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Serotonin Transporter Gene Polymorphism in Women With Suspected Ischemia 疑似脑缺血妇女血清素转运蛋白基因多态性研究
Pub Date : 2018-07-20 DOI: 10.1177/2470289718787114
Ki E. Park, E. Egelund, T. Huo, C. Merz, E. Handberg, B. Johnson, G. Sopko, R. Cooper-DeHoff, C. J. Pepine
Introduction: Association of serotonin transporter gene (5-HTTLPR) polymorphisms with adverse cardiovascular (CV) events in women with suspected ischemia has not yet been reported. We hypothesized an association of 5-HTTLPR polymorphisms with risk of adverse CV events in women with suspected ischemic heart disease (IHD) referred for coronary angiography enrolled in the Women’s Ischemia Syndrome Evaluation (WISE). Method: We studied clinical and angiographic data and DNA from a cohort of 437 Caucasian women enrolled in the WISE genotyped for the long (L) and short (S) variant of the 5-HTTLPR polymorphism. Women were followed yearly for adverse CV events (defined as first occurrence of all-cause death, myocardial infarction, stroke, or heart failure hospitalization) with data collected at WISE 10-year follow-up. Exploratory analyses compared outcomes between genotype groups. Results: A total of 437 women, with baseline, angiographic, and long-term follow-up data, were successfully genotyped. Their mean age was 58 ± 11 years and body mass index 29 ± 6; 54% had hypertension, 18% diabetes, 50% dyslipidemia, 20% depression history, and only 34% had obstructive CAD. At 8.9 years median follow-up, the SS genotype was associated with significantly increased risk of adverse CV event versus LL + LS (1.93, confidence interval [CI]: 1.03-3.61, P = .03). Results were not significant for all-cause death (hazard ratio: 1.63, CI: 0.91-2.93, P = .09). Conclusion: Among a cohort of Caucasian women with suspected IHD enrolled in the WISE, the SS homozygous genotype for the 5-HTTLPR polymorphism was associated with increased risk of adverse CV outcomes.
引言:5-羟色胺转运体基因(5-HTTLPR)多态性与疑似缺血妇女心血管不良事件的相关性尚未报道。我们假设5-HTTLPR多态性与女性缺血性综合征评估(WISE)中被纳入冠状动脉造影的疑似缺血性心脏病(IHD)女性发生不良心血管事件的风险相关。方法:我们研究了437名参加WISE基因分型的高加索女性的临床和血管造影数据以及DNA,以了解5-HTTLPR多态性的长(L)和短(S)变体。每年对女性的不良心血管事件(定义为首次发生全因死亡、心肌梗死、中风或心力衰竭住院)进行随访,并在WISE 10年随访中收集数据。探索性分析比较了基因型组之间的结果。结果:总共有437名女性,根据基线、血管造影和长期随访数据,成功地进行了基因分型。平均年龄58±11岁,体重指数29±6;54%有高血压,18%有糖尿病,50%有血脂异常,20%有抑郁症病史,只有34%有阻塞性CAD。在8.9年的中位随访中,与LL+LS相比,SS基因型与不良CV事件的风险显著增加相关(1.93,置信区间[CI]:1.03-3.61,P=0.03)。全因死亡的结果并不显著(危险比:1.63,CI:0.91-2.93,P=0.09),5-HTTLPR多态性的SS纯合子基因型与不良CV结果的风险增加相关。
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引用次数: 1
Inheritance of Chromosomes, Sex Determination, and the Human Genome 染色体遗传、性别决定和人类基因组
Pub Date : 2018-07-20 DOI: 10.1177/2470289718787131
Nirmal K Shetty
Who is the determining factor for the sex of the offspring—mother, father, or both parents? This fundamental hypothesis proposes a new model of sex determination, challenging the existing dogma that the male Y chromosome of the father is the sole determinant of the sex of the offspring. According to modern science, the 3 X chromosomes (male XY and female XX) are assumed to be similar, and the sex of the offspring is determined after the zygote is formed. In contrast to this, the new hypothesis based on theoretical research proposes that the 3 X chromosomes can be differentiated, based on the presence of Barr bodies. The first X in female XX chromosomes and X in male XY chromosomes are similar as they lack Barr body and are hereby denoted as ‘X’ and referred to as ancestral chromosomes. The second X chromosome in the female cells which is a Barr