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Sex differences in the human brain related to visual motion perception. 与视觉运动感知有关的人脑性别差异。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-11 DOI: 10.1186/s13293-024-00668-2
Dong-Yu Liu, Ming Li, Juan Yu, Yuan Gao, Xiaotong Zhang, Dewen Hu, Georg Northoff, Xue Mei Song, Junming Zhu

Background: Previous studies have found that the temporal duration required for males to perceive visual motion direction is significantly shorter than that for females. However, the neural correlates of such shortened duration perception remain yet unclear. Given that motion perception is primarily associated with the neural activity of the middle temporal visual complex (MT+), we here test the novel hypothesis that the neural mechanism of these behavioral sex differences is mainly related to the MT+ region.

Methods: We utilized ultra-high field (UHF) MRI to investigate sex differences in the MT+ brain region. A total of 95 subjects (48 females) participated in two separate studies. Cohort 1, consisting of 33 subjects (16 females), completed task-fMRI (drafting grating stimuli) experiment. Cohort 2, comprising 62 subjects (32 females), engaged in a psychophysical experiment measuring motion perception along different temporal thresholds as well as conducting structural and functional MRI scanning of MT+.

Results: Our findings show pronounced sex differences in major brain parameters within the left MT+ (but not the right MT+, i.e., laterality). In particular, males demonstrate (i) larger gray matter volume (GMV) and higher brain's spontaneous activity at the fastest infra-slow frequency band in the left MT+; and (ii) stronger functional connectivity between the left MT+ and the left centromedial amygdala (CM). Meanwhile, both female and male participants exhibited comparable correlations between motion perception ability and the multimodal imaging indexes of the MT+ region, i.e., larger GMV, higher brain's spontaneous activity, and faster motion discrimination.

Conclusions: Our findings reveal sex differences of imaging indicators of structure and function in the MT+ region, which also relate to the temporal threshold of motion discrimination. Overall, these results show how behavioral sex differences in visual motion perception are generated, and advocate considering sex as a crucial biological variable in both human brain and behavioral research.

背景:以往的研究发现,男性感知视觉运动方向所需的时间长度明显短于女性。然而,这种持续时间缩短的神经相关性仍不清楚。鉴于运动感知主要与中颞视觉复合体(MT+)的神经活动有关,我们在此验证了一个新的假设,即这些行为性别差异的神经机制主要与 MT+ 区域有关:我们利用超高频磁共振成像(UHF)研究了MT+脑区的性别差异。共有 95 名受试者(48 名女性)参加了两项独立的研究。第一组包括 33 名受试者(16 名女性),他们完成了任务-MRI(草图光栅刺激)实验。第二组包括 62 名受试者(32 名女性),他们参加了一项心理物理实验,测量不同时间阈值的运动感知,并对 MT+ 进行结构和功能磁共振成像扫描:我们的研究结果表明,左侧 MT+(而非右侧 MT+,即侧向)的主要脑参数存在明显的性别差异。特别是,男性表现出(i)左侧MT+灰质体积(GMV)更大,大脑在最快次低频段的自发活动更高;(ii)左侧MT+与左侧中央内侧杏仁核(CM)之间的功能连接更强。同时,女性和男性参与者的运动感知能力与MT+区域的多模态成像指标(即更大的GMV、更高的大脑自发活动和更快的运动辨别能力)之间表现出相似的相关性:我们的研究结果揭示了MT+区域结构和功能成像指标的性别差异,这也与运动辨别的时间阈值有关。总之,这些结果显示了视觉运动感知中的行为性别差异是如何产生的,并提倡在人脑和行为研究中将性别视为一个重要的生物变量。
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引用次数: 0
A call for inclusive research, policies, and leadership to close the global women's health gap. 呼吁开展包容性研究、制定政策并发挥领导作用,以缩小全球妇女的健康差距。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-08 DOI: 10.1186/s13293-024-00669-1
Irene O Aninye

Women comprise approximately half of the world's population, yet they are often underrepresented and inadequately considered in medical and public health research and in health care delivery in the United States and around the world. Elucidating sex and gender differences in disease and fundamental hormonal drivers of women's health is instrumental to informing our overall understanding of human health and improving women's health outcomes across the lifespan. The Society for Women's Health Research and ECH Alliance-The Global Health Connector hosted a women's health program as part of the United Nations 79th General Assembly Science Summit. Here, I briefly describe the basis for this convening to address global gender health gaps and reflect on the event's presentations and discussions to recognize and better integrate women's unique health needs in the sustainable development goals.

女性约占世界人口的一半,但在美国和世界各地的医学和公共卫生研究以及医疗保健服务中,女性的代表性往往不足,考虑也不充分。阐明疾病的性别差异和女性健康的基本荷尔蒙驱动因素,有助于我们全面了解人类健康,改善女性一生的健康状况。作为第 79 届联合国大会科学峰会的一部分,妇女健康研究学会和 ECH Alliance-The Global Health Connector 主办了一项妇女健康计划。在此,我将简要介绍召开此次会议以解决全球性别健康差距的基础,并对此次活动的演讲和讨论进行反思,以认识到妇女独特的健康需求并将其更好地纳入可持续发展目标。
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引用次数: 0
The Four Core Genotypes mouse model: evaluating the impact of a recently discovered translocation. 四种核心基因型小鼠模型:评估最近发现的易位的影响。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-31 DOI: 10.1186/s13293-024-00665-5
Carrie B Wiese, Barbara Soliman, Karen Reue

The Four Core Genotypes (FCG) mouse model has become a valuable model to study the mechanistic basis for biological sex differences. This model allows discrimination between influences of gonadal sex (ovaries or testes) from those associated with genetic sex (presence of XX or XY chromosome complement). FCG mice have illuminated distinct effects of gonadal and chromosomal sex on traits ranging from brain structure and behavior to vulnerability to obesity, atherosclerosis, multiple sclerosis, Alzheimer's and other diseases. A recent study determined that the YSry- chromosome used in a specific line of C57BL/6J FCG mice harbors nine genes that have been duplicated from the X chromosome. This report raised concern that scores of publications that previously used the FCG model may therefore be flawed, but did not provide details regarding how studies can be evaluated for potential impact (or lack of impact) of the translocation. Here we (1) provide a practical description of the genetic translocation for researchers using the FCG model, (2) document that a majority of the studies cited in the recent report are unlikely to be affected by the translocation, (3) provide a scheme for interpreting data from studies with FCG mice harboring the YSry- translocation, and (4) delineate expression levels of the nine translocated genes across tissue/cell types as a filter for evaluating their potential involvement in specific phenotypes.

