[Neuroendocrinological aspects of aging]. 1994

A Vermeulen
Afdeling Endocrinologie, Universitair Ziekenhuis, Universiteit Gent.

Aging is accompanied by important changes in the production and secretion of hormones. These partly arise from changes in the peripheral endocrine glands themselves but are also partly the consequence of changes in the neuro-endocrine regulating centers of the hormone secretion. Considering e.g. the male gonads, we know that the reduced androgen secretion (and the diminished spermatogenesis) along the ageing process is the consequence of changes in the testes, such as the reduced number of Leydig- and Sertoli-cells, as well as a reduced testicular blood-perfusion. But on the other hand, it should also be partly ascribed to functional changes of the hypothalamohypophysis. This appears from the lowered circadian rhythms of the testosterone levels, the lower plasma levels of free testosterone, although the secretion capacity of the Leydig-cells and the gonadotrophs is maintained. This points to a lower feed-back set-point of the gonadostat. Moreover the amplitude of the LH impulses and the lower opioid tonus are decreased in elderly men. In aged people, the secretion of the adrenal cortex is essentially characterized by an age-related drop of the androgen secretion (DHEAS) and a lower androgens-response to ACTH. This demonstrates changes in the adrenal gland itself. On the other hand, the secretion of cortisol and the production rates of this hormone remain rather stable, although the feedback centre is less sensitive in old lab-animals. This is suggested by a longer lasting and higher cortisol secretion after stress. According to Sapolsky, this is the consequence of a drop in the number of corticoid receptors in the hippocampus, following a loss of neurons, which would be the result of repeated stress. This progressive deterioration of the feed-back locus by the final hormone is also called: "neurohumoral hysteresis". Signs of its existence in aged people can only be found in pathological cases, such as depression or Alzheimer's disease. The secretion of growth hormone, and its plasma levels, as well as their response to "Growth hormone releasing hormone" (GHRH) is severely reduced in old people. This does not appear to be the consequence of the decreased number of somatotropic cells in aged people but seems to be caused by an increased somatostatin secretion by the hypothalamus. It means that this reduced growth hormone secretion has mainly a central origin.(ABSTRACT TRUNCATED AT 400 WORDS)

UI MeSH Term Description Entries
D007030 Hypothalamo-Hypophyseal System A collection of NEURONS, tracts of NERVE FIBERS, endocrine tissue, and blood vessels in the HYPOTHALAMUS and the PITUITARY GLAND. This hypothalamo-hypophyseal portal circulation provides the mechanism for hypothalamic neuroendocrine (HYPOTHALAMIC HORMONES) regulation of pituitary function and the release of various PITUITARY HORMONES into the systemic circulation to maintain HOMEOSTASIS. Hypothalamic Hypophyseal System,Hypothalamo-Pituitary-Adrenal Axis,Hypophyseal Portal System,Hypothalamic-Pituitary Unit,Hypothalamic Hypophyseal Systems,Hypothalamic Pituitary Unit,Hypothalamo Hypophyseal System,Hypothalamo Pituitary Adrenal Axis,Portal System, Hypophyseal
D008297 Male Males
D009490 Neurosecretory Systems A system of NEURONS that has the specialized function to produce and secrete HORMONES, and that constitutes, in whole or in part, an ENDOCRINE SYSTEM or organ. Neuroendocrine System,Neuroendocrine Systems,Neurosecretory System,System, Neuroendocrine,System, Neurosecretory,Systems, Neuroendocrine,Systems, Neurosecretory
D010913 Pituitary-Adrenal System The interactions between the anterior pituitary and adrenal glands, in which corticotropin (ACTH) stimulates the adrenal cortex and adrenal cortical hormones suppress the production of corticotropin by the anterior pituitary. Pituitary Adrenal System,Pituitary-Adrenal Systems,System, Pituitary-Adrenal,Systems, Pituitary-Adrenal
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000305 Adrenal Cortex Hormones HORMONES produced by the ADRENAL CORTEX, including both steroid and peptide hormones. The major hormones produced are HYDROCORTISONE and ALDOSTERONE. Adrenal Cortex Hormone,Corticoid,Corticoids,Corticosteroid,Corticosteroids,Cortex Hormone, Adrenal,Hormone, Adrenal Cortex,Hormones, Adrenal Cortex
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000375 Aging The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time. Senescence,Aging, Biological,Biological Aging
D000728 Androgens Compounds that interact with ANDROGEN RECEPTORS in target tissues to bring about the effects similar to those of TESTOSTERONE. Depending on the target tissues, androgenic effects can be on SEX DIFFERENTIATION; male reproductive organs, SPERMATOGENESIS; secondary male SEX CHARACTERISTICS; LIBIDO; development of muscle mass, strength, and power. Androgen,Androgen Receptor Agonist,Androgen Effect,Androgen Effects,Androgen Receptor Agonists,Androgenic Agents,Androgenic Compounds,Agents, Androgenic,Agonist, Androgen Receptor,Agonists, Androgen Receptor,Compounds, Androgenic,Effect, Androgen,Effects, Androgen,Receptor Agonist, Androgen,Receptor Agonists, Androgen

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