Pub Date : 2025-11-07DOI: 10.1186/s13293-025-00773-w
Urte Jasinskyte, Robertas Guzulaitis
Background: Brain oscillations are critical for neural communication and are increasingly recognized as sensitive biomarkers of neuropsychiatric dysfunction. Specifically, the auditory steady-state response (ASSR) has been identified as a reliable assessment of cortical entrainment and is a potential biomarker for the diagnosis or even prognosis of schizophrenia. Despite the growing awareness of sex as a biological variable, sex differences in oscillatory dynamics remain underexplored.
Methods: Using electrophysiological recordings in mice, this study investigated sex differences in both spontaneous and evoked oscillatory brain activity under baseline conditions and following systemic NMDA receptor suppression via ketamine, a widely used pharmacological model of schizophrenia.
Results: Although spontaneous oscillations across a wide range of frequency bands did not differ significantly between sexes, male mice exhibited greater gamma-band entrainment at 40 Hz ASSRs than females did. The administration of a subanaesthetic dose of ketamine consistently disrupted both spontaneous and gamma-band entrainment during ASSRs but without sex-specific effects. All measured oscillatory parameters showed high test‒retest reliability, thus indicating the robustness of the findings.
Conclusions: Collectively, these results demonstrate sex-dependent differences in baseline cortical entrainment, highlighting the importance of including both sexes in preclinical research to fully elucidate the neurobiological mechanisms underlying brain oscillations and their implications in psychiatric disorders.
{"title":"Disruption of brain rhythms in a pharmacological model of schizophrenia in male and female mice.","authors":"Urte Jasinskyte, Robertas Guzulaitis","doi":"10.1186/s13293-025-00773-w","DOIUrl":"10.1186/s13293-025-00773-w","url":null,"abstract":"<p><strong>Background: </strong>Brain oscillations are critical for neural communication and are increasingly recognized as sensitive biomarkers of neuropsychiatric dysfunction. Specifically, the auditory steady-state response (ASSR) has been identified as a reliable assessment of cortical entrainment and is a potential biomarker for the diagnosis or even prognosis of schizophrenia. Despite the growing awareness of sex as a biological variable, sex differences in oscillatory dynamics remain underexplored.</p><p><strong>Methods: </strong>Using electrophysiological recordings in mice, this study investigated sex differences in both spontaneous and evoked oscillatory brain activity under baseline conditions and following systemic NMDA receptor suppression via ketamine, a widely used pharmacological model of schizophrenia.</p><p><strong>Results: </strong>Although spontaneous oscillations across a wide range of frequency bands did not differ significantly between sexes, male mice exhibited greater gamma-band entrainment at 40 Hz ASSRs than females did. The administration of a subanaesthetic dose of ketamine consistently disrupted both spontaneous and gamma-band entrainment during ASSRs but without sex-specific effects. All measured oscillatory parameters showed high test‒retest reliability, thus indicating the robustness of the findings.</p><p><strong>Conclusions: </strong>Collectively, these results demonstrate sex-dependent differences in baseline cortical entrainment, highlighting the importance of including both sexes in preclinical research to fully elucidate the neurobiological mechanisms underlying brain oscillations and their implications in psychiatric disorders.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"94"},"PeriodicalIF":5.1,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12595673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145470413","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}
Pub Date : 2025-11-07DOI: 10.1186/s13293-025-00771-y
Ashley S Meakin, Peter W Nathanielsz, Cun Li, Vicki L Clifton, Hillary F Huber, Michael D Wiese, Janna L Morrison
Background: Maternal nutrient restriction (MNR) can increase maternal androgen concentrations during pregnancy and cause placental dysfunction leading to reduced fetal growth, especially in males. Placental androgen metabolism, as well as differential expression and subcellular localisation of androgen receptor (AR) variants, modulates androgen signalling, which may benefit placental function; however, the impact of MNR on these adaptations remains undefined. We characterised the impact of MNR and fetal sex on placental androgen signalling in a non-human primate model of pregnancy.
Methods: Pregnant baboons (Papio spp.) were randomly assigned to control diet (Ctrl; offspring female n = 5, male n = 6) or MNR diet (70% of global Ctrl; offspring female n = 5, male n = 5) at 0.16 gestation (term = ~ 180 days). Fetuses were delivered by Caesarean section at 0.9 gestation and placenta collected. Molecular measures of sex steroid signalling and placental function were quantified using established LC-MS/MS assays, Western blot, and qRT-PCR. Data were analysed using two-way ANOVA (factors: diet, sex) with Tukey's multiple comparison test.
Results: CYP17A1, SRD5A1, and PGF expression was higher, whereas HSD3B1, CYP19A1, and ANGPT2 was lower in male compared to female placentae, independent of diet. KDR expression and CYP19A1 activity increased in MNR versus Ctrl in females only. Cytoplasmic expression of the antagonistic AR variant, AR-45, was higher in males, whereas MNR increased cytoplasmic and nuclear AR-45 expression independent of sex.
Conclusions: Differences in placental steroidogenic and angiogenic genes, as well as androgen metabolism and signalling, may explain sex-specific placental responses to MNR. Better understanding of molecular regulators of androgen signalling may lead to novel, targetable therapeutics that improve placental function in complicated pregnancies associated with increased androgen concentrations.