body, denoted as X, is different. This X chromosome along with the Y chromosome are referred to as parental chromosomes. Sperm with a Y chromosome can only fuse with an ovum containing the ‘X’ chromosome. Similarly, sperm with the ‘X’ chromosome can only fuse with an ovum containing the X chromosome. Cell biology models of gametogenesis and fertilization were simulated with the new hypothesis model and assessed. Only chromosomes that participated in recombination could unite to form the zygote. This resulted in a paradigm shift in our understanding of sex determination, as both parents were found to be equally responsible for determining the sex of the offspring. The gender of the offspring is determined during the prezygotic stage itself and is dependent on natural selection. A new dimension has been given to inheritance of chromosomes. This new model also presents a new nomenclature for pedigree charts. This work of serendipity may contribute to future research in cell biology, gender studies, genome analysis, and genetic disorders including cancer.
谁是决定后代性别的因素——母亲、父亲还是父母双方?这一基本假设提出了一种新的性别决定模型,挑战了父亲的男性Y染色体是后代性别的唯一决定因素的现有教条。根据现代科学,3条X染色体(男性XY和女性XX)被认为是相似的,后代的性别是在受精卵形成后确定的。与此相反,基于理论研究的新假设提出,基于巴尔体的存在,3条X染色体可以分化。女性XX染色体中的第一个X和男性XY染色体中的X相似,因为它们缺乏巴尔体,因此被称为“X”,并被称为祖先染色体。女性细胞中的第二条X染色体是巴尔体,表示为X,是不同的。这个X染色体和Y染色体被称为亲本染色体。带有Y染色体的精子只能与含有“X”染色体的卵子融合。同样,带有“X”染色体的精子只能与含有X染色体的卵子融合。利用新的假设模型对配子发生和受精的细胞生物学模型进行了模拟和评估。只有参与重组的染色体才能结合形成受精卵。这导致了我们对性别决定的理解发生了范式转变,因为发现父母双方对决定后代的性别负有同等责任。后代的性别是在受精前阶段决定的,并取决于自然选择。染色体的遗传被赋予了一个新的维度。这个新模型还为谱系图提供了一个新的命名法。这项偶然发现的工作可能有助于未来在细胞生物学、性别研究、基因组分析和包括癌症在内的遗传疾病方面的研究。
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引用次数: 5
Sex Differences in Telomere Length Are Not Mediated by Sex Steroid Hormones or Body Size in Early Adolescence 青春期早期端粒长度的性别差异不受性类固醇激素或体型的调节
Pub Date : 2018-07-01 DOI: 10.1177/2470289718795177
Eleanor L. Axson, K. Peterson, M. Téllez-Rojo, J. Goodrich, J. Meeker, Adriana Mercado-García, M. Solano, B. Needham
Telomere length is a biomarker of cell aging that is hypothesized to contribute to women’s greater longevity. Although most previous studies have found no sex difference in telomere length at birth, it is well established that females have longer average telomere length than males during adulthood. Proposed biological mechanisms underlying sex differences in adult telomere length include differences in sex steroid hormones and body size, which emerge during the pubertal transition. The purpose of this study was to examine the total effect of sex on telomere length during early adolescence and to examine estradiol, total testosterone, and body surface area (BSA; a measure of body size) as potential mediators of sex differences in telomere length. Data were from a population-based sample of 126 female and 109 male Hispanic adolescents aged 8 to 14 years from the Early Life Exposures in Mexico to ENvironmental Toxicants (ELEMENT) study. Relative telomere length (T/S ratio) was measured by the quantitative polymerase chain reaction method; sex steroid hormones were measured using an automated chemiluminescent immunoassay, and BSA was calculated using measured height and weight. Adjusting for age and pubertal status, we found that girls had significantly longer telomeres than boys (β = .13; P < .01), but there were no significant indirect effects of sex on telomere length through any of the proposed mediators. We conclude that sex differences in telomere length are evident during early adolescence but are not explained by cross-sectional differences in sex steroid hormones or body size.