四核心基因型(FCG)小鼠模型已成为研究生物性别差异机理基础的重要模型。该模型可区分性腺性别(卵巢或睾丸)与遗传性别(存在 XX 或 XY 染色体互补)的影响。FCG 小鼠揭示了性腺性别和染色体性别对大脑结构、行为、易患肥胖、动脉粥样硬化、多发性硬化、阿尔茨海默氏症和其他疾病等性状的不同影响。最近的一项研究确定,C57BL/6J FCG 小鼠特定品系中使用的 YSry- 染色体含有 9 个从 X 染色体复制而来的基因。该报告引起了人们的关注,即之前使用 FCG 模型发表的大量论文可能因此而存在缺陷,但报告并未详细说明如何评估易位的潜在影响(或无影响)。在此,我们将(1)为使用 FCG 模型的研究人员提供有关基因易位的实用描述;(2)记录近期报告中引用的大多数研究不太可能受到易位的影响;(3)提供一套方案,用于解释携带 YSry- 易位的 FCG 小鼠的研究数据;以及(4)划分九个易位基因在不同组织/细胞类型中的表达水平,作为评估它们可能参与特定表型的过滤器。
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引用次数: 0
Sex differences in contextual fear conditioning and extinction after acute and chronic nicotine treatment. 急性和慢性尼古丁治疗后情境恐惧条件反射和消退的性别差异。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-31 DOI: 10.1186/s13293-024-00656-6
Jack V Keady, Marissa C Hessing, Judy C Songrady, Kristen McLaurin, Jill R Turner

Background: Chronic cigarette smokers report withdrawal symptomology, including affective dysfunction and cognitive deficits. While there are studies demonstrating sex specific withdrawal symptomology in nicotine-dependent individuals, literature examining the underlying biological mediators of this is scant and not in complete agreement. Therefore, in this study, we evaluated the sex specific effects of nicotine and withdrawal on contextual fear memory, a hippocampally dependent aspect of cognition that is disrupted in nicotine withdrawal.

Methods: Male and female B6/129F1 mice (8-13 weeks old) were used in all experiments. For the acute nicotine experiment, mice received intraperitoneal saline or nicotine (0.5 mg/kg) prior to contextual fear conditioning and test. For the chronic nicotine experiment, mice received nicotine (18 mg/kg/day) or saline for 11 days, then underwent contextual fear conditioning and test. Following the test, mice underwent minipump removal to elicit withdrawal or sham surgery, followed by the fear extinction assay. Bulk cortical tissue was used to determine nicotinic acetylcholine receptor levels via single point [3H]Epibatidine binding assay. Gene expression levels in the dorsal and ventral hippocampus were quantified via RT-PCR.

Results: We found that female mice had a stronger expression of contextual fear memory than their male counterparts. Further, following acute nicotine treatment, male, but not female, subjects demonstrated augmented contextual fear memory expression. In contrast, no significant effects of chronic nicotine treatment on fear conditioning were observed in either sex. When examining extinction of fear learning, we observed that female mice withdrawn from nicotine displayed impaired extinction learning, but no effect was observed in males. Nicotine withdrawal caused similar suppression of fosb, cfos, and bdnf, our proxy for neuronal activation and plasticity changes, in the dorsal and ventral hippocampus of both sexes. Additionally, we found that ventral hippocampus erbb4 expression, a gene implicated in smoking cessation outcomes, was elevated in both sexes following nicotine withdrawal.

Conclusions: Despite the similar impacts of nicotine withdrawal on gene expression levels, fosb, cfos, bdnf and erbb4 levels in the ventral hippocampus were predictive of delays in female extinction learning alone. This suggests sex specific dysfunction in hippocampal circuitry may contribute to female specific nicotine withdrawal induced deficits in extinction learning.

背景:长期吸烟者会出现戒断症状,包括情感功能障碍和认知障碍。虽然有研究表明尼古丁依赖者会出现特定性别的戒断症状,但研究其潜在生物学介导因素的文献却很少,而且并不完全一致。因此,在本研究中,我们评估了尼古丁和戒断对情境恐惧记忆的性别特异性影响:所有实验均使用雄性和雌性B6/129F1小鼠(8-13周大)。在急性尼古丁实验中,小鼠在情境恐惧条件反射和测试前腹腔注射生理盐水或尼古丁(0.5 毫克/千克)。在慢性尼古丁实验中,小鼠接受尼古丁(18 毫克/千克/天)或生理盐水治疗 11 天,然后进行情境恐惧条件反射和测试。测试后,小鼠接受微型泵移除以引起戒断或假手术,然后进行恐惧消退实验。通过单点[3H]表巴丁定结合试验,使用大块皮层组织测定烟碱乙酰胆碱受体水平。通过 RT-PCR 对海马背侧和腹侧的基因表达水平进行量化:结果:我们发现雌性小鼠比雄性小鼠有更强的情境恐惧记忆表达。此外,在急性尼古丁治疗后,雄性受试者(而非雌性受试者)的情境恐惧记忆表达增强。与此相反,慢性尼古丁治疗对恐惧条件反射没有明显的影响。在研究恐惧学习的消退时,我们观察到,雌性小鼠在戒断尼古丁后,消退学习能力受损,而雄性小鼠则没有受到影响。尼古丁戒断会导致雌雄小鼠海马背侧和腹侧的 fosb、cfos 和 bdnf(神经元活化和可塑性变化的代表)受到类似的抑制。此外,我们还发现,在尼古丁戒断后,两种性别的腹侧海马erbb4表达均升高,而erbb4是一种与戒烟结果有关的基因:结论:尽管尼古丁戒断对基因表达水平的影响相似,但腹侧海马中的fosb、cfos、bdnf和erbb4水平可预测雌性单独绝迹学习的延迟。这表明,海马回路中的性别特异性功能障碍可能是女性尼古丁戒断引起的消退学习障碍的原因之一。
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引用次数: 0
Sex dimorphism and tissue specificity of gene expression changes in aging mice. 衰老小鼠基因表达变化的性别二态性和组织特异性
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-31 DOI: 10.1186/s13293-024-00666-4
Dantong Zhu, Matt Arnold, Brady A Samuelson, Judy Z Wu, Amber Mueller, David A Sinclair, Alice E Kane