{"title":"Sexually dimorphic responses in androgen metabolism and signalling in the non-human primate placenta to moderate maternal undernutrition.","authors":"Ashley S Meakin, Peter W Nathanielsz, Cun Li, Vicki L Clifton, Hillary F Huber, Michael D Wiese, Janna L Morrison","doi":"10.1186/s13293-025-00771-y","DOIUrl":"10.1186/s13293-025-00771-y","url":null,"abstract":"<p><strong>Background: </strong>Maternal nutrient restriction (MNR) can increase maternal androgen concentrations during pregnancy and cause placental dysfunction leading to reduced fetal growth, especially in males. Placental androgen metabolism, as well as differential expression and subcellular localisation of androgen receptor (AR) variants, modulates androgen signalling, which may benefit placental function; however, the impact of MNR on these adaptations remains undefined. We characterised the impact of MNR and fetal sex on placental androgen signalling in a non-human primate model of pregnancy.</p><p><strong>Methods: </strong>Pregnant baboons (Papio spp.) were randomly assigned to control diet (Ctrl; offspring female n = 5, male n = 6) or MNR diet (70% of global Ctrl; offspring female n = 5, male n = 5) at 0.16 gestation (term = ~ 180 days). Fetuses were delivered by Caesarean section at 0.9 gestation and placenta collected. Molecular measures of sex steroid signalling and placental function were quantified using established LC-MS/MS assays, Western blot, and qRT-PCR. Data were analysed using two-way ANOVA (factors: diet, sex) with Tukey's multiple comparison test.</p><p><strong>Results: </strong>CYP17A1, SRD5A1, and PGF expression was higher, whereas HSD3B1, CYP19A1, and ANGPT2 was lower in male compared to female placentae, independent of diet. KDR expression and CYP19A1 activity increased in MNR versus Ctrl in females only. Cytoplasmic expression of the antagonistic AR variant, AR-45, was higher in males, whereas MNR increased cytoplasmic and nuclear AR-45 expression independent of sex.</p><p><strong>Conclusions: </strong>Differences in placental steroidogenic and angiogenic genes, as well as androgen metabolism and signalling, may explain sex-specific placental responses to MNR. Better understanding of molecular regulators of androgen signalling may lead to novel, targetable therapeutics that improve placental function in complicated pregnancies associated with increased androgen concentrations.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"93"},"PeriodicalIF":5.1,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12595738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145470379","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}
Pub Date : 2025-11-06DOI: 10.1186/s13293-025-00780-x
Baile Wu, Chunxue Tang, Zhongxun Ren, Jiayu Qian, Yuxiao Deng, Zihan Fan, YanYan Zhang, Lijun Shi
<p><strong>Background: </strong>Sex differences in exercise metabolism have been recognized for decades, but the molecular metabolic landscape in which men and women reach standardized physiological exhaustion criteria remains unexplored.</p><p><strong>Objective: </strong>We systematically characterized serum metabolic sexual dimorphism following acute exhaustive exercise using standardized termination criteria.</p><p><strong>Methods: </strong>In a cross-sectional study (ChiCTR2400089036), forty healthy adults (20 males, 20 females; aged 22.4 ± 3.4 years, BMI 22.4 ± 2.1 kg/m<sup>2</sup>; V̇O<sub>2peak</sub> 40.92 ± 5.69 ml/kg/min) underwent cardiopulmonary exercise testing via objective termination criteria, with female participants tested during the mid-luteal phase. Serum samples were collected at baseline, immediately post-exercise, and at 15 and 30 min post-exercise for comprehensive metabolomics and targeted triacylglycerol (TAG) analysis via mass spectrometry.</p><p><strong>Results: </strong>All participants achieved standardized exhaustion endpoints. Despite equivalent fat-free mass-normalized V̇O<sub>2peak</sub>, males expended 20% more energy per unit fat-free mass (P = 0.015). While both sexes showed similar numbers of altered metabolites (290-308), their molecular compositions differed markedly. Lipids comprised the largest fraction of sex-specific responses, with hypoxanthine, sarcosine, and lysophospholipids as key discriminators. Females showed sustained lipid downregulation while males demonstrated recoverable patterns. Notably, 37 TAGs showed sexually antagonistic regulation, and 41.7% of fitness-correlated metabolites exhibited opposite associations between sexes.</p><p><strong>Conclusions: </strong>This study reveals distinct metabolic response patterns between males and females when standardized exhaustion endpoints are reached. Key exercise-induced sex-discriminating metabolites were identified and opposing metabolic-fitness associations were observed between sexes. These findings emphasize the necessity of sex-stratified analysis in exercise metabolism research and metabolic biomarker interpretation. While men and women respond differently to exercise, molecular differences at complete exhaustion have never been studied. We studied 20 men and 20 women who exercised to exhaustion using standardized criteria, then analyzed hundreds of blood molecules before, during, and after exercise. Although both sexes showed similar numbers of changed molecules, the specific types were remarkably different, with fat-related molecules showing the largest differences. We identified molecular markers that distinguished male from female responses, found certain fat storage molecules responded in opposite directions between sexes, and discovered that molecules like kynurenine and androsterone sulfate showed opposite fitness relationships in men versus women. These findings reveal that even at identical exhaustion levels, men and women use fundam