端粒长度是细胞衰老的生物标志物,被认为有助于女性延长寿命。尽管之前的大多数研究都没有发现出生时端粒长度的性别差异,但成年后女性的平均端粒长度比男性长是公认的。提出的成人端粒长度性别差异的生物学机制包括青春期过渡期出现的性类固醇激素和体型的差异。本研究的目的是检测青春期早期性别对端粒长度的总体影响,并检测雌二醇、总睾酮和体表面积(BSA;一种测量身体大小的指标)作为端粒长度性别差异的潜在介质。数据来自墨西哥早期暴露于环境毒物(ELEMENT)研究的126名8至14岁的女性和109名男性西班牙裔青少年的人群样本。用定量聚合酶链反应法测定相对端粒长度(T/S比);使用自动化学发光免疫测定法测量性类固醇激素,并使用测量的身高和体重计算BSA。调整年龄和青春期状态后,我们发现女孩的端粒明显长于男孩(β=.13;P<.01),但性别对端粒长度没有通过任何拟议的介质产生显著的间接影响。我们得出的结论是,端粒长度的性别差异在青春期早期很明显,但不能用性类固醇激素或体型的横截面差异来解释。
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引用次数: 6
Decoding Sex Differences in the Brain, One Worm at a Time 解码大脑中的性别差异,一次一个蠕虫
Pub Date : 2018-07-01 DOI: 10.1177/2470289718789306
Chen Wang
Sex differences in the brain are prominent features across the animal kingdom. Understanding the anatomical and regulatory mechanisms behind these differences is critical for both explaining sexually dimorphic behaviors and developing sex-targeted treatments for neurological disorders. Clinical studies considering sex biases and basic research on animal models have provided much evidence for the existence of sex differences in the brain and, in a larger sense, sexual dimorphisms in the nervous system. However, due to the complexity of structure and dimorphic behaviors, it is yet unclear precisely how neuronal sexual dimorphisms are regulated on a molecular or cellular level. This commentary reviews available tools for investigating sexual dimorphisms using a simple model organism, the roundworm Caenorhabditis elegans (C. elegans), which enables one to study gene regulation at single-cell resolution with a number of cutting-edge molecular and genetic technologies. I highlight the doublesex/mab-3 family of transcription factors, first discovered in invertebrates, and their roles in a potentially universal regulatory mechanism underlying neuronal sexual dimorphisms. Studies of these transcription factors using C. elegans, fruit flies, and vertebrates will promote our understanding of fundamental mechanisms behind sex differences in the brain.