Background: Aging is a complex process that involves all tissues in an organism and shows sex dimorphism. While transcriptional changes in aging have been well characterized, the majority of studies have focused on a single sex and sex differences in gene expression in aging are poorly understood. In this study, we explore sex dimorphism in gene expression in aging mice across three tissues.

Methods: We collected gastrocnemius muscle, liver and white adipose tissue from young (6 months, n = 14) and old (24 months, n = 14) female and male C57BL/6NIA mice and performed RNA-seq. To investigate sex dimorphism in aging, we considered two levels of comparisons: (a) differentially expressed genes between females and males in the old age group and (b) comparisons between females and males across the aging process. We utilized differential expression analysis and gene feature selection to investigate candidate genes. Gene set enrichment analysis was performed to identify candidate molecular pathways. Furthermore, we performed a co-expression network analysis and chose the gene module(s) associated with aging independent of sex or tissue-type.

Results: We identified both tissue-specific and tissue-independent genes associated with sex dimorphism in aged mice. Unique differentially expressed genes between old males and females across tissues were mainly enriched for pathways related to specific tissue function. We found similar results when exploring sex differences in the aging process, with the exception that in the liver genes enriched for lipid metabolism and digestive system were identified in both females and males. Combining enriched pathways across analyses, we identified amino acid metabolism, digestive system, and lipid metabolism as the core mechanisms of sex dimorphism in aging. Although the vast majority of age-related genes were sex and tissue specific, we identified 127 hub genes contributing to aging independent of sex and tissue that were enriched for the immune system and signal transduction.

Conclusions: There are clear sex differences in gene expression in aging across liver, muscle and white adipose. Core pathways, including amino acid metabolism, digestive system and lipid metabolism, contribute to sex differences in aging.

背景:衰老是一个复杂的过程,涉及生物体的所有组织,并表现出性别二态性。虽然衰老过程中的转录变化已被很好地描述,但大多数研究都集中在单一性别上,对衰老过程中基因表达的性别差异知之甚少。在本研究中,我们探讨了衰老小鼠三种组织中基因表达的性别二态性:我们收集了年轻(6 个月,n = 14)和年老(24 个月,n = 14)雌性和雄性 C57BL/6NIA 小鼠的腓肠肌、肝脏和白色脂肪组织,并进行了 RNA-seq 分析。为了研究衰老过程中的性别二态性,我们考虑了两个层次的比较:(a)老年组雌性和雄性之间的差异表达基因;(b)整个衰老过程中雌性和雄性之间的比较。我们利用差异表达分析和基因特征选择来研究候选基因。我们还进行了基因组富集分析,以确定候选分子通路。此外,我们还进行了共表达网络分析,并选择了与衰老相关的基因模块,而与性别或组织类型无关:结果:我们发现了与老龄小鼠性别二态性相关的组织特异性基因和组织非依赖性基因。在不同组织中,老年雄性和雌性之间独特的差异表达基因主要集中在与特定组织功能相关的通路上。在探索衰老过程中的性别差异时,我们发现了类似的结果,但在肝脏中,雌性和雄性都发现了富集于脂质代谢和消化系统的基因。结合各项分析的富集通路,我们发现氨基酸代谢、消化系统和脂质代谢是衰老过程中性别二态性的核心机制。虽然绝大多数与衰老相关的基因具有性别和组织特异性,但我们发现了127个与衰老无关的枢纽基因,这些基因富集于免疫系统和信号转导:结论:在肝脏、肌肉和白色脂肪中,衰老基因表达存在明显的性别差异。氨基酸代谢、消化系统和脂质代谢等核心通路导致了衰老的性别差异。
{"title":"Sex dimorphism and tissue specificity of gene expression changes in aging mice.","authors":"Dantong Zhu, Matt Arnold, Brady A Samuelson, Judy Z Wu, Amber Mueller, David A Sinclair, Alice E Kane","doi":"10.1186/s13293-024-00666-4","DOIUrl":"10.1186/s13293-024-00666-4","url":null,"abstract":"<p><strong>Background: </strong>Aging is a complex process that involves all tissues in an organism and shows sex dimorphism. While transcriptional changes in aging have been well characterized, the majority of studies have focused on a single sex and sex differences in gene expression in aging are poorly understood. In this study, we explore sex dimorphism in gene expression in aging mice across three tissues.</p><p><strong>Methods: </strong>We collected gastrocnemius muscle, liver and white adipose tissue from young (6 months, n = 14) and old (24 months, n = 14) female and male C57BL/6NIA mice and performed RNA-seq. To investigate sex dimorphism in aging, we considered two levels of comparisons: (a) differentially expressed genes between females and males in the old age group and (b) comparisons between females and males across the aging process. We utilized differential expression analysis and gene feature selection to investigate candidate genes. Gene set enrichment analysis was performed to identify candidate molecular pathways. Furthermore, we performed a co-expression network analysis and chose the gene module(s) associated with aging independent of sex or tissue-type.</p><p><strong>Results: </strong>We identified both tissue-specific and tissue-independent genes associated with sex dimorphism in aged mice. Unique differentially expressed genes between old males and females across tissues were mainly enriched for pathways related to specific tissue function. We found similar results when exploring sex differences in the aging process, with the exception that in the liver genes enriched for lipid metabolism and digestive system were identified in both females and males. Combining enriched pathways across analyses, we identified amino acid metabolism, digestive system, and lipid metabolism as the core mechanisms of sex dimorphism in aging. Although the vast majority of age-related genes were sex and tissue specific, we identified 127 hub genes contributing to aging independent of sex and tissue that were enriched for the immune system and signal transduction.</p><p><strong>Conclusions: </strong>There are clear sex differences in gene expression in aging across liver, muscle and white adipose. Core pathways, including amino acid metabolism, digestive system and lipid metabolism, contribute to sex differences in aging.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"15 1","pages":"89"},"PeriodicalIF":4.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative proteomic profiling reveals sexual dimorphism in the retina and RPE of C57BL6 mice. 定量蛋白质组分析揭示了 C57BL6 小鼠视网膜和 RPE 的性双态性。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-30 DOI: 10.1186/s13293-024-00645-9
Geeng-Fu Jang, John S Crabb, Allison Grenell, Alyson Wolk, Christie Campla, Shiming Luo, Mariya Ali, Bo Hu, Belinda Willard, Bela Anand-Apte