{"title":"Sexual dimorphism in the serum metabolome following acute exhaustive exercise.","authors":"Baile Wu, Chunxue Tang, Zhongxun Ren, Jiayu Qian, Yuxiao Deng, Zihan Fan, YanYan Zhang, Lijun Shi","doi":"10.1186/s13293-025-00780-x","DOIUrl":"10.1186/s13293-025-00780-x","url":null,"abstract":"<p><strong>Background: </strong>Sex differences in exercise metabolism have been recognized for decades, but the molecular metabolic landscape in which men and women reach standardized physiological exhaustion criteria remains unexplored.</p><p><strong>Objective: </strong>We systematically characterized serum metabolic sexual dimorphism following acute exhaustive exercise using standardized termination criteria.</p><p><strong>Methods: </strong>In a cross-sectional study (ChiCTR2400089036), forty healthy adults (20 males, 20 females; aged 22.4 ± 3.4 years, BMI 22.4 ± 2.1 kg/m<sup>2</sup>; V̇O<sub>2peak</sub> 40.92 ± 5.69 ml/kg/min) underwent cardiopulmonary exercise testing via objective termination criteria, with female participants tested during the mid-luteal phase. Serum samples were collected at baseline, immediately post-exercise, and at 15 and 30 min post-exercise for comprehensive metabolomics and targeted triacylglycerol (TAG) analysis via mass spectrometry.</p><p><strong>Results: </strong>All participants achieved standardized exhaustion endpoints. Despite equivalent fat-free mass-normalized V̇O<sub>2peak</sub>, males expended 20% more energy per unit fat-free mass (P = 0.015). While both sexes showed similar numbers of altered metabolites (290-308), their molecular compositions differed markedly. Lipids comprised the largest fraction of sex-specific responses, with hypoxanthine, sarcosine, and lysophospholipids as key discriminators. Females showed sustained lipid downregulation while males demonstrated recoverable patterns. Notably, 37 TAGs showed sexually antagonistic regulation, and 41.7% of fitness-correlated metabolites exhibited opposite associations between sexes.</p><p><strong>Conclusions: </strong>This study reveals distinct metabolic response patterns between males and females when standardized exhaustion endpoints are reached. Key exercise-induced sex-discriminating metabolites were identified and opposing metabolic-fitness associations were observed between sexes. These findings emphasize the necessity of sex-stratified analysis in exercise metabolism research and metabolic biomarker interpretation. While men and women respond differently to exercise, molecular differences at complete exhaustion have never been studied. We studied 20 men and 20 women who exercised to exhaustion using standardized criteria, then analyzed hundreds of blood molecules before, during, and after exercise. Although both sexes showed similar numbers of changed molecules, the specific types were remarkably different, with fat-related molecules showing the largest differences. We identified molecular markers that distinguished male from female responses, found certain fat storage molecules responded in opposite directions between sexes, and discovered that molecules like kynurenine and androsterone sulfate showed opposite fitness relationships in men versus women. These findings reveal that even at identical exhaustion levels, men and women use fundam","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"91"},"PeriodicalIF":5.1,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457253","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}
Pub Date : 2025-11-06DOI: 10.1186/s13293-025-00777-6
María Calderón-Domínguez, Isabel Sánchez-Muñoz, Raquel González-Blázquez, Marta Gil-Ortega, Beatriz Somoza, Ricardo Arroyo-Solera, Paloma Fernández, Esther Carrera, Javier Valverde-Pozo, María Larriva, Jose Miguel Cárdenas-Rebollo, Juan Carlos Ruiz de Adana, Marta Viana, Martín Alcalá
<p><strong>Background: </strong>The term "metabolically healthy obesity" is used to define those patients with obesity that do not present elements of metabolic syndrome. The causes behind this temporary reduction of the cardiovascular risk are still unknown, although these patients are characterized by a conserved expansion capacity of the adipose tissue, preventing ectopic accumulation of fat. Since hormones are key regulators in adipogenesis, we hypothesize that there are sex-specific differences in visceral white adipose tissue (vWAT) biology that may contribute to metabolic health disparities between men and women.</p><p><strong>Methods: </strong>60 patients attending the Morbid Obesity Unit from the Hospital Universitario de Getafe for elective bariatric surgery were enrolled. Prior to the surgery, a full biochemical panel was carried out. During the procedure, a portion of vWAT was excised and snap-frozen for histological analysis and for the study of the transcriptomic fingerprint in 8 metabolically healthy (MH) and 8 metabolically unhealthy (MU) patients using a transcript expression microarray. The results were validated by qPCR.</p><p><strong>Results: </strong>Functional enrichment analysis of the differentially expressed transcripts (DETs) revealed a similar vWAT transcriptome between MH and MU patients, with differences related to immune response and metabolism homeostasis. However, when we stratified the patients by sex, the number of DETs multiplied by 10, showing sex-specific signatures. MH men presented a reduced pro-inflammatory and oxidative stress profile in comparison to MU men. Thus, the transition from MH to a MU state in men led to a disruption of the normal biology of the tissue, which correlates to the apparition of comorbidities. Surprisingly, MH females exhibited the most deleterious profile, with alterations of key pathways related to inflammation, extracellular matrix organization and metabolism in comparison to MU females. Even those common processes (extracellular remodeling and inflammation) that were observed in men and women cohorts presented a unique signature. These results suggest that vWAT in females suffers an exaggerated pathological state in response to the increased demand to store energy in comparison to men.</p><p><strong>Conclusion: </strong>These findings suggest that obesity should be treated as a different entity in men and women and highlight the need of early intervention in female patients with obesity, even in the absence of comorbidities. Obesity is often linked to metabolic problems, but some patients with obesity do not show typical signs of metabolic syndrome, a situation referred to as "metabolically healthy obesity." The reasons behind this are not fully understood, but it is thought that these individuals have healthier adipose tissue that prevents the accumulation of fat in other organs. Since hormones play an important role in fat storage, we examined if there are gender differences in