大脑的性别差异是动物界的一个突出特征。了解这些差异背后的解剖学和调节机制对于解释两性二态行为和开发针对神经系统疾病的性别靶向治疗至关重要。考虑到性别偏见的临床研究和动物模型的基础研究已经为大脑中性别差异的存在提供了大量证据,从更大的意义上说,神经系统中性别二态性的存在。然而,由于结构和二态行为的复杂性,目前尚不清楚神经元性别二态是如何在分子或细胞水平上调控的。这篇评论综述了利用一种简单的模式生物——秀丽隐杆线虫(C. elegans)研究两性二态现象的现有工具,它使人们能够利用一些尖端的分子和遗传技术在单细胞分辨率上研究基因调控。我强调了双性/单抗-3转录因子家族,首先在无脊椎动物中发现,以及它们在神经元性别二态性的潜在普遍调节机制中的作用。利用秀丽隐杆线虫、果蝇和脊椎动物对这些转录因子的研究将促进我们对大脑性别差异背后的基本机制的理解。
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引用次数: 1
Estrogen Regulation of T-Cell Function and Its Impact on the Tumor Microenvironment 雌激素对T细胞功能的调节及其对肿瘤微环境的影响
Pub Date : 2018-07-01 DOI: 10.1177/2470289718801379
Flor Navarro, C. Herrnreiter, L. Nowak, S. Watkins
Epidemiologic studies demonstrate significant gender-specific differences in immune system function. Males are more prone to infection and malignancies, while females are more vulnerable to autoimmune diseases. These differences are thought to be due to the action of gonadal hormones: Estrogen increases the inflammatory response and testosterone dampens it. More specifically, estrogen stimulation induces inflammatory cytokine production including interferon γ, interleukin (IL) 6, and tumor necrosis factor α, while testosterone induces IL-10, IL-4, and transforming growth factor β. More recent studies demonstrate threshold effects of estrogen stimulation on immune cell function: physiologic doses of estrogen (approximately 0.5 nmol/L) stimulate inflammatory cytokine production, but superphysiologic dosages (above 50 nmol/L) can result in decreased inflammatory cytokine production. This review reports findings concerning the impact of estrogen on CD8+ cytotoxic T cells and the overall immune response in the tumor microenvironment. Variables examined include dosage of hormone, the diversity of immune cells involved, and the nature of the immune response in cancer. Collective review of these points may assist in future hypotheses and studies to determine sex-specific differences in immune responses that may be used as targets in disease prevention and treatment.
流行病学研究表明,免疫系统功能存在显著的性别差异。男性更容易感染和恶性肿瘤,而女性更容易患自身免疫性疾病。这些差异被认为是由于性腺激素的作用:雌激素增加炎症反应,睾酮抑制炎症反应。更具体地说,雌激素刺激诱导炎症细胞因子的产生,包括干扰素γ、白细胞介素(IL)6和肿瘤坏死因子α,而睾酮诱导IL-10、IL-4和转化生长因子β。最近的研究表明,雌激素刺激对免疫细胞功能的阈值效应:生理剂量的雌激素(约0.5 nmol/L)刺激炎症细胞因子的产生,但超生理剂量(高于50 nmol/L的)可导致炎症细胞因子产生减少。这篇综述报道了雌激素对肿瘤微环境中CD8+细胞毒性T细胞和整体免疫反应的影响。所检查的变量包括激素的剂量、所涉及的免疫细胞的多样性以及癌症免疫反应的性质。对这些观点的集体审查可能有助于未来的假设和研究,以确定免疫反应的性别特异性差异,这些差异可能被用作疾病预防和治疗的靶点。
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引用次数: 9
Untangling the Gordian Knot of Human Sexuality 解开人类性行为的纠结
Pub Date : 2018-07-01 DOI: 10.1177/2470289718803639
M. Legato
There is increasing interest in and tolerance of the lay public for variations in human sexuality. In contrast, the molecular biology that underlies gender identity, the development of gonadal and genital anatomy, and the factors that define sexual behavior is proving unexpectedly complex and is still incompletely understood. It is now evident that humans cannot be characterized as member of 1 of 2 clearly defined units: male or female. In fact, individuals exist on a continuum: those who do not conform unequivocally to the dyadic view of human sex in terms of anatomy, gender identity, and/or sexual behavior should be characterized as having variations in rather than disorders of sexual development. Such individuals can no longer be regarded as anomalies to be rejected, condemned, and, if possible, “corrected” either psychologically or anatomically.