Background: Sex as a biological variable is not a common consideration in molecular mechanistic or preclinical studies of retinal diseases. Understanding the sexual dimorphism of adult RPE and retina under physiological conditions is an important first step in improving our understanding of sex-based physio-pathological mechanisms.

Methods: Isobaric tags for relative and absolute quantitation (iTRAQ) were used for quantitative proteomics of male and female mouse retina and RPE (10 mice of each sex for each tissue type). Differentially expressed proteins were subjected to Gene Ontology (GO) analysis and Ingenuity Pathway Analysis (IPA).

Results: Differential expression analysis identified 21 differentially expressed proteins in the retina and 58 differentially expressed proteins in the RPE. Ingenuity pathway analysis identified the top canonical pathways differentially activated in the retina to be calcium transport I, nucleotide excision repair, molecular transport and cell death and survival. In the RPE, the top canonical pathways were calcium signaling, dilated cardiomyopathy signaling, actin cytoskeletal signaling and cellular assembly and organization.

Conclusions: These results provide insights into sex differences in the retina and RPE proteome of mice and begin to shed clues into the sexual dimorphism seen in retinal diseases.

背景:在视网膜疾病的分子机理或临床前研究中,性别作为一个生物变量并不常见。了解成人 RPE 和视网膜在生理条件下的性别二态性是我们更好地了解基于性别的生理病理机制的重要第一步:方法:使用相对和绝对定量的等位标签(iTRAQ)对雌雄小鼠视网膜和 RPE 进行定量蛋白质组学分析(每种组织类型各 10 只小鼠)。对差异表达的蛋白质进行了基因本体(Gene Ontology,GO)分析和基因路径分析(Ingenuity Pathway Analysis,IPA):结果:差异表达分析确定了视网膜中 21 种差异表达的蛋白质和 RPE 中 58 种差异表达的蛋白质。Ingenuity通路分析发现,视网膜中被差异激活的最主要经典通路是钙转运I、核苷酸切除修复、分子转运和细胞死亡与存活。在 RPE 中,最重要的典型通路是钙信号转导、扩张型心肌病信号转导、肌动蛋白细胞骨架信号转导以及细胞组装和组织:这些结果为了解小鼠视网膜和 RPE 蛋白质体的性别差异提供了线索,并开始揭示视网膜疾病中的性别二态性。
{"title":"Quantitative proteomic profiling reveals sexual dimorphism in the retina and RPE of C57BL6 mice.","authors":"Geeng-Fu Jang, John S Crabb, Allison Grenell, Alyson Wolk, Christie Campla, Shiming Luo, Mariya Ali, Bo Hu, Belinda Willard, Bela Anand-Apte","doi":"10.1186/s13293-024-00645-9","DOIUrl":"10.1186/s13293-024-00645-9","url":null,"abstract":"<p><strong>Background: </strong>Sex as a biological variable is not a common consideration in molecular mechanistic or preclinical studies of retinal diseases. Understanding the sexual dimorphism of adult RPE and retina under physiological conditions is an important first step in improving our understanding of sex-based physio-pathological mechanisms.</p><p><strong>Methods: </strong>Isobaric tags for relative and absolute quantitation (iTRAQ) were used for quantitative proteomics of male and female mouse retina and RPE (10 mice of each sex for each tissue type). Differentially expressed proteins were subjected to Gene Ontology (GO) analysis and Ingenuity Pathway Analysis (IPA).</p><p><strong>Results: </strong>Differential expression analysis identified 21 differentially expressed proteins in the retina and 58 differentially expressed proteins in the RPE. Ingenuity pathway analysis identified the top canonical pathways differentially activated in the retina to be calcium transport I, nucleotide excision repair, molecular transport and cell death and survival. In the RPE, the top canonical pathways were calcium signaling, dilated cardiomyopathy signaling, actin cytoskeletal signaling and cellular assembly and organization.</p><p><strong>Conclusions: </strong>These results provide insights into sex differences in the retina and RPE proteome of mice and begin to shed clues into the sexual dimorphism seen in retinal diseases.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"15 1","pages":"87"},"PeriodicalIF":4.9,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Human-specific protein-coding and lncRNA genes cast sex-biased genes in the brain and their relationships with brain diseases. 人类特异性蛋白编码基因和 lncRNA 基因在大脑中的性别偏向基因及其与脑部疾病的关系。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-29 DOI: 10.1186/s13293-024-00659-3
Sha He, Xuecong Zhang, Hao Zhu

Background: Gene expression shows sex bias in the brain as it does in other organs. Since female and male humans exhibit noticeable differences in emotions, logical thinking, movement, spatial orientation, and even the incidence of neurological disorders, sex biases in the brain are especially interesting, but how they are determined, whether they are conserved or lineage specific, and what the consequences of the biases are, remain poorly explored and understood.