{"title":"Understanding the role of visceral fat in metabolically healthy versus unhealthy obesity: a sex-based analysis of the transcriptome.","authors":"María Calderón-Domínguez, Isabel Sánchez-Muñoz, Raquel González-Blázquez, Marta Gil-Ortega, Beatriz Somoza, Ricardo Arroyo-Solera, Paloma Fernández, Esther Carrera, Javier Valverde-Pozo, María Larriva, Jose Miguel Cárdenas-Rebollo, Juan Carlos Ruiz de Adana, Marta Viana, Martín Alcalá","doi":"10.1186/s13293-025-00777-6","DOIUrl":"10.1186/s13293-025-00777-6","url":null,"abstract":"<p><strong>Background: </strong>The term \"metabolically healthy obesity\" is used to define those patients with obesity that do not present elements of metabolic syndrome. The causes behind this temporary reduction of the cardiovascular risk are still unknown, although these patients are characterized by a conserved expansion capacity of the adipose tissue, preventing ectopic accumulation of fat. Since hormones are key regulators in adipogenesis, we hypothesize that there are sex-specific differences in visceral white adipose tissue (vWAT) biology that may contribute to metabolic health disparities between men and women.</p><p><strong>Methods: </strong>60 patients attending the Morbid Obesity Unit from the Hospital Universitario de Getafe for elective bariatric surgery were enrolled. Prior to the surgery, a full biochemical panel was carried out. During the procedure, a portion of vWAT was excised and snap-frozen for histological analysis and for the study of the transcriptomic fingerprint in 8 metabolically healthy (MH) and 8 metabolically unhealthy (MU) patients using a transcript expression microarray. The results were validated by qPCR.</p><p><strong>Results: </strong>Functional enrichment analysis of the differentially expressed transcripts (DETs) revealed a similar vWAT transcriptome between MH and MU patients, with differences related to immune response and metabolism homeostasis. However, when we stratified the patients by sex, the number of DETs multiplied by 10, showing sex-specific signatures. MH men presented a reduced pro-inflammatory and oxidative stress profile in comparison to MU men. Thus, the transition from MH to a MU state in men led to a disruption of the normal biology of the tissue, which correlates to the apparition of comorbidities. Surprisingly, MH females exhibited the most deleterious profile, with alterations of key pathways related to inflammation, extracellular matrix organization and metabolism in comparison to MU females. Even those common processes (extracellular remodeling and inflammation) that were observed in men and women cohorts presented a unique signature. These results suggest that vWAT in females suffers an exaggerated pathological state in response to the increased demand to store energy in comparison to men.</p><p><strong>Conclusion: </strong>These findings suggest that obesity should be treated as a different entity in men and women and highlight the need of early intervention in female patients with obesity, even in the absence of comorbidities. Obesity is often linked to metabolic problems, but some patients with obesity do not show typical signs of metabolic syndrome, a situation referred to as \"metabolically healthy obesity.\" The reasons behind this are not fully understood, but it is thought that these individuals have healthier adipose tissue that prevents the accumulation of fat in other organs. Since hormones play an important role in fat storage, we examined if there are gender differences in","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"92"},"PeriodicalIF":5.1,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457312","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}
Pub Date : 2025-11-06DOI: 10.1186/s13293-025-00776-7
Haichang Luo, Ezequiel Marron Fernandez de Velasco, Jaeyoon Kim, Praseuth Yang, Paul Mermelstein, Joseph V Bonventre, Paul S Cooke, Kevin Wickman
<p><strong>Background: </strong>Amyloid β oligomers (oAβ) are a key pathogenic driver in Alzheimer's Disease (AD). Neuronal G protein-gated inwardly rectifying K<sup>+</sup> (GIRK/Kir3) channels are important regulators of neuronal excitability and prominent somatodendritic effectors for inhibitory G protein-coupled receptors, including the γ-aminobutyric acid type B receptor (GABA<sub>B</sub>R). We previously reported a male-specific suppression of GIRK channel activity in hippocampal (HPC) neurons evoked by oAβ in in vitro, ex vivo, and in vivo mouse models of AD, and showed that this adaptation correlated with synaptic and cognitive impairment. Using pharmacological approaches, we showed that this adaptation is mediated by co-activation of cellular prion protein (PrP<sup>C</sup>) and metabotropic glutamate receptor 5 (mGluR5) and requires activation of cytosolic phospholipase A2 α (cPLA<sub>2</sub>α). However, the mechanisms underlying the sex specificity was unknown. Given the clinical context that females exhibit a 2-fold higher incidence of AD than males, and the loss of neuroprotective estrogen by menopause contributes to the sex differences in AD, we postulated that estrogen-associated resilience underlies this sex dimorphism of oAβ action.</p><p><strong>Methods: </strong>To examine the strength of GIRK-dependent signaling in HPC neurons, we performed electrophysiology in primary HPC cultures from neonatal male and female mice and then measured whole-cell currents evoked by the direct-acting GIRK channel agonist ML297 and the GABA<sub>B</sub>R-selective agonist baclofen. We used an array of genetic and pharmacological approaches to investigate the molecular mechanism(s) underlying the vulnerability and resilience of GIRK channel activity to oAβ in male and female HPC neurons, respectively.