公众对人类性行为的变化越来越感兴趣,也越来越宽容。相比之下,作为性别认同基础的分子生物学、性腺和生殖器解剖结构的发展以及定义性行为的因素被证明出乎意料地复杂,并且仍然不完全被理解。现在很明显,人类不能被定性为两个明确定义的单位中的一个:男性或女性。事实上,个体存在于一个连续体上:那些在解剖学、性别认同和/或性行为方面不明确符合人类性别二元观的人,应该被描述为性发育的变异,而不是紊乱。这些人再也不能被视为被拒绝、谴责的反常现象,如果可能的话,也不能在心理或解剖学上被“纠正”。
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引用次数: 8
Clinical Epigenetic Therapies Disrupt Sex Chromosome Dosage Compensation in Human Female Cells. 临床表观遗传疗法破坏了人类女性细胞的性染色体剂量补偿。
Pub Date : 2018-01-01 Epub Date: 2018-07-20 DOI: 10.1177/2470289718787106
Agnieszka I Laskowski, Danielle A Fanslow, Erica D Smith, Steven T Kosak

Sex chromosome gene dosage compensation is required to ensure equivalent levels of X-linked gene expression between males (46, XY) and females (46, XX). To achieve similar expression, X-chromosome inactivation (XCI) is initiated in female cells during early stages of embryogenesis. Within each cell, either the maternal or paternal X chromosome is selected for whole chromosome transcriptional silencing, which is initiated and maintained by epigenetic and chromatin conformation mechanisms. With the emergence of small-molecule epigenetic inhibitors for the treatment of disease, such as cancer, the epigenetic mechanism underlying XCI may be inadvertently targeted. Here, we test 2 small-molecule epigenetic inhibitors being used clinically, GSK126 (a histone H3 lysine 27 methyltransferase inhibitor) and suberoylanilide hydroxamic acid (a histone deacetylase inhibitor), on their effects of the inactive X (Xi) in healthy human female fibroblasts. The combination of these modifiers, at subcancer therapeutic levels, leads to the inability to detect the repressive H3K27me3 modification characteristic of XCI in the majority of the cells. Importantly, genes positioned near the X-inactivation center (Xic), where inactivation is initiated, exhibit robust expression with treatment of the inhibitors, while genes located near the distal ends of the X chromosome intriguingly exhibit significant downregulation. These results demonstrate that small-molecule epigenetic inhibitors can have profound consequences on XCI in human cells, and they underscore the importance of considering gender when developing and clinically testing small-molecule epigenetic inhibitors, in particular those that target the well-characterized mechanisms of X inactivation.

性染色体基因剂量补偿是确保雄性(46,XY)和雌性(46,XX)之间 X 连锁基因表达水平相当的必要条件。为了实现相似的表达,在胚胎发生的早期阶段,雌性细胞中的 X 染色体失活(XCI)就开始了。在每个细胞内,母系或父系 X 染色体被选择进行全染色体转录沉默,这种沉默是通过表观遗传和染色质构象机制启动和维持的。随着用于治疗癌症等疾病的小分子表观遗传抑制剂的出现,XCI 的表观遗传机制可能无意中成为靶标。在这里,我们测试了临床上使用的两种小分子表观遗传抑制剂--GSK126(一种组蛋白 H3 赖氨酸 27 甲基转移酶抑制剂)和次酰苯胺羟肟酸(一种组蛋白去乙酰化酶抑制剂)--对健康女性成纤维细胞中无活性 X(Xi)的影响。在亚癌症治疗水平上结合使用这些修饰剂,会导致大多数细胞无法检测到 XCI 所特有的抑制性 H3K27me3 修饰。重要的是,位于 X 失活中心(Xic)附近的基因在抑制剂的作用下表现出强劲的表达,而位于 X 染色体远端附近的基因则表现出明显的下调,这一点很耐人寻味。这些结果表明,小分子表观遗传抑制剂会对人体细胞中的 XCI 产生深远影响,并强调了在开发和临床试验小分子表观遗传抑制剂时考虑性别因素的重要性,特别是那些针对特征明确的 X 失活机制的抑制剂。
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引用次数: 0
Mitochondrial Replacement Techniques: Genetic Relatedness, Gender Implications, and Justice. 线粒体替代技术:遗传相关性,性别影响和正义。
Pub Date : 2017-12-01 DOI: 10.1089/gg.2017.0016
Tetsuya Ishii, César Palacios-González

In 2015 the United Kingdom (UK) became the first nation to legalize egg and zygotic nuclear transfer procedures using mitochondrial replacement techniques (MRTs) to prevent the maternal transmission of serious mitochondrial DNA diseases to offspring. These techniques are a form of human germline genetic modification and can happen intentionally if female embryos are selected during the MRT clinical process, either through sperm selection or preimplantation genetic diagnosis (PGD). In the same year, an MRT was performed by a United States (U.S.)-based physician team. This experiment involved a cross-border effort: the MRT procedure per se was carried out in the US, and the embryo transfer in Mexico. The authors examine the ethics of MRTs from the standpoint of genetic relatedness and gender implications, in places that lack adequate laws and regulation regarding assisted reproduction. Then, we briefly examine whether MRTs can be justified as a reproductive option in the US and Mexico, after reassessing their legalization in the UK. We contend that morally inadequate and ineffective regulations regarding egg donation, PGD, and germline genetic modifications jeopardize the ethical acceptability of the implementation of MRTs, suggesting that MRTs are currently difficult to justify in the US and Mexico. In addition to relevant regulation, the initiation and appropriate use of MRTs in a country require a child-centered follow-up policy and more evidence for its safety.