Methods: Based on RNA-seq datasets from 16  and 14 brain regions in humans and macaques across developmental periods and from patients with brain diseases, we used linear mixed models (LMMs) to differentiate variations in gene expression caused by factors of interest and confounding factors and identify four types of sex-biased genes. Effect size and confidence in each effect were measured upon the local false sign rate (LFSR). We utilized the biomaRt R package to acquire orthologous genes in humans and macaques from the BioMart Ensembl website. Transcriptional regulation of sex-biased genes by sex hormones and lncRNAs were analyzed using the CellOracle, GENIE3, and Longtarget programs. Sex-biased genes' functions were revealed by gene set enrichment analysis using multiple methods.

Results: Lineage-specific sex-biased genes greatly determine the distinct sex biases in human and macaque brains. In humans, those encoding proteins contribute directly to immune-related functions, and those encoding lncRNAs intensively regulate the expression of other sex-biased genes, especially genes with immune-related functions. The identified sex-specific differentially expressed genes (ssDEGs) upon gene expression in disease and normal samples also indicate that protein-coding ssDEGs are conserved in humans and macaques but that lncRNA ssDEGs are not conserved. The results answer the above questions, reveal an intrinsic relationship between sex biases in the brain and sex-biased susceptibility to brain diseases, and will help researchers investigate human- and sex-specific ncRNA targets for brain diseases.

Conclusions: Human-specific genes greatly cast sex-biased genes in the brain and their relationships with brain diseases, with protein-coding genes contributing to immune response related functions and lncRNA genes critically regulating sex-biased genes. The high proportions of lineage-specific lncRNAs in mammalian genomes indicate that sex biases may have evolved rapidly in not only the brain but also other organs.

背景:与其他器官一样,大脑中的基因表达也显示出性别偏见。由于雌性和雄性人类在情绪、逻辑思维、运动、空间定向,甚至神经系统疾病的发病率等方面表现出明显的差异,因此大脑中的性别偏向尤其引人关注,但它们是如何决定的,是保守的还是特定的,以及偏向的后果是什么,这些问题仍然没有得到很好的探索和理解:方法:基于人类和猕猴16个和14个脑区发育期的RNA-seq数据集以及脑部疾病患者的RNA-seq数据集,我们使用线性混合模型(LMMs)区分了由相关因素和混杂因素引起的基因表达变化,并确定了四种性别偏倚基因。根据局部假符号率(LFSR)来衡量每种效应的效应大小和置信度。我们利用 biomaRt R 软件包从 BioMart Ensembl 网站获取了人类和猕猴的同源基因。我们使用CellOracle、GENIE3和Longtarget程序分析了性激素和lncRNA对性别偏倚基因的转录调控。使用多种方法进行基因组富集分析,揭示了性别偏倚基因的功能:结果:特异性系的性别偏向基因在很大程度上决定了人类和猕猴大脑中不同的性别偏向。在人类中,编码蛋白质的基因直接参与免疫相关功能,而编码lncRNA的基因则密切调控其他性别偏向基因的表达,尤其是具有免疫相关功能的基因。在疾病和正常样本基因表达中发现的性别差异表达基因(ssDEGs)也表明,编码蛋白质的ssDEGs在人类和猕猴中是保守的,但lncRNA ssDEGs并不保守。这些结果回答了上述问题,揭示了大脑性别偏差与脑部疾病性别易感性之间的内在关系,有助于研究人员研究人类和性别特异性ncRNA在脑部疾病中的靶点:人类特异性基因在很大程度上决定了大脑中的性别偏倚基因及其与脑部疾病的关系,其中蛋白编码基因对免疫反应相关功能做出了贡献,而lncRNA基因则对性别偏倚基因起着关键性的调控作用。哺乳动物基因组中特异性系的lncRNA比例很高,这表明性别偏见可能不仅在大脑中,而且在其他器官中也在迅速进化。
{"title":"Human-specific protein-coding and lncRNA genes cast sex-biased genes in the brain and their relationships with brain diseases.","authors":"Sha He, Xuecong Zhang, Hao Zhu","doi":"10.1186/s13293-024-00659-3","DOIUrl":"10.1186/s13293-024-00659-3","url":null,"abstract":"<p><strong>Background: </strong>Gene expression shows sex bias in the brain as it does in other organs. Since female and male humans exhibit noticeable differences in emotions, logical thinking, movement, spatial orientation, and even the incidence of neurological disorders, sex biases in the brain are especially interesting, but how they are determined, whether they are conserved or lineage specific, and what the consequences of the biases are, remain poorly explored and understood.</p><p><strong>Methods: </strong>Based on RNA-seq datasets from 16  and 14 brain regions in humans and macaques across developmental periods and from patients with brain diseases, we used linear mixed models (LMMs) to differentiate variations in gene expression caused by factors of interest and confounding factors and identify four types of sex-biased genes. Effect size and confidence in each effect were measured upon the local false sign rate (LFSR). We utilized the biomaRt R package to acquire orthologous genes in humans and macaques from the BioMart Ensembl website. Transcriptional regulation of sex-biased genes by sex hormones and lncRNAs were analyzed using the CellOracle, GENIE3, and Longtarget programs. Sex-biased genes' functions were revealed by gene set enrichment analysis using multiple methods.</p><p><strong>Results: </strong>Lineage-specific sex-biased genes greatly determine the distinct sex biases in human and macaque brains. In humans, those encoding proteins contribute directly to immune-related functions, and those encoding lncRNAs intensively regulate the expression of other sex-biased genes, especially genes with immune-related functions. The identified sex-specific differentially expressed genes (ssDEGs) upon gene expression in disease and normal samples also indicate that protein-coding ssDEGs are conserved in humans and macaques but that lncRNA ssDEGs are not conserved. The results answer the above questions, reveal an intrinsic relationship between sex biases in the brain and sex-biased susceptibility to brain diseases, and will help researchers investigate human- and sex-specific ncRNA targets for brain diseases.</p><p><strong>Conclusions: </strong>Human-specific genes greatly cast sex-biased genes in the brain and their relationships with brain diseases, with protein-coding genes contributing to immune response related functions and lncRNA genes critically regulating sex-biased genes. The high proportions of lineage-specific lncRNAs in mammalian genomes indicate that sex biases may have evolved rapidly in not only the brain but also other organs.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"15 1","pages":"86"},"PeriodicalIF":4.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11520681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex differences in sleep deficits in mice with an autism-linked Shank3 mutation. 与自闭症相关的 Shank3 基因突变小鼠睡眠障碍的性别差异。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-28 DOI: 10.1186/s13293-024-00664-6
Elizabeth Medina, Michael J Rempe, Christine Muheim, Hannah Schoch, Kristan Singletary, Kaitlyn Ford, Lucia Peixoto