</p><p><strong>Results: </strong>We found that resilience to the oAβ-induced and PrP<sup>C</sup>/mGluR5-dependent suppression of GIRK channel activity in female HPC neurons is conferred by membrane-associated estrogen receptor α (mERα) and caveolin 1 (Cav1). When this resilience factor is blocked or absent, oAβ suppresses GIRK channel activity in female HPC neurons via the same PrP<sup>C</sup>-mGluR5-cPLA<sub>2</sub>α signaling pathway identified previously in male neurons.</p><p><strong>Conclusion: </strong>As estrogen levels decline with aging and menopause, the protective influence of mERα/Cav1 may diminish, unmasking the oAβ-induced suppression of GIRK channel activity and exacerbating disease progression in females. While amyloid β plaques (Aβ) are notable hallmarks of Alzheimer's Disease (AD), cognitive impairment in the early stages of the disease tracks more closely with the level of soluble Aβ oligomers (oAβ) in the brain. oAβ promotes cognitive deficits by disrupting the balance of excitatory and inhibitory influences on neurons in brain regions important for learning and memory such as the hippocampus, but the underlying molecular targets of o
{"title":"Membrane-associated estrogen receptor α prevents the amyloid β-induced suppression of GIRK channel activity in hippocampal neurons from female mice.","authors":"Haichang Luo, Ezequiel Marron Fernandez de Velasco, Jaeyoon Kim, Praseuth Yang, Paul Mermelstein, Joseph V Bonventre, Paul S Cooke, Kevin Wickman","doi":"10.1186/s13293-025-00776-7","DOIUrl":"10.1186/s13293-025-00776-7","url":null,"abstract":"<p><strong>Background: </strong>Amyloid β oligomers (oAβ) are a key pathogenic driver in Alzheimer's Disease (AD). Neuronal G protein-gated inwardly rectifying K<sup>+</sup> (GIRK/Kir3) channels are important regulators of neuronal excitability and prominent somatodendritic effectors for inhibitory G protein-coupled receptors, including the γ-aminobutyric acid type B receptor (GABA<sub>B</sub>R). We previously reported a male-specific suppression of GIRK channel activity in hippocampal (HPC) neurons evoked by oAβ in in vitro, ex vivo, and in vivo mouse models of AD, and showed that this adaptation correlated with synaptic and cognitive impairment. Using pharmacological approaches, we showed that this adaptation is mediated by co-activation of cellular prion protein (PrP<sup>C</sup>) and metabotropic glutamate receptor 5 (mGluR5) and requires activation of cytosolic phospholipase A2 α (cPLA<sub>2</sub>α). However, the mechanisms underlying the sex specificity was unknown. Given the clinical context that females exhibit a 2-fold higher incidence of AD than males, and the loss of neuroprotective estrogen by menopause contributes to the sex differences in AD, we postulated that estrogen-associated resilience underlies this sex dimorphism of oAβ action.</p><p><strong>Methods: </strong>To examine the strength of GIRK-dependent signaling in HPC neurons, we performed electrophysiology in primary HPC cultures from neonatal male and female mice and then measured whole-cell currents evoked by the direct-acting GIRK channel agonist ML297 and the GABA<sub>B</sub>R-selective agonist baclofen. We used an array of genetic and pharmacological approaches to investigate the molecular mechanism(s) underlying the vulnerability and resilience of GIRK channel activity to oAβ in male and female HPC neurons, respectively.</p><p><strong>Results: </strong>We found that resilience to the oAβ-induced and PrP<sup>C</sup>/mGluR5-dependent suppression of GIRK channel activity in female HPC neurons is conferred by membrane-associated estrogen receptor α (mERα) and caveolin 1 (Cav1). When this resilience factor is blocked or absent, oAβ suppresses GIRK channel activity in female HPC neurons via the same PrP<sup>C</sup>-mGluR5-cPLA<sub>2</sub>α signaling pathway identified previously in male neurons.</p><p><strong>Conclusion: </strong>As estrogen levels decline with aging and menopause, the protective influence of mERα/Cav1 may diminish, unmasking the oAβ-induced suppression of GIRK channel activity and exacerbating disease progression in females. While amyloid β plaques (Aβ) are notable hallmarks of Alzheimer's Disease (AD), cognitive impairment in the early stages of the disease tracks more closely with the level of soluble Aβ oligomers (oAβ) in the brain. oAβ promotes cognitive deficits by disrupting the balance of excitatory and inhibitory influences on neurons in brain regions important for learning and memory such as the hippocampus, but the underlying molecular targets of o","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"90"},"PeriodicalIF":5.1,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457184","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}
Pub Date : 2025-11-06DOI: 10.1186/s13293-025-00778-5
Yunbin Zhang, Ping Ren, Zhuangfei Chen, Yu Fu
Background: Sex differences are crucial to understanding neuropsychiatric disorders, yet they are often overlooked in the development of therapies. Transcranial alternating current stimulation (tACS) shows promise for cognitive enhancement, but its sex-specific effects are largely unknown.
Methods: In this study, the effects of 10 Hz and 40 Hz tACS on spatial cognition were examined in male and female mice using three tests: the Y-maze to evaluate spatial recognition memory, the Barnes maze to evaluate spatial learning and memory related to punishment, and the reversal Barnes maze to evaluate reversal learning. General behaviors, such as anxiety, exploration, and locomotion, were evaluated using the elevated plus maze and open field tests.
Results: The results showed that 40 Hz tACS improved spatial recognition memory in males, while 10 Hz and 40 Hz tACS enhanced spatial learning in females. Males learned faster, while females performed better initially in the spatial learning process. In addition, no significant effects of tACS were observed in reversal learning, spatial memory, anxiety, or exploration. Interestingly, males exhibited reduced locomotion compared to females across tasks, and tACS potentially exacerbated this difference.
Conclusions: This animal study suggests that tACS may influence spatial cognition differently in males and females. Our findings highlight the importance of considering the interaction between sex and stimulation frequency when optimizing tACS intervention parameters.
