Division of Coinfection, Priority Area Infections, Research Center Borstel, 23845, Borstel, Germany.
Sci Rep. 2017 Sep 8;7(1):10957. doi: 10.1038/s41598-017-11438-z.
Globally, tuberculosis (Tb) notification data show a male-to-female ratio of 1.7 and higher, but the underlying reasons for the male bias remain elusive. Despite the well-known gender bias in human pulmonary Tb, a majority of experimental animal studies either do not separate and analyze data by sex or do not report the sex of their subjects at all. In the present study, we report increased male susceptibility in one of the most commonly used mouse models for Tb, C57BL/6 mice. Our study revealed that disease progression upon aerosol infection with Mycobacterium tuberculosis (Mtb) was accelerated in males resulting in increased morbidity and mortality compared to females. Elevated Mtb loads in males were associated with an early exaggerated pulmonary inflammatory response which likely was detrimental to the host, as reflected by exacerbated pathology and increased mortality. Our data emphasis the urgent need to include and separately analyze both sexes in future animal studies of Tb in order to appreciate the differences in immune responses and disease pathogenesis between males and females.
全球范围内,结核病(TB)报告数据显示男女性别比为 1.7 及以上,但男性偏向的根本原因仍难以捉摸。尽管人类肺部结核病存在众所周知的性别偏见,但大多数实验动物研究要么没有按性别分开和分析数据,要么根本没有报告其研究对象的性别。在本研究中,我们报告了在最常用于结核病的小鼠模型之一,C57BL/6 小鼠中,男性易感性增加。我们的研究表明,与女性相比,经气溶胶感染结核分枝杆菌(Mtb)后,男性疾病进展加速,导致发病率和死亡率增加。男性体内的 Mtb 载量升高与早期过度的肺部炎症反应有关,这可能对宿主有害,反映在加重的病理学和增加的死亡率上。我们的数据强调迫切需要在未来的结核病动物研究中纳入并分别分析两性,以便了解男性和女性之间免疫反应和疾病发病机制的差异。