Reproductive endocrinology

Endogenous Estrogens and Brain Activation During Verbal Memory Encoding and Recognition in the Postmenopause

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

The function of brain areas critical to memory performance varies with estrogen levels in the postmenopause, even though those levels are low. Higher levels of E2 may facilitate memory performance through enhanced function of temporal and frontal cortices during encoding of verbal material.

Study context

Population
Postmenopausal women in the MsBrain cohort; mean age 59.3 ± 3.9 years, 83.9% White
Participants
199 women
Outcome
Associations of serum E2 and E1 (LC-MS/MS) with brain activation during an fMRI verbal memory task of word encoding and recognition
Methodological detailsFunctional magnetic resonance imaging (fMRI), MsBrain cohort
  • fMRI
  • MsBrain cohort

Main finding

As reported in the abstract

Brain activation during verbal memory fMRI task
E2 positively associated with activation in temporal and frontal cortices during encoding and negatively with one prefrontal region during recognition
P < .05
E1 positively associated with activation in a range of brain areas incl. bilateral superior temporal gyrus (STG) and right superior frontal gyrus during encoding
P < .05

Observational data: associations, not effects.

Further findings

E2-related activation regions vs memory and affect

Left inferior frontal gyrus activation and memory performance, β [SE]
0.004 [0.002]; P < .05
Left inferior frontal gyrus activation and anxiety, β [SE]
−0.100 [0.050]; P < .05
Left middle frontal gyrus activation and memory performance, β [SE]
0.006 [0.002]; P < .01
Left STG activation and depression, β [SE]
−0.083 [0.036]; P < .05
Left STG activation and anxiety, β [SE]
−0.134 [0.058]; P < .05
Left middle frontal gyrus activation also associated with depression and anxiety

E1-related activation regions vs memory and affect

Left insula and precentral gyrus activation associated with symptoms of depression and anxiety; none related to memory

Original publication

Endogenous Estrogens and Brain Activation During Verbal Memory Encoding and Recognition in the Postmenopause. J Clin Endocrinol Metab. Published 19 July 2024. doi:10.1210/clinem/dgae467

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