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Testosterone’s role in modulating human behaviors relevant to mating and parenting 睾丸素在调节人类交配和养育行为中的作用
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-11-14 DOI: 10.1016/j.yfrne.2023.101112
Francesca R. Luberti, Justin M. Carré

Testosterone (T) is linked to human mating and parenting. Here, we comprehensively reviewed evidence on whether, in men and women, (1) basal T levels are related to mating and parenting behaviors, (2) T responds to reproduction-relevant cues, (3) acute changes in T map onto subsequent mating and parenting behaviors, and (4) single-dose exogenous T administration causally affects mating and parenting behaviors. We examined whether the available evidence supports trade-off interpretations of T’s adaptive function whereby high T levels correspond to greater mating/reproductive effort and competition and low T levels to greater parenting effort and nurturance. We found mixed support for trade-off hypotheses, suggesting that T’s function in modulating human mating and parenting might be more nuanced and highly dependent on context and individual trait differences. Results were largely similar for men and women, although studies with women were scarcer than those with men for most behaviors we reviewed.

睾酮(T)与人类交配和养育子女有关。在这里,我们全面回顾了男性和女性的证据,1)基础T水平是否与交配和育儿行为有关,2)T对生殖相关线索作出反应,3)T的急性变化映射到随后的交配和育儿行为,以及4)单剂量外源性T给药是否会影响交配和育儿行为。我们研究了现有证据是否支持T适应功能的权衡解释,即高T水平对应更大的交配/繁殖努力和竞争,低T水平对应更大的养育努力和养育。我们发现了对权衡假设的混合支持,这表明T在调节人类交配和养育子女方面的功能可能更加微妙,并且高度依赖于环境和个体特征差异。男性和女性的结果基本相似,尽管在我们回顾的大多数行为中,针对女性的研究比针对男性的少。
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引用次数: 0
Sex and gender in health research: Intersectionality matters 健康研究中的性与性别:交叉性问题
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-30 DOI: 10.1016/j.yfrne.2023.101104
Sivaniya Subramaniapillai , Liisa A.M. Galea , Gillian Einstein , Ann-Marie G. de Lange

Research policies aiming to integrate sex and gender in scientific studies are receiving increased attention in academia. Incorporating these policies into health research is essential for improving targeted and equitable healthcare outcomes, by considering both disparities and similarities between individuals relating to sex and gender. Although these efforts are both urgent and critical, only an intersectional approach, which considers broad and multidimensional aspects of an individual's identity, can provide a complete understanding of the factors that impact health. In this commentary, we emphasize that in order to approach health equity, it is crucial to examine how sex and gender intersect with factors such as culture, ethnicity, minority status, and socioeconomic conditions to influence health outcomes. To facilitate evidence-based health interventions with tangible impact, we must consider disparities linked to both biological and environmental factors.

旨在将性和性别纳入科学研究的研究政策越来越受到学术界的关注。将这些政策纳入健康研究,对于通过考虑个体之间在性和性别方面的差异和相似性来改善有针对性的、公平的医疗保健结果至关重要。尽管这些努力既紧迫又关键,但只有采用交叉的方法,即考虑个人身份的广泛和多维方面,才能全面了解影响健康的因素。在这篇评论中,我们强调,为了实现健康公平,关键是要研究性和性别如何与文化、种族、少数民族地位和社会经济条件等因素相互交织,从而影响健康结果。为了促进以证据为基础的健康干预措施产生切实影响,我们必须考虑与生物和环境因素相关的差异。
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引用次数: 0
Neuroestradiol and neuronal development: Not an exclusive male tale anymore 神经雌二醇和神经元发育:不再是男性独有的故事
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-01 DOI: 10.1016/j.yfrne.2023.101102
Luis M. Garcia-Segura , Pablo Méndez , M. Angeles Arevalo , Iñigo Azcoitia

