Unveiling FOXO3's metabolic contribution to menopause and Alzheimer's disease

The increasing prevalence of Alzheimer's disease (AD) calls for a comprehensive exploration of its complex etiology, with a focus on sex-specific vulnerability, particularly the heightened susceptibility observed in postmenopausal women. Neurometabolic alterations during the endocrine transitio...

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Main Authors: Christopher O'Mahony, Oscar Hidalgo-Lanussa, George E. Barreto
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Experimental Gerontology
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Online Access:http://www.sciencedirect.com/science/article/pii/S0531556525000075
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author Christopher O'Mahony
Oscar Hidalgo-Lanussa
George E. Barreto
author_facet Christopher O'Mahony
Oscar Hidalgo-Lanussa
George E. Barreto
author_sort Christopher O'Mahony
collection DOAJ
description The increasing prevalence of Alzheimer's disease (AD) calls for a comprehensive exploration of its complex etiology, with a focus on sex-specific vulnerability, particularly the heightened susceptibility observed in postmenopausal women. Neurometabolic alterations during the endocrine transition emerge as early indicators of AD pathology, including reduced glucose metabolism and increased amyloid-beta (Aβ) deposition. The fluctuating endocrine environment, marked by declining estradiol levels and reduced estrogen receptor beta (ERβ) activity, further exacerbates this process. In this context, here we explore the potential of forkhead box O3 (FOXO3) as a critical mediator linking metabolic disturbances to hormonal decline. We propose that FOXO3 plays a key role in the intersection of menopause and AD, given its dysregulation in both AD patients and postmenopausal women, modulating cellular metabolism through interactions with the AMPK/AKT/PI3K pathways. This relationship highlights the intersection between hormonal changes and increased AD susceptibility. This review aims to open a discussion on FOXO3's contribution to the metabolic dysregulation seen in menopause and its impact on the progression of AD. Understanding the functional role of FOXO3 in menopause-associated metabolic changes could lead to targeted therapeutic strategies, offering novel insights for managing for this condition.
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spelling doaj-art-dede5824c82c4514a793f30d6634bd5c2025-01-31T05:10:08ZengElsevierExperimental Gerontology1873-68152025-02-01200112679Unveiling FOXO3's metabolic contribution to menopause and Alzheimer's diseaseChristopher O'Mahony0Oscar Hidalgo-Lanussa1George E. Barreto2Department of Biological Sciences, University of Limerick, Limerick V94 T9PX, IrelandDepartment of Biological Sciences, University of Limerick, Limerick V94 T9PX, IrelandCorresponding author.; Department of Biological Sciences, University of Limerick, Limerick V94 T9PX, IrelandThe increasing prevalence of Alzheimer's disease (AD) calls for a comprehensive exploration of its complex etiology, with a focus on sex-specific vulnerability, particularly the heightened susceptibility observed in postmenopausal women. Neurometabolic alterations during the endocrine transition emerge as early indicators of AD pathology, including reduced glucose metabolism and increased amyloid-beta (Aβ) deposition. The fluctuating endocrine environment, marked by declining estradiol levels and reduced estrogen receptor beta (ERβ) activity, further exacerbates this process. In this context, here we explore the potential of forkhead box O3 (FOXO3) as a critical mediator linking metabolic disturbances to hormonal decline. We propose that FOXO3 plays a key role in the intersection of menopause and AD, given its dysregulation in both AD patients and postmenopausal women, modulating cellular metabolism through interactions with the AMPK/AKT/PI3K pathways. This relationship highlights the intersection between hormonal changes and increased AD susceptibility. This review aims to open a discussion on FOXO3's contribution to the metabolic dysregulation seen in menopause and its impact on the progression of AD. Understanding the functional role of FOXO3 in menopause-associated metabolic changes could lead to targeted therapeutic strategies, offering novel insights for managing for this condition.http://www.sciencedirect.com/science/article/pii/S0531556525000075Alzheimer's diseaseMenopauseGonadal hormonesSteroid hormonesMitochondriaFOXO3
spellingShingle Christopher O'Mahony
Oscar Hidalgo-Lanussa
George E. Barreto
Unveiling FOXO3's metabolic contribution to menopause and Alzheimer's disease
Experimental Gerontology
Alzheimer's disease
Menopause
Gonadal hormones
Steroid hormones
Mitochondria
FOXO3
title Unveiling FOXO3's metabolic contribution to menopause and Alzheimer's disease
title_full Unveiling FOXO3's metabolic contribution to menopause and Alzheimer's disease
title_fullStr Unveiling FOXO3's metabolic contribution to menopause and Alzheimer's disease
title_full_unstemmed Unveiling FOXO3's metabolic contribution to menopause and Alzheimer's disease
title_short Unveiling FOXO3's metabolic contribution to menopause and Alzheimer's disease
title_sort unveiling foxo3 s metabolic contribution to menopause and alzheimer s disease
topic Alzheimer's disease
Menopause
Gonadal hormones
Steroid hormones
Mitochondria
FOXO3
url http://www.sciencedirect.com/science/article/pii/S0531556525000075
work_keys_str_mv AT christopheromahony unveilingfoxo3smetaboliccontributiontomenopauseandalzheimersdisease
AT oscarhidalgolanussa unveilingfoxo3smetaboliccontributiontomenopauseandalzheimersdisease
AT georgeebarreto unveilingfoxo3smetaboliccontributiontomenopauseandalzheimersdisease