Background: Insomnia is more prevalent in individuals with Autism Spectrum Disorder (ASD), can worsen core-symptoms and reduces quality of life of both individuals and caregivers. Although ASD is four times more prevalent in males than females, less is known about sex specific sleep differences in autistic individuals. Recent ASD studies suggest that sleep problems may be more severe in females, which aligns with the sex bias seen in insomnia for the general population. We have previously shown that male mice with a mutation in the high confidence ASD gene Shank3, Shank3∆C, recapitulate most aspects of the ASD insomnia phenotype. The objective of the present study was to leverage the Shank3∆C model to investigate sex-specific effects in sleep using polysomnography.

Methods: Adult male and female Shank3∆C and wildtype (WT) littermates were first recorded for 24 h of baseline recordings. Subsequently, they were sleep deprived (SD) for five hours via gentle handling and allowed 19 h of recovery sleep to characterize the homeostatic response to SD. Vigilance states (rapid eye movement (REM) sleep, non-rapid eye movement (NREM) sleep and wake) were assigned by manual inspection using SleepSign. Data processing, statistical analysis and visualization were conducted using MATLAB.

Results: Sex and genotype effects were found during baseline sleep and after SD. At baseline, male Shank3∆C mice sleep less during the dark period (active phase) while female Shank3∆C mice sleep less during the light period (rest phase) and sleep more during the dark period. Both male and female Shank3∆C mice show reduced spectral power in NREM sleep. We detect a significant effect of sex and genotype in sleep onset latency and homeostatic sleep pressure (sleepiness). In addition, while male Shank3∆C mice fail to increase sleep time following SD as seen in WT, female Shank3∆C mice decrease sleep time.

Conclusions: Overall, our study demonstrates sex differences in sleep architecture and homeostatic response to SD in adult Shank3∆C mice. Thus, our study demonstrates an interaction between sex and genotype in Shank3∆C mice and supports the use of the Shank3∆C model to better understand mechanisms contributing to the sex differences in insomnia in ASD in clinical populations.