The brain synthesizes a variety of neurosteroids, including neuroestradiol. Inhibition of neuroestradiol synthesis results in alterations in basic neurodevelopmental processes, such as neurogenesis, neuroblast migration, neuritogenesis and synaptogenesis. Although the neurodevelopmental actions of neuroestradiol are exerted in both sexes, some of them are sex-specific, such as the well characterized effects of neuroestradiol derived from the metabolism of testicular testosterone during critical periods of male brain development. In addition, recent findings have shown sex-specific actions of neuroestradiol on neuroblast migration, neuritic growth and synaptogenesis in females. Among other factors, the epigenetic regulation exerted by X linked genes, such as Kdm6a/Utx, may determine sex-specific actions of neuroestradiol in the female brain. This review evidences the impact of neuroestradiol on brain formation in both sexes and highlights the interaction of neural steriodogenesis, hormones and sex chromosomes in sex-specific brain development.

大脑合成了多种神经类固醇,包括神经雌二醇。神经雌二醇合成的抑制导致基本神经发育过程的改变,如神经发生、神经母细胞迁移、神经炎发生和突触发生。尽管神经雌二醇的神经发育作用在两性中都有,但其中一些是性别特异性的,例如在男性大脑发育的关键时期,源自睾丸睾酮代谢的神经雌二醇具有良好的特征性作用。此外,最近的研究结果表明,神经雌二醇对女性神经母细胞迁移、神经炎生长和突触发生具有性别特异性作用。在其他因素中,由X连锁基因(如Kdm6a/Utx)施加的表观遗传学调控可能决定神经雌二醇在女性大脑中的性别特异性作用。这篇综述证明了神经雌二醇对两性大脑形成的影响,并强调了神经空间生成、激素和性染色体在性别特异性大脑发育中的相互作用。
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引用次数: 0
Steroid-dependent plasticity in the song control system: Perineuronal nets and HVC neurogenesis 歌曲控制系统中类固醇依赖性可塑性:神经元周围网络和HVC神经发生
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-01 DOI: 10.1016/j.yfrne.2023.101097
Jacques Balthazart

The vocal control nucleus HVC in songbirds has emerged as a widespread model system to study adult brain plasticity in response to changes in the hormonal and social environment. I review here studies completed in my laboratory during the last decade that concern two aspects of this plasticity: changes in aggregations of extracellular matrix components surrounding the soma of inhibitory parvalbumin-positive neurons called perineuronal nets (PNN) and the production/incorporation of new neurons. Both features are modulated by the season, age, sex and endocrine status of the birds in correlation with changes in song structure and stability. Causal studies have also investigated the role of PNN and of new neurons in the control of song. Dissolving PNN with chondroitinase sulfate, a specific enzyme applied directly on HVC or depletion of new neurons by focalized X-ray irradiation both affected song structure but the amplitude of changes was limited and deserves further investigations.

鸣禽的发声控制核HVC已成为一个广泛的模型系统,用于研究成年大脑对激素和社会环境变化的可塑性。我在这里回顾了我的实验室在过去十年中完成的研究,这些研究涉及这种可塑性的两个方面:被称为会阴网(PNN)的抑制性细小白蛋白阳性神经元胞体周围细胞外基质成分聚集的变化,以及新神经元的产生/结合。这两种特征都受到季节、年龄、性别和鸟类内分泌状况的调节,与歌声结构和稳定性的变化有关。因果关系研究还调查了PNN和新神经元在控制歌曲中的作用。用硫酸软骨素酶溶解PNN(一种直接应用于HVC的特异性酶)或通过聚焦X射线照射消耗新神经元都会影响歌曲结构,但变化幅度有限,值得进一步研究。
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引用次数: 0
Interaction of gonadal hormones, dopaminergic system, and epigenetic regulation in the generation of sex differences in substance use disorders: A systematic review 性腺激素、多巴胺能系统和表观遗传调控在物质使用障碍性别差异产生中的相互作用:系统综述
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-01 DOI: 10.1016/j.yfrne.2023.101085
Raquel Santos-Toscano , Maria Angeles Arevalo , Luis Miguel Garcia-Segura , Daniela Grassi , Natalia Lagunas