2015年,英国成为第一个使用线粒体替代技术(MRTs)将卵子和受精卵核移植程序合法化的国家,以防止母体将严重的线粒体DNA疾病传播给后代。这些技术是人类种系基因改造的一种形式,如果在MRT临床过程中通过精子选择或植入前遗传学诊断(PGD)选择女性胚胎,则可能有意发生。同年,美国的一个医生团队进行了MRT。这个实验涉及到跨国界的努力:MRT程序本身在美国进行,胚胎移植在墨西哥进行。作者从遗传相关性和性别影响的角度审视了在辅助生殖方面缺乏足够法律法规的地方的mrt伦理。然后,在重新评估了mrt在英国的合法性之后,我们简要地检查了mrt在美国和墨西哥是否可以作为一种生殖选择。我们认为,关于卵子捐赠、PGD和生殖系遗传修饰的道德上不充分和无效的法规危及了mrt实施的伦理可接受性,这表明mrt目前在美国和墨西哥很难证明其合理性。除了相关法规外,在一个国家启动和适当使用mrt还需要以儿童为中心的后续政策和更多的安全性证据。
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引用次数: 5
Sex-Specific Differences in Oxytocin Receptor Expression and Function for Parental Behavior. 亲代行为中催产素受体表达和功能的性别差异。
Pub Date : 2017-12-01 DOI: 10.1089/gg.2017.0017
Mariela Mitre, Thorsten M Kranz, Bianca J Marlin, Jennifer K Schiavo, Hediye Erdjument-Bromage, Xinying Zhang, Jess Minder, Thomas A Neubert, Troy A Hackett, Moses V Chao, Robert C Froemke

Parental care is among the most profound behavior expressed by humans and other animals. Despite intense interest in understanding the biological basis of parental behaviors, it remains unknown how much of parenting is encoded by the genome and which abilities instead are learned or can be refined by experience. One critical factor at the intersection between innate behaviors and experience-dependent learning is oxytocin, a neurohormone important for maternal physiology and neuroplasticity. Oxytocin acts throughout the body and brain to promote prosocial and maternal behaviors and modulates synaptic transmission to affect neural circuit dynamics. Recently we developed specific antibodies to mouse oxytocin receptors, found that oxytocin receptors are left lateralized in female auditory cortex, and examined how oxytocin enables maternal behavior by sensitizing the cortex to infant distress sounds. In this study we compare oxytocin receptor expression and function in male and female mice. Receptor expression is higher in adult female left auditory cortex than in right auditory cortex or males. Developmental profiles and mRNA expression were comparable between males and females. Behaviorally, male and female mice began expressing parental behavior similarly after cohousing with experienced females; however, oxytocin enhanced parental behavior onset in females but not males. This suggests that left lateralization of oxytocin receptor expression in females provides a mechanism for accelerating maternal behavior onset, although male mice can also effectively co-parent after experience with infants. The sex-specific pattern of oxytocin receptor expression might genetically predispose female cortex to respond to infant cues, which both males and females can also rapidly learn.