背景:失眠在自闭症谱系障碍(ASD)患者中更为普遍,会加重核心症状,降低患者和照顾者的生活质量。虽然男性自闭症患者的发病率是女性的四倍,但人们对自闭症患者的性别睡眠差异却知之甚少。最近的 ASD 研究表明,女性的睡眠问题可能更为严重,这与一般人群失眠的性别偏向一致。我们之前已经证明,高置信度 ASD 基因 Shank3(Shank3∆C)发生突变的雄性小鼠能再现 ASD 失眠表型的大部分方面。本研究的目的是利用 Shank3∆C 模型,使用多导睡眠图研究睡眠中的性别特异性影响:方法:首先记录成年雌雄 Shank3∆C 和野生型(WT)同窝仔鼠 24 小时的基线记录。随后,通过轻柔操作剥夺其睡眠(SD)5小时,并允许其恢复睡眠19小时,以确定对SD的平衡反应。警觉状态(快速眼动(REM)睡眠、非快速眼动(NREM)睡眠和觉醒)是通过使用 SleepSign 进行人工检查来分配的。使用 MATLAB 进行数据处理、统计分析和可视化:结果:在基线睡眠期间和自毁后发现了性别和基因型效应。在基线期,雄性 Shank3∆C 小鼠在黑暗期(活动期)睡眠较少,而雌性 Shank3∆C 小鼠在光照期(休息期)睡眠较少,在黑暗期睡眠较多。雄性和雌性 Shank3∆C 小鼠在 NREM 睡眠中的频谱功率都有所降低。我们发现性别和基因型对睡眠开始潜伏期和睡眠平衡压力(嗜睡)有明显影响。此外,雄性 Shank3∆C 小鼠不能像 WT 小鼠那样在 SD 后增加睡眠时间,而雌性 Shank3∆C 小鼠则会减少睡眠时间:总之,我们的研究表明,成年 Shank3∆C 小鼠的睡眠结构和对 SD 的稳态反应存在性别差异。因此,我们的研究证明了 Shank3∆C 小鼠的性别和基因型之间存在相互作用,并支持使用 Shank3∆C 模型来更好地了解导致临床人群中 ASD 失眠性别差异的机制。
{"title":"Sex differences in sleep deficits in mice with an autism-linked Shank3 mutation.","authors":"Elizabeth Medina, Michael J Rempe, Christine Muheim, Hannah Schoch, Kristan Singletary, Kaitlyn Ford, Lucia Peixoto","doi":"10.1186/s13293-024-00664-6","DOIUrl":"10.1186/s13293-024-00664-6","url":null,"abstract":"<p><strong>Background: </strong>Insomnia is more prevalent in individuals with Autism Spectrum Disorder (ASD), can worsen core-symptoms and reduces quality of life of both individuals and caregivers. Although ASD is four times more prevalent in males than females, less is known about sex specific sleep differences in autistic individuals. Recent ASD studies suggest that sleep problems may be more severe in females, which aligns with the sex bias seen in insomnia for the general population. We have previously shown that male mice with a mutation in the high confidence ASD gene Shank3, Shank3<sup>∆C</sup>, recapitulate most aspects of the ASD insomnia phenotype. The objective of the present study was to leverage the Shank3<sup>∆C</sup> model to investigate sex-specific effects in sleep using polysomnography.</p><p><strong>Methods: </strong>Adult male and female Shank3<sup>∆C</sup> and wildtype (WT) littermates were first recorded for 24 h of baseline recordings. Subsequently, they were sleep deprived (SD) for five hours via gentle handling and allowed 19 h of recovery sleep to characterize the homeostatic response to SD. Vigilance states (rapid eye movement (REM) sleep, non-rapid eye movement (NREM) sleep and wake) were assigned by manual inspection using SleepSign. Data processing, statistical analysis and visualization were conducted using MATLAB.</p><p><strong>Results: </strong>Sex and genotype effects were found during baseline sleep and after SD. At baseline, male Shank3<sup>∆C</sup> mice sleep less during the dark period (active phase) while female Shank3<sup>∆C</sup> mice sleep less during the light period (rest phase) and sleep more during the dark period. Both male and female Shank3<sup>∆C</sup> mice show reduced spectral power in NREM sleep. We detect a significant effect of sex and genotype in sleep onset latency and homeostatic sleep pressure (sleepiness). In addition, while male Shank3<sup>∆C</sup> mice fail to increase sleep time following SD as seen in WT, female Shank3<sup>∆C</sup> mice decrease sleep time.</p><p><strong>Conclusions: </strong>Overall, our study demonstrates sex differences in sleep architecture and homeostatic response to SD in adult Shank3<sup>∆C</sup> mice. Thus, our study demonstrates an interaction between sex and genotype in Shank3<sup>∆C</sup> mice and supports the use of the Shank3<sup>∆C</sup> model to better understand mechanisms contributing to the sex differences in insomnia in ASD in clinical populations.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"15 1","pages":"85"},"PeriodicalIF":4.9,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142520901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Age, sex, and cell type-resolved hypothalamic gene expression across the pubertal transition in mice. 跨越小鼠青春期过渡期的年龄、性别和细胞类型分辨的下丘脑基因表达。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-24 DOI: 10.1186/s13293-024-00661-9
Dustin J Sokolowski, Huayun Hou, Kyoko E Yuki, Anna Roy, Cadia Chan, Wendy Choi, Mariela Faykoo-Martinez, Matt Hudson, Christina Corre, Liis Uusküla-Reimand, Anna Goldenberg, Mark R Palmert, Michael D Wilson

Background: The hypothalamus plays a central role in regulating puberty. However, our knowledge of the postnatal gene regulatory networks that control the pubertal transition in males and females is incomplete. Here, we investigate the age-, sex- and cell-type-specific gene regulation in the hypothalamus across the pubertal transition.

Methods: We used RNA-seq to profile hypothalamic gene expression in male and female mice at five time points spanning the onset of puberty (postnatal days (PD) 12, 22, 27, 32, and 37). By combining this data with hypothalamic single nuclei RNA-seq data from pre- and postpubertal mice, we assigned gene expression changes to their most likely cell types of origin. In our colony, pubertal onset occurs earlier in male mice, allowing us to focus on genes whose expression is dynamic across ages and offset between sexes, and to explore the bases of sex effects.

Results: Our age-by-sex pattern of expression enriched for biological pathways involved hormone production, neuronal activation, and glial maturation. Additionally, we inferred a robust expansion of oligodendrocytes precursor cells into mature oligodendrocytes spanning the prepubertal (PD12) to peri-pubertal (PD27) timepoints. Using spatial transcriptomic data from postpubertal mice, we observed the lateral hypothalamic area and zona incerta were the most oligodendrocyte-rich regions and that these cells expressed genes known to be involved in pubertal regulation.

Conclusion: Together, by incorporating multiple biological timepoints and using sex as a variable, we identified gene and cell-type changes that may participate in orchestrating the pubertal transition and provided a resource for future studies of postnatal hypothalamic gene regulation.