Substance use disorder (SUD) is a chronic condition characterized by pathological drug-taking and seeking behaviors. Remarkably different between males and females, suggesting that drug addiction is a sexually differentiated disorder. The neurobiological bases of sex differences in SUD include sex-specific reward system activation, influenced by interactions between gonadal hormone level changes, dopaminergic reward circuits, and epigenetic modifications of key reward system genes. This systematic review, adhering to PICOS and PRISMA-P 2015 guidelines, highlights the sex-dependent roles of estrogens, progesterone, and testosterone in SUD. In particular, estradiol elevates and progesterone reduces dopaminergic activity in SUD females, whilst testosterone and progesterone augment SUD behavior in males. Finally, SUD is associated with a sex-specific increase in the rate of opioid and monoaminergic gene methylation. The study reveals the need for detailed research on gonadal hormone levels, dopaminergic or reward system activity, and epigenetic landscapes in both sexes for efficient SUD therapy development.

物质使用障碍(SUD)是一种以病理性服药和寻求行为为特征的慢性疾病。男性和女性之间存在显著差异,这表明毒瘾是一种性别分化障碍。SUD性别差异的神经生物学基础包括性别特异性奖励系统激活,受性腺激素水平变化、多巴胺能奖励回路和关键奖励系统基因表观遗传修饰之间相互作用的影响。这篇系统综述遵循PICOS和PRISMA-P 2015指南,强调了雌激素、孕酮和睾酮在SUD中的性别依赖性作用。特别是,雌二醇升高和孕酮降低SUD女性的多巴胺能活性,而睾酮和孕酮增强男性的SUD行为。最后,SUD与阿片类药物和单胺能基因甲基化率的性别特异性增加有关。这项研究表明,需要对两性的性腺激素水平、多巴胺能或奖赏系统活性以及表观遗传学景观进行详细研究,以开发有效的SUD疗法。
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引用次数: 0
Focus on fentanyl in females: Sex and gender differences in the physiological and behavioral effects of fentanyl 芬太尼在女性中的作用:芬太尼生理和行为效应的性别差异
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-01 DOI: 10.1016/j.yfrne.2023.101096
Kaitlyn M. Little, Therese A Kosten

The prevalence of opioid use disorder and overdose continues to harm the U.S. population and is further exacerbated by the use of the synthetic opioid, fentanyl, and its analogs. Gender differences in the effects of fentanyl are not well understood. The present article reviews evidence for gender and sex differences in the physiological and behavioral effects of fentanyl in humans and animals. Biological sex seems to be a foundational driver in addiction vulnerability and affects mechanisms related to opioid use including fentanyl. Fentanyl has distinct pharmacodynamics and enhanced efficacy relative to other opioids that highlights the need to investigate how females may be uniquely altered by its use. Behavioral and physiological responses to fentanyl are found to differ by sex and gender in many cases, including outputs like affective symptoms, analgesia, tolerance, and withdrawal emphasizing the need for further research about the role of biological sex on fentanyl use.

阿片类药物使用障碍和过量的流行率继续危害美国人口,合成阿片类物质芬太尼及其类似物的使用进一步加剧了这种情况。芬太尼作用的性别差异尚不清楚。本文综述了芬太尼对人类和动物生理和行为影响的性别和性别差异证据。生物性行为似乎是成瘾脆弱性的基本驱动因素,并影响包括芬太尼在内的阿片类药物使用相关机制。相对于其他阿片类药物,芬太尼具有独特的药效学和增强的疗效,这突出了研究女性如何因其使用而发生独特变化的必要性。在许多情况下,对芬太尼的行为和生理反应因性别和性别而异,包括情感症状、镇痛、耐受和戒断等输出,强调需要进一步研究生物性别对芬太尼使用的作用。
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引用次数: 1
The interaction of genetic sex and prenatal alcohol exposure on health across the lifespan 遗传性行为和产前饮酒对整个生命周期健康的影响。
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-01 DOI: 10.1016/j.yfrne.2023.101103
Shameena Bake , Siara K. Rouzer , Shruti Mavuri, Rajesh C. Miranda, Amanda H. Mahnke

