NeuroRepair Department, Mossakowski Medical Research Institute, Polish Academy of Sciences, 5 A. Pawinskiego Str., 02-106 Warsaw, Poland.
Biomolecules. 2022 Dec 22;13(1):26. doi: 10.3390/biom13010026.
Epidemiological studies and clinical observations show evidence of sexual dimorphism in brain responses to several neurological conditions. It is suggested that sex-related differences between men and women may have profound effects on disease susceptibility, pathophysiology, and progression. Sexual differences of the brain are achieved through the complex interplay of several factors contributing to this phenomenon, such as sex hormones, as well as genetic and epigenetic differences. Despite recent advances, the precise link between these factors and brain disorders is incompletely understood. This review aims to briefly outline the most relevant aspects that differ between men and women in ischemia and neurodegenerative disorders (AD, PD, HD, ALS, and SM). Recognition of disparities between both sexes could aid the development of individual approaches to ameliorate or slow the progression of intractable disorders.
流行病学研究和临床观察表明,在对几种神经疾病的大脑反应中存在性别二态性的证据。有研究表明,男性和女性之间的与性有关的差异可能对疾病易感性、病理生理学和进展有深远的影响。大脑的性别差异是通过对这一现象有贡献的几个因素的复杂相互作用来实现的,例如性激素,以及遗传和表观遗传差异。尽管最近取得了进展,但这些因素与大脑疾病之间的确切联系仍不完全清楚。这篇综述旨在简要概述在缺血和神经退行性疾病(AD、PD、HD、ALS 和 SM)中男女之间存在差异的最相关方面。认识到两性之间的差异可以帮助制定针对改善或减缓难治性疾病进展的个体化方法。