背景:下丘脑在调控青春期方面发挥着核心作用。然而,我们对控制男性和女性青春期过渡的产后基因调控网络的了解并不全面。在此,我们研究了青春期过渡时期下丘脑中年龄、性别和细胞类型特异性的基因调控:方法:我们使用 RNA-seq 分析了雄性和雌性小鼠在青春期开始的五个时间点(出生后第 12、22、27、32 和 37 天)的下丘脑基因表达。通过将这些数据与来自青春期前后小鼠的下丘脑单个核RNA-seq数据相结合,我们将基因表达变化归因于其最可能的起源细胞类型。在我们的小鼠群中,雄性小鼠的青春期来临较早,这使我们能够集中研究在不同年龄段和不同性别间表达动态变化的基因,并探索性别效应的基础:结果:我们按性别划分的年龄表达模式富集了涉及激素分泌、神经元激活和神经胶质成熟的生物通路。此外,我们还推断出少突胶质细胞前体细胞向成熟少突胶质细胞的强劲扩张跨越了青春期前(PD12)到青春期前后(PD27)的时间点。利用发育后小鼠的空间转录组数据,我们观察到下丘脑外侧区和内侧区是少突胶质细胞最丰富的区域,而且这些细胞表达了已知参与青春期调控的基因:总之,通过结合多个生物学时间点和使用性别作为变量,我们确定了可能参与协调青春期过渡的基因和细胞类型变化,并为今后研究出生后下丘脑基因调控提供了资源。
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引用次数: 0
Aromatase, testosterone, TMPRSS2: determinants of COVID-19 severity. 芳香化酶、睾酮、TMPRSS2:COVID-19 严重程度的决定因素。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-24 DOI: 10.1186/s13293-024-00658-4
Eric C Mohan, Jude P J Savarraj, Gabriela D Colpo, Diego Morales, Carson E Finger, Alexis McAlister, Hilda Ahnstedt, HuiMahn Choi, Louise D McCullough, Bharti Manwani
<p><strong>Background: </strong>Male sex has been identified as a risk factor for worse COVID-19 outcomes. This sex difference has been mostly attributed to the complex role of sex hormones. Cell surface entry of SARS-CoV-2 is mediated by the transmembrane protease serine 2 (TMPRSS2) which is under transcriptional regulation by androgens. P450 aromatase enzyme converts androgens to estrogens. This study measured concentrations of aromatase enzyme, testosterone, estradiol, and TMPRSS-2 in plasma of hospitalized COVID-19 patients to elucidate the dynamics of sex-linked disparity in COVID-19 and correlate them with disease severity and mortality.</p><p><strong>Methods: </strong>In this prospective cohort study, a total of 265 patients (41% women), age 18 years and older, who had a positive COVID-19 PCR test and were hospitalized for COVID-19 at Memorial Hermann Hospital in Houston, (between May 2020 and May 2021) were enrolled in the study if met inclusion criteria. Plasma concentrations of Testosterone, aromatase, TMPRSS-2, and estradiol were measured by ELISA. COVID-19 patients were dichotomized based on disease severity into moderate-severe (n = 146) or critical (n = 119). Mann Whitney U and logistic regression were used to correlate the analytes with disease severity and mortality.</p><p><strong>Results: </strong>TMPRSS2 (2.5 ± 0.31 vs. 1.73 ± 0.21 ng/mL, p < 0.01) and testosterone (1.2 ± 0.1 vs. 0.44 ± 0.12 ng/mL, p < 0.01) were significantly higher in men as compared to women with COVID-19 after adjusting for age in a multivariate model. There was no sex difference seen in the level of estradiol and aromatase in COVID-19 patients. TMPRSS2 and aromatase were higher, while testosterone was lower in patients with increased COVID-19 severity. They were independently associated with COVID-19 severity, after adjusting for several baseline risk factors in a multivariate logistic regression model. In terms of mortality, TMPRRS2 and aromatase levels were significantly higher in non-survivors.</p><p><strong>Conclusions: </strong>Our study demonstrates that testosterone, aromatase, and TMPRSS2 are markers of COVID-19 severity. Estradiol levels do not change with disease severity in COVID-19. In terms of mortality prediction, higher aromatase and TMPRSS-2 levels can be used to predict mortality from COVID-19 in hospitalized patients. COVID-19 has caused over a million deaths in the U.S., with men often getting sicker than women. Testosterone, a male hormone, helps control a protein called TMPRSS-2, which allows the COVID-19 virus to spread more easily in the body. A protein called aromatase converts the male hormone testosterone into the female hormone estrogen. It is thought that female hormone estrogen helps protect women from getting seriously ill from COVID-19. To understand the role of these hormones in COVID-19 and sex differences, we measured levels of testosterone, estrogen, aromatase (which turns testosterone into estrogen), and TMPRSS-2 in hospi
背景:男性已被确定为 COVID-19 结果较差的风险因素。这种性别差异主要归因于性激素的复杂作用。SARS-CoV-2 进入细胞表面是由跨膜丝氨酸蛋白酶 2(TMPRSS2)介导的,该蛋白酶受雄激素的转录调节。P450 芳香化酶可将雄激素转化为雌激素。本研究测量了住院COVID-19患者血浆中芳香化酶、睾酮、雌二醇和TMPRSS-2的浓度,以阐明COVID-19中性别相关性差异的动态变化,并将其与疾病严重程度和死亡率联系起来:在这项前瞻性队列研究中,休斯顿赫尔曼纪念医院(2020年5月至2021年5月期间)共招募了265名COVID-19 PCR检测呈阳性并因COVID-19住院的18岁及以上患者(41%为女性),只要符合纳入标准即可参与研究。通过酶联免疫吸附法测定血浆中睾酮、芳香化酶、TMPRSS-2和雌二醇的浓度。COVID-19 患者根据疾病严重程度分为中度-重度(146 人)和危重(119 人)。曼-惠特尼U和逻辑回归用于将分析物与疾病严重程度和死亡率相关联:结果:TMPRSS2(2.5 ± 0.31 vs. 1.73 ± 0.21 ng/mL,p 结论:我们的研究表明,睾酮、芳香化酶和 TMPRSS2 是 COVID-19 严重程度的标志物。雌二醇水平并不随 COVID-19 疾病严重程度而变化。在预测死亡率方面,较高的芳香化酶和 TMPRSS-2 水平可用于预测住院患者的 COVID-19 死亡率。在美国,COVID-19 已造成一百多万人死亡,其中男性的发病率往往高于女性。睾酮是一种雄性激素,它有助于控制一种名为TMPRSS-2的蛋白质,使COVID-19病毒更容易在体内传播。一种名为芳香化酶的蛋白质会将雄性激素睾酮转化为雌性激素。人们认为,女性荷尔蒙雌激素有助于保护女性免受 COVID-19 病毒的严重侵袭。为了了解这些激素在 COVID-19 中的作用和性别差异,我们测量了 COVID-19 住院患者体内睾酮、雌激素、芳香化酶(将睾酮转化为雌激素)和 TMPRSS-2 的水平。我们还检查了这一水平如何反映疾病的严重程度。我们发现,COVID-19 重症患者(重症监护室患者)的 TMPRSS-2 和芳香化酶水平较高,而睾酮水平较低。当我们用这些激素水平来预测住院的COVID-19患者的死亡时,TMPRSS-2和芳香化酶水平较高的患者存活几率较低。
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Biology of Sex Differences
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