Prenatal alcohol exposure (PAE) can reprogram the development of cells and tissues, resulting in a spectrum of physical and neurobehavioral teratology. PAE immediately impacts fetal growth, but its effects carry forward post-parturition, into adolescence and adulthood, and can result in a cluster of disabilities, collectively termed Fetal Alcohol Spectrum Disorders. Emerging preclinical and clinical research investigating neurological and behavioral outcomes in exposed offspring point to genetic sex as an important modifier of the effects of PAE. In this review, we discuss the literature on sex differences following PAE, with studies spanning the fetal period through adulthood, and highlight gaps in research where sex differences are likely, but currently under-investigated. Understanding how sex and PAE interact to affect offspring health outcomes across the lifespan is critical for identifying the full complement of PAE-associated secondary conditions, and for refining targeted interventions to improve the quality of life for individuals with PAE.

产前酒精暴露(PAE)可以重新编程细胞和组织的发育,导致一系列生理和神经行为畸形。PAE会立即影响胎儿生长,但其影响会在分娩后延续到青春期和成年期,并可能导致一系列残疾,统称为胎儿酒精谱系障碍。新出现的研究暴露后代神经和行为结果的临床前和临床研究表明,遗传性别是PAE影响的重要调节因素。在这篇综述中,我们讨论了PAE后性别差异的文献,研究范围从胎儿期到成年期,并强调了可能存在性别差异但目前正在调查中的研究空白。了解性别和PAE如何相互作用,影响后代一生的健康结果,对于确定PAE相关继发性疾病的全部补充,以及完善有针对性的干预措施,以提高PAE患者的生活质量至关重要。
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引用次数: 0
A scoping review of hormonal clinical trials in menstrual cycle-related brain disorders: Studies in premenstrual mood disorder, menstrual migraine, and catamenial epilepsy 月经周期相关脑疾病激素临床试验的范围综述:经前情绪障碍、月经期偏头痛和月经期癫痫的研究。
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-01 DOI: 10.1016/j.yfrne.2023.101098
Jordan C. Barone , Mitchell P. Butler , Ashley Ross , Anna Patterson , Melissa Wagner-Schuman , Tory A. Eisenlohr-Moul
<div><p>Cyclic variations in hormones during the normal menstrual cycle underlie multiple central nervous system (CNS)-linked disorders, including premenstrual mood disorder (PMD), menstrual migraine (MM), and catamenial epilepsy (CE). Despite this foundational mechanistic link, these three fields operate independently of each other. In this scoping review (N = 85 studies), we survey existing human research studies in PMD, MM, and CE to outline the exogenous experimental hormone manipulation trials conducted in these fields. We examine a broad range of literature across these disorders in order to summarize existing diagnostic practices and research methods, highlight gaps in the experimental human literature, and elucidate future research opportunities within each field. While no individual treatment or study design can fit every disease, there is immense overlap in study design and established neuroendocrine-based hormone sensitivity among the menstrual cycle-related disorders PMD, MM, and CE.</p></div><div><h3>Scoping review structured summary</h3><p><em>Background.</em> The menstrual cycle can be a biological trigger of symptoms in certain brain disorders, leading to specific, menstrual cycle-linked phenomena such as premenstrual mood disorders (PMD), menstrual migraine (MM), and catamenial epilepsy (CE). Despite the overlap in chronicity and hormonal provocation, these fields have historically operated independently, without any systematic communication about methods or mechanisms.