{"title":"Sex differences in the effects of 10 Hz and 40 Hz transcranial alternating current stimulation on spatial cognition in mice.","authors":"Yunbin Zhang, Ping Ren, Zhuangfei Chen, Yu Fu","doi":"10.1186/s13293-025-00778-5","DOIUrl":"10.1186/s13293-025-00778-5","url":null,"abstract":"<p><strong>Background: </strong>Sex differences are crucial to understanding neuropsychiatric disorders, yet they are often overlooked in the development of therapies. Transcranial alternating current stimulation (tACS) shows promise for cognitive enhancement, but its sex-specific effects are largely unknown.</p><p><strong>Methods: </strong>In this study, the effects of 10 Hz and 40 Hz tACS on spatial cognition were examined in male and female mice using three tests: the Y-maze to evaluate spatial recognition memory, the Barnes maze to evaluate spatial learning and memory related to punishment, and the reversal Barnes maze to evaluate reversal learning. General behaviors, such as anxiety, exploration, and locomotion, were evaluated using the elevated plus maze and open field tests.</p><p><strong>Results: </strong>The results showed that 40 Hz tACS improved spatial recognition memory in males, while 10 Hz and 40 Hz tACS enhanced spatial learning in females. Males learned faster, while females performed better initially in the spatial learning process. In addition, no significant effects of tACS were observed in reversal learning, spatial memory, anxiety, or exploration. Interestingly, males exhibited reduced locomotion compared to females across tasks, and tACS potentially exacerbated this difference.</p><p><strong>Conclusions: </strong>This animal study suggests that tACS may influence spatial cognition differently in males and females. Our findings highlight the importance of considering the interaction between sex and stimulation frequency when optimizing tACS intervention parameters.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"89"},"PeriodicalIF":5.1,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457166","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}
Pub Date : 2025-11-05DOI: 10.1186/s13293-025-00774-9
Hui Chen, Alexei Verkhratsky, Chenju Yi, Brian G Oliver
The association between exposure to particulates in polluted air and cognitive impairment is an emerging and significant health concern, particularly among younger populations. Although exposure to particulate matter ≤ 2.5 μm (PM2.5) is linked with a lower estimated risk for dementia compared to traditional risk factors such as APOEɛ4 gene variants, the widespread and long-term population exposure to PM2.5 pose substantial implications for public health. This review explores the sex differences in cognitive function induced by PM2.5, which are age-dependent and distinct from the sex bias observed in Alzheimer's disease. In addition to biological sex and sex hormones, we also discuss the role of epigenetic regulation as a mechanism underlying sex-specific cognitive vulnerabilities to environmental toxins, particularly PM2.5. Understanding these differences is important for developing targeted interventions and public health strategies to mitigate the cognitive impacts of PM2.5 exposure.
{"title":"Evolutionary sex bias in cognitive response to new environmental risk factor - PM2.5.","authors":"Hui Chen, Alexei Verkhratsky, Chenju Yi, Brian G Oliver","doi":"10.1186/s13293-025-00774-9","DOIUrl":"10.1186/s13293-025-00774-9","url":null,"abstract":"<p><p>The association between exposure to particulates in polluted air and cognitive impairment is an emerging and significant health concern, particularly among younger populations. Although exposure to particulate matter ≤ 2.5 μm (PM<sub>2.5</sub>) is linked with a lower estimated risk for dementia compared to traditional risk factors such as APOEɛ4 gene variants, the widespread and long-term population exposure to PM<sub>2.5</sub> pose substantial implications for public health. This review explores the sex differences in cognitive function induced by PM<sub>2.5</sub>, which are age-dependent and distinct from the sex bias observed in Alzheimer's disease. In addition to biological sex and sex hormones, we also discuss the role of epigenetic regulation as a mechanism underlying sex-specific cognitive vulnerabilities to environmental toxins, particularly PM<sub>2.5</sub>. Understanding these differences is important for developing targeted interventions and public health strategies to mitigate the cognitive impacts of PM<sub>2.5</sub> exposure.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"88"},"PeriodicalIF":5.1,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145450466","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}
Pub Date : 2025-11-05DOI: 10.1186/s13293-025-00775-8
Irene Cano-López, Judit Catalán-Aguilar, Kevin G Hampel, Alejandro Lozano-García, Paula Tormos-Pons, Esperanza González-Bono, Vicente Villanueva
Background: To examine the impact of gender and its interaction with the side of surgery on cognition, affectivity, and quality of life (QOL) in drug-resistant epilepsy, as well as postsurgical changes in these domains.
Methods: In this prospective cohort study, 86 adults with TLE (46 women and 40 men) underwent a neuropsychological evaluation before and one year after surgery, including attention, executive function, language, verbal and visual memory, anxiety, depression, and QOL outcomes.
Results: After surgery, 84.1% of patients were seizure-free. In the group with right-sided surgery, men had poorer executive functioning (p = 0.05) and memory than women (for all, p < 0.05), independently of the time point (i.e., before or after surgery). Men with right-side surgery showed poorer executive function than those with left-side surgery (for all, p < 0.04), and a postsurgical anxiety decrease (p < 0.001). Women with right-side surgery had a better memory than those with left-side surgery, independently of the time point (for all, p < 0.001). Both genders showed postsurgical QOL improvements modulated by surgery side (p = 0.037). Regardless of the surgery side, women had poorer semantic fluency (p = 0.03) and QOL (p = 0.05) than men and postsurgical semantic fluency declines (p = 0.024), whereas men had postsurgical executive function declines (p = 0.05).
Conclusions: These findings underscore the importance of accounting for both gender and the side of surgery in understanding cognitive, affective, and QOL outcomes in patients with TLE, and could be useful for designing targeted neuropsychological interventions.
