursor protein, which is considered by most people to be beneficial for the health of the nerve cells," he added.

Greengard, of The Rockefeller University in New York, and colleagues published their findings in the February 1st issue of Proceedings of the National Academy of Sciences.

While the findings do not necessarily apply to the treatment of humans -- the brain being a much more complex system than a laboratory culture dish -- the new findings suggest that testosterone may be helpful in preventing Alzheimer's disease, according to the report.

Some studies have indicated that women who take estrogen replacement therapy after menopause have a lower risk of the memory-robbing disorder. And Greengard and colleagues have also shown previously that estrogen has a similar effect on nerve cells from humans and animals.

"In older men and in older women, there's a decrease in the level of testosterone, so the thought is that one might do some trials of testosterone in aging men to see whether it would reduce the incidence of Alzheimer's disease as estrogen appears to do in women," Greengard said.

"In addition, since women need both estrogen and testosterone, instead of just using estrogen in the treatment of postmenopausal women, the thought is to try to combine estrogen and testosterone," he added.

However, the authors caution that testosterone treatment is not without risks. "These possible benefits must be weighed against potential deleterious effects of testosterone, including the development of prostate cancer in men and endometrial cancer in women," they write.


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