亲代关怀是人类和其他动物表达的最深刻的行为之一。尽管人们对理解父母行为的生物学基础有着浓厚的兴趣,但人们仍然不清楚,养育子女的多少是由基因组编码的,哪些能力是后天习得的,哪些能力是可以通过经验提炼的。先天行为和经验依赖学习之间的一个关键因素是催产素,这是一种对母亲生理和神经可塑性很重要的神经激素。催产素作用于整个身体和大脑,促进亲社会和母性行为,调节突触传递,影响神经回路动力学。最近,我们开发了针对小鼠催产素受体的特异性抗体,发现催产素受体在雌性听觉皮层中左侧偏侧,并研究了催产素如何通过使皮层对婴儿的痛苦声音敏感来促进母亲的行为。在这项研究中,我们比较了催产素受体在雄性和雌性小鼠中的表达和功能。受体在成年女性左听皮层的表达高于右听皮层或男性。发育特征和mRNA表达在男性和女性之间具有可比性。在行为上,雄性和雌性老鼠在与有经验的雌性老鼠同居后开始表现出相似的亲代行为;然而,催产素在雌性中增强亲代行为,而在雄性中没有。这表明雌性催产素受体的左偏侧表达提供了一种加速母性行为发生的机制,尽管雄性小鼠在与婴儿经历后也能有效地共同抚养。催产素受体的性别特异性表达模式可能在基因上使女性大脑皮层更容易对婴儿的暗示做出反应,而男性和女性都能很快学会。
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引用次数: 3
Article Commentary: Sex- and Gender-Based Medicine: The Need for Precise Terminology 文章评论:性别和基于性别的医学:需要精确的术语
Pub Date : 2017-09-01 DOI: 10.1089/gg.2017.0005
Tracy E. Madsen, G. Bourjeily, M. Hasnain, M. Jenkins, M. Morrison, Kathryn Sandberg, Iris L. Tong, Justina A. Trott, J. Werbinski, Alyson J. McGregor
As our knowledge of sexand gender-based medicine (SGBM) continues to grow, attention to precision in the use of related terminology is critical. Unfortunately, the terms sex and gender are often used interchangeably and incorrectly, both within and outside of the typical binary construct. On behalf of the Sex and Gender Women’s Health Collaborative (SGWHC), a national organization whose mission is the integration of SGBM into research, health professions education, and clinical practice, our objective was to develop recommendations for the accurate use of SGBM terminology in research and clinical practice across medical specialties and across health professions. In addition, we reviewed the origins and evolution of SGBM terminology and described terms used when referring to individuals outside the typical binary categorization of sex and gender. Standardization and precision in the use of sex and gender terminology will lead to a greater understanding and appropriate translation of sex and gender evidence to patient care along with an accurate assessment of the impact sex and gender have on patient outcomes. In addition, it is critical to acknowledge that SGBM terminology will continue to evolve and become more precise as our knowledge of sex and gender differences in health and disease progresses.
随着我们对性别和基于性别的医学(SGBM)知识的不断增长,对相关术语使用准确性的关注至关重要。不幸的是,在典型的二元结构内外,sex和gender这两个术语经常被错误地互换使用。性别与性别妇女健康合作组织(SGWHC)是一个全国性组织,其使命是将SGBM整合到研究、卫生专业教育和临床实践中,我们的目标是为跨医学专业和跨卫生专业的研究和临床实践中准确使用SGBM术语提出建议。此外,我们回顾了SGBM术语的起源和演变,并描述了在典型的性别和性别二元分类之外提及个体时使用的术语。性别和社会性别术语使用的标准化和精确性将有助于更好地理解和适当地翻译患者护理中的性别和社会性别证据,同时准确评估性别和社会性别对患者预后的影响。此外,至关重要的是要承认,随着我们对健康和疾病中的性别和性别差异的认识的进步,性别歧视术语将继续演变并变得更加精确。
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引用次数: 26
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Gender and the Genome
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