{"title":"Impact of gender and side of surgery on cognition, affectivity, and quality of life in patients undergoing temporal lobe epilepsy surgery: a prospective cohort study.","authors":"Irene Cano-López, Judit Catalán-Aguilar, Kevin G Hampel, Alejandro Lozano-García, Paula Tormos-Pons, Esperanza González-Bono, Vicente Villanueva","doi":"10.1186/s13293-025-00775-8","DOIUrl":"10.1186/s13293-025-00775-8","url":null,"abstract":"<p><strong>Background: </strong>To examine the impact of gender and its interaction with the side of surgery on cognition, affectivity, and quality of life (QOL) in drug-resistant epilepsy, as well as postsurgical changes in these domains.</p><p><strong>Methods: </strong>In this prospective cohort study, 86 adults with TLE (46 women and 40 men) underwent a neuropsychological evaluation before and one year after surgery, including attention, executive function, language, verbal and visual memory, anxiety, depression, and QOL outcomes.</p><p><strong>Results: </strong>After surgery, 84.1% of patients were seizure-free. In the group with right-sided surgery, men had poorer executive functioning (p = 0.05) and memory than women (for all, p < 0.05), independently of the time point (i.e., before or after surgery). Men with right-side surgery showed poorer executive function than those with left-side surgery (for all, p < 0.04), and a postsurgical anxiety decrease (p < 0.001). Women with right-side surgery had a better memory than those with left-side surgery, independently of the time point (for all, p < 0.001). Both genders showed postsurgical QOL improvements modulated by surgery side (p = 0.037). Regardless of the surgery side, women had poorer semantic fluency (p = 0.03) and QOL (p = 0.05) than men and postsurgical semantic fluency declines (p = 0.024), whereas men had postsurgical executive function declines (p = 0.05).</p><p><strong>Conclusions: </strong>These findings underscore the importance of accounting for both gender and the side of surgery in understanding cognitive, affective, and QOL outcomes in patients with TLE, and could be useful for designing targeted neuropsychological interventions.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"87"},"PeriodicalIF":5.1,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145450504","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}
Pub Date : 2025-11-03DOI: 10.1186/s13293-025-00755-y
Hong Ji, Laura German do Nascimento, Jungeun Ahn, Dong Hyang Kwon, Gabrielle Williams, Xie Wu, Robert C Speth, Seth A Hawks, Nisha K Duggal, Juan M Saavedra, Kathryn Sandberg, Aline M A de Souza
Background: Biological sex is a critical determinant in cardiovascular and renal disease outcomes. Although angiotensin II (Ang II) infusion is widely used to model hypertension in mice and rats, little is known about its effects in the Syrian hamster, a small rodent increasingly used for translational research. This study aimed to develop a model of chronic Ang II-induced hypertension in Syrian hamsters and investigate sex-specific differences in blood pressure, renal pathology, and components of the renin-angiotensin system (RAS).
Methods: Male and female Syrian hamsters (8-9 weeks old) were infused subcutaneously with Ang II (200 ng/kg/min) or saline via osmotic minipumps for four weeks. Mean arterial pressure (MAP) and kidney wet weight were determined on the euthanasia day. The kidneys were analyzed for renal pathology; renal RAS enzymes (ACE and ACE2) were measured by colorimetric assay and qPCR; cytokines (IL-6 and IL-1β) were measured by qPCR; and the angiotensin receptor type 1 (AT1R) was measured by radioligand binding and qPCR.
Results: Ang II infusion increased MAP in both sexes but elicited a significantly greater response in females (+ 50 mmHg) than males (+ 27 mmHg, p < 0.005). Female hamsters exhibited pronounced kidney injury, including acute tubular necrosis, glomerular sclerosis, and vascular fibrinoid necrosis, along with a 2-fold increase in kidney weight normalized to body weight. Ang II significantly downregulated renal ACE, ACE2, and AT1R expression and activity in females but not in males. Renal IL-6 and IL-1β mRNA levels were elevated 20-fold and 3.9-fold, respectively, in females, compared to modest increases in males.
Conclusions: Female Syrian hamsters exhibit heightened vulnerability to Ang II-induced hypertension and renal damage compared to males, marked by exaggerated blood pressure elevation, enhanced renal inflammation, and suppression of classical RAS components. This novel hamster model provides a unique platform for studying sex-specific mechanisms of hypertension and renal pathology, with translational relevance for subpopulations of women who are at increased risk of Ang II-dependent hypertension-associated renal disease.
背景:生理性别是心血管和肾脏疾病结局的关键决定因素。尽管血管紧张素II (Ang II)输注被广泛用于小鼠和大鼠的高血压模型,但对其在叙利亚仓鼠中的作用知之甚少,叙利亚仓鼠是一种越来越多地用于转化研究的小型啮齿动物。本研究旨在建立叙利亚仓鼠慢性angii诱导高血压模型,并研究血压、肾脏病理和肾素-血管紧张素系统(RAS)成分的性别特异性差异。方法:8 ~ 9周龄雄性和雌性叙利亚仓鼠分别通过渗透微型泵皮下注射Ang II (200ng /kg/min)或生理盐水4周。测定安乐死当日的平均动脉压(MAP)和肾湿重。对肾脏进行病理分析;采用比色法和qPCR检测肾脏RAS酶(ACE和ACE2);qPCR检测细胞因子(IL-6、IL-1β);采用放射配体结合和qPCR检测血管紧张素受体1型(AT1R)。结果:Ang II输注增加了两性的MAP,但女性(+ 50 mmHg)的反应明显大于男性(+ 27 mmHg), p 1R在女性中的表达和活性,而在男性中没有。与男性相比,女性肾脏IL-6和IL-1β mRNA水平分别升高了20倍和3.9倍。结论:与雄性相比,雌性叙利亚仓鼠对Ang ii诱导的高血压和肾脏损害表现出更高的脆弱性,其特征是血压升高过高,肾脏炎症加剧,以及经典RAS成分的抑制。这种新的仓鼠模型为研究高血压和肾脏病理的性别特异性机制提供了一个独特的平台,对angii依赖性高血压相关肾脏疾病风险增加的女性亚群具有翻译相关性。