</p><p><em>Objective</em>. Online databases were used to identify articles published between 1950 and 2021 that studied hormonal manipulations in reproductive-aged females with either PMD, MM, or CE. We selected N = 85 studies that met the following criteria: 1) included a study population of females with natural menstrual cycles (e.g., not perimenopausal, pregnant, or using hormonal medications that were not the primary study variable); 2) involved an exogenous hormone manipulation; 3) involved a repeated measurement across at least two cycle phases as the primary outcome variable.</p><p><em>Charting methods.</em> After exporting online database query results, authors extracted sample size, clinical diagnosis of sample population, study design, experimental hormone manipulation, cyclical outcome measure, and results from each trial. Charting was completed manually, with two authors reviewing each trial.</p><p><em>Results.</em> Exogenous hormone manipulations have been tested as treatment options for PMD (N = 56 trials) more frequently than MM (N = 21) or CE (N = 8). Combined oral contraceptive (COC) trials, specifically those containing drospirenone as the progestin, are a well-studied area with promising results for treating both PMDD and MM. We found no trials of COCs in CE. Many trials test ovulation suppression using gonadotropin-releasing hormone agonists (GnRHa), and a <em>meta</em>-analysis supports their efficacy in PMD; GnRHa have been tested in two MM-re
正常月经周期内激素的周期性变化是多种中枢神经系统(CNS)相关疾病的基础,包括经前情绪障碍(PMD)、月经期偏头痛(MM)和月经期癫痫(CE)。尽管有这种基本的机械联系,但这三个领域相互独立地运作。在这篇范围界定综述(N=85项研究)中,我们调查了PMD、MM和CE中现有的人类研究,以概述在这些领域进行的外源性实验性激素操纵试验。我们检查了这些疾病的广泛文献,以总结现有的诊断实践和研究方法,突出实验人类文献中的空白,并阐明每个领域未来的研究机会。虽然没有一种单独的治疗或研究设计能够适应每种疾病,但在月经周期相关疾病PMD、MM和CE中,研究设计和基于神经内分泌的激素敏感性存在巨大重叠。范围界定综述结构摘要:背景。月经周期可能是某些大脑疾病症状的生物学触发因素,导致与月经周期相关的特定现象,如经前情绪障碍(PMD)、月经偏头痛(MM)和月经期癫痫(CE)。尽管在慢性和激素激发方面存在重叠,但这些领域在历史上一直独立运作,没有任何关于方法或机制的系统交流。目的:使用在线数据库来识别1950年至2021年间发表的研究患有PMD、MM或CE的育龄女性激素操作的文章。我们选择了符合以下标准的N=85项研究:1)包括具有自然月经周期的女性研究人群(例如,非围绝经期、怀孕或使用非主要研究变量的激素药物);2) 涉及外源性激素操作;3) 涉及跨越至少两个周期阶段的重复测量作为主要结果变量。图表方法:在导出在线数据库查询结果后,作者提取了样本量、样本群体的临床诊断、研究设计、实验激素操作、周期性结果测量以及每次试验的结果。图表绘制是手动完成的,每个试验由两名作者审查。结果:与MM(N=21)或CE(N=8)相比,外源性激素操作已被测试为PMD的治疗选择(N=56项试验)。联合口服避孕药(COC)试验,特别是那些含有屈螺酮作为孕激素的试验,是一个研究良好的领域,在治疗PMDD和MM方面都有很好的结果。我们没有在CE中发现COC试验。许多试验使用促性腺激素释放激素激动剂(GnRHa)测试排卵抑制,一项荟萃分析支持其在PMD中的疗效;GnRHa已经在两个MM相关试验和一个CE开放标签病例系列中进行了测试。最后,我们发现非避孕激素操作,包括但不限于短期透皮雌二醇、补充黄体酮和拮抗黄体酮,已用于所有三种疾病。结论:PMD、MM和CE的研究通常有重叠的研究设计和研究方法,一些干预措施的相似效果表明,重叠机制可能导致其周期性症状表现。我们的范围审查是第一次总结这三种大脑疾病的现有临床试验,特别是激素治疗试验。我们发现PMD有大量关于排卵抑制COC和GnRHa试验的文献;MM领域包括广泛的基于雌激素的研究;目前CE的共识集中在黄体期补充孕酮,由于担心癫痫发作,雌激素操作有限。我们认为,在评估、诊断、分型和实验操作方法方面,任何一个学科的研究人员都会从更多的交流中受益。通过这项范围界定综述,我们希望加强研究人员之间的合作和沟通,最终改善与月经周期相关的大脑疾病的诊断和治疗。
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引用次数: 0
Aversion-associated drug and alcohol seeking in females 女性寻求毒品和酒精的厌恶
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-01 DOI: 10.1016/j.yfrne.2023.101095
Miranda E. Arnold, Jesse R. Schank