{"title":"Paradoxical sex differences in a hamster model of angiotensin II-dependent hypertension and associated renal injury.","authors":"Hong Ji, Laura German do Nascimento, Jungeun Ahn, Dong Hyang Kwon, Gabrielle Williams, Xie Wu, Robert C Speth, Seth A Hawks, Nisha K Duggal, Juan M Saavedra, Kathryn Sandberg, Aline M A de Souza","doi":"10.1186/s13293-025-00755-y","DOIUrl":"10.1186/s13293-025-00755-y","url":null,"abstract":"<p><strong>Background: </strong>Biological sex is a critical determinant in cardiovascular and renal disease outcomes. Although angiotensin II (Ang II) infusion is widely used to model hypertension in mice and rats, little is known about its effects in the Syrian hamster, a small rodent increasingly used for translational research. This study aimed to develop a model of chronic Ang II-induced hypertension in Syrian hamsters and investigate sex-specific differences in blood pressure, renal pathology, and components of the renin-angiotensin system (RAS).</p><p><strong>Methods: </strong>Male and female Syrian hamsters (8-9 weeks old) were infused subcutaneously with Ang II (200 ng/kg/min) or saline via osmotic minipumps for four weeks. Mean arterial pressure (MAP) and kidney wet weight were determined on the euthanasia day. The kidneys were analyzed for renal pathology; renal RAS enzymes (ACE and ACE2) were measured by colorimetric assay and qPCR; cytokines (IL-6 and IL-1β) were measured by qPCR; and the angiotensin receptor type 1 (AT1R) was measured by radioligand binding and qPCR.</p><p><strong>Results: </strong>Ang II infusion increased MAP in both sexes but elicited a significantly greater response in females (+ 50 mmHg) than males (+ 27 mmHg, p < 0.005). Female hamsters exhibited pronounced kidney injury, including acute tubular necrosis, glomerular sclerosis, and vascular fibrinoid necrosis, along with a 2-fold increase in kidney weight normalized to body weight. Ang II significantly downregulated renal ACE, ACE2, and AT<sub>1</sub>R expression and activity in females but not in males. Renal IL-6 and IL-1β mRNA levels were elevated 20-fold and 3.9-fold, respectively, in females, compared to modest increases in males.</p><p><strong>Conclusions: </strong>Female Syrian hamsters exhibit heightened vulnerability to Ang II-induced hypertension and renal damage compared to males, marked by exaggerated blood pressure elevation, enhanced renal inflammation, and suppression of classical RAS components. This novel hamster model provides a unique platform for studying sex-specific mechanisms of hypertension and renal pathology, with translational relevance for subpopulations of women who are at increased risk of Ang II-dependent hypertension-associated renal disease.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"86"},"PeriodicalIF":5.1,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12581491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145437027","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}
Pub Date : 2025-10-30DOI: 10.1186/s13293-025-00758-9
Donna L Maney, Annie Duchesne, Giordana Grossi
When used as variables in biomedical research, sex and gender can be difficult to operationalize and measure. Questions have arisen about whether either category is stable or causally meaningful in a research context. Here, we discuss some of the limitations of using both or even one of these categories in correlational or experimental work. We argue that attempting to draw a distinction between sex and gender can reignite the nature/nurture debate, inadvertently bringing outdated metaphors and assumptions about innateness and causation into our research. Many researchers, including ourselves, have described sex and gender as separate collections of causal factors (which we describe as a "bucket" metaphor) or as entangled (a "knot" metaphor). Because they regard sex and gender as conceptually separable and internally consistent, such metaphors have limited value for understanding the drivers of diversity in our data. Rather than continuing to reify sex and gender as distinct buckets or threads of explanatory variables, we call for deconstruction of these categories by focusing instead on clearly operationalized, instantiating variables that researchers can manipulate or measure. Our proposed approach differs from recent, similar calls in that we are not suggesting the exclusion of a sex/gender category from statistical models; instead, we recommend keeping it-not as a representation of biological reality, but as a tool used under a careful set of assumptions. We provide example datasets to illustrate how a sex/gender category can, when thoughtfully operationalized, be used to improve statistical rigor and inferential precision. In addition, we advocate for attention to variation within sex/gender, which is more informative in investigations of mechanism than comparing means across sex/gender categories.
{"title":"Sex/gender entanglement: A problem of knots and buckets.","authors":"Donna L Maney, Annie Duchesne, Giordana Grossi","doi":"10.1186/s13293-025-00758-9","DOIUrl":"10.1186/s13293-025-00758-9","url":null,"abstract":"<p><p>When used as variables in biomedical research, sex and gender can be difficult to operationalize and measure. Questions have arisen about whether either category is stable or causally meaningful in a research context. Here, we discuss some of the limitations of using both or even one of these categories in correlational or experimental work. We argue that attempting to draw a distinction between sex and gender can reignite the nature/nurture debate, inadvertently bringing outdated metaphors and assumptions about innateness and causation into our research. Many researchers, including ourselves, have described sex and gender as separate collections of causal factors (which we describe as a \"bucket\" metaphor) or as entangled (a \"knot\" metaphor). Because they regard sex and gender as conceptually separable and internally consistent, such metaphors have limited value for understanding the drivers of diversity in our data. Rather than continuing to reify sex and gender as distinct buckets or threads of explanatory variables, we call for deconstruction of these categories by focusing instead on clearly operationalized, instantiating variables that researchers can manipulate or measure. Our proposed approach differs from recent, similar calls in that we are not suggesting the exclusion of a sex/gender category from statistical models; instead, we recommend keeping it-not as a representation of biological reality, but as a tool used under a careful set of assumptions. We provide example datasets to illustrate how a sex/gender category can, when thoughtfully operationalized, be used to improve statistical rigor and inferential precision. In addition, we advocate for attention to variation within sex/gender, which is more informative in investigations of mechanism than comparing means across sex/gender categories.</p>","PeriodicalId":8890,"journal":{"name":"Biology of Sex Differences","volume":"16 1","pages":"85"},"PeriodicalIF":5.1,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12577278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145407846","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}