Compulsive drug intake is characterized by the continuation of use regardless of negative consequences. This is modeled preclinically using procedures where a negative stimulus is delivered contingently with consumption of the reinforcer. In humans, women and men exhibit different drug taking behavior as it pertains to overall use, withdrawal symptoms, and rate of dependence. In substance use research, females have often been excluded from many studies due to concerns that circulating sex hormones may affect drug seeking behavior. However, the more recent inclusion of females in preclinical studies has identified interesting sex differences in aversion-resistant intake of drugs and alcohol. This review will serve to summarize key findings in aversion-related intake of alcohol, psychostimulants, and opioids in females by examining studies that have included female subjects. Further discussion will examine the effect of intake model, neuroanatomical pathways, and sex hormones in the expression of aversion-resistant drug and alcohol consumption.

强迫性药物摄入的特点是持续使用,而不考虑负面后果。这是通过使用程序进行临床前建模的,在该程序中,随着加强剂的消耗,负面刺激被临时提供。在人类中,女性和男性表现出不同的吸毒行为,因为这与总体使用、戒断症状和依赖率有关。在药物使用研究中,由于担心循环的性激素可能会影响药物寻求行为,女性经常被排除在许多研究之外。然而,最近将女性纳入临床前研究发现,在对药物和酒精的厌恶耐受性摄入方面存在有趣的性别差异。这篇综述将通过研究包括女性受试者的研究,总结女性厌恶相关的酒精、精神刺激剂和阿片类药物摄入的关键发现。进一步的讨论将考察摄入模式、神经解剖学途径和性激素在表达厌恶耐药性药物和饮酒中的作用。
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引用次数: 1
Stress and gonadal steroid influences on alcohol drinking and withdrawal, with focus on animal models in females 压力和性腺类固醇对饮酒和戒断的影响,重点关注雌性动物模型。
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-01 DOI: 10.1016/j.yfrne.2023.101094
Deborah A. Finn

Sexually dimorphic effects of alcohol, following binge drinking, chronic intoxication, and withdrawal, are documented at the level of the transcriptome and in behavioral and physiological responses. The purpose of the current review is to update and to expand upon contributions of the endocrine system to alcohol drinking and withdrawal in females, with a focus on animal models. Steroids important in the hypothalamic-pituitary–gonadal and hypothalamic–pituitary–adrenal axes, the reciprocal interactions between these axes, the effects of chronic alcohol use on steroid levels, and the genomic and rapid membrane-associated effects of steroids and neurosteroids in models of alcohol drinking and withdrawal are described. Importantly, comparison between males and females highlight some divergent effects of sex- and stress-steroids on alcohol drinking- and withdrawal-related behaviors, and the distinct differences in response emphasize the importance of considering sex in the development of novel pharmacotherapies for the treatment of alcohol use disorder.

酗酒、慢性中毒和戒断后,酒精的性二型效应在转录组水平以及行为和生理反应中都有记录。本综述的目的是更新和扩展内分泌系统对女性饮酒和戒断的贡献,重点是动物模型。描述了在下丘脑-垂体-性腺和下丘脑-垂体肾上腺轴中重要的类固醇,这些轴之间的相互作用,长期饮酒对类固醇水平的影响,以及类固醇和神经类固醇在饮酒和戒断模型中的基因组和快速膜相关效应。重要的是,男性和女性之间的比较突出了性和压力类固醇对饮酒和戒断相关行为的一些不同影响,反应的明显差异强调了在开发治疗酒精使用障碍的新药物疗法时考虑性别的重要性。
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引用次数: 0
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Frontiers in Neuroendocrinology
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