2014
DOI: 10.1093/infdis/jit610
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Sex Bias in the Outcome of Human Tropical Infectious Diseases: Influence of Steroid Hormones

Abstract: Numerous investigations have revealed a bias toward males in the susceptibility to and severity of a variety of infectious diseases, especially parasitic diseases. Although different external factors may influence the exposure to infection sources among males and females, one recurrent phenomenon indicative of a hormonal influence is the simultaneous increase in disease occurrence and hormonal activity during the aging process. Substantial evidence to support the influence of hormones on disease requires rigor… Show more

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Cited by 103 publications
(94 citation statements)
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“…Furthermore, striking gender disparity in susceptibility to numerous autoimmune diseases with women more likely to develop SLE, RA, MS, and Sjogren's syndrome than men 9-, 3-, 6-and 9-fold, respectively, potentially implicates estrogen signaling in disease pathogenesis (58); however, the exact mechanisms linking ER function to autoimmunity remain poorly understood and are likely disease-specific. Conversely, reflecting heightened immune system function, females are reportedly less susceptible to viral, fungal, bacterial and parasitic infections than males (60,61). Furthermore, in murine models of sepsis, males are more prone to morbidity and display less robust immune response than proestrus females (62).…”
Section: Ncoas and Estrogen Receptors (Er␣ And Er␤)mentioning
confidence: 99%
“…Furthermore, striking gender disparity in susceptibility to numerous autoimmune diseases with women more likely to develop SLE, RA, MS, and Sjogren's syndrome than men 9-, 3-, 6-and 9-fold, respectively, potentially implicates estrogen signaling in disease pathogenesis (58); however, the exact mechanisms linking ER function to autoimmunity remain poorly understood and are likely disease-specific. Conversely, reflecting heightened immune system function, females are reportedly less susceptible to viral, fungal, bacterial and parasitic infections than males (60,61). Furthermore, in murine models of sepsis, males are more prone to morbidity and display less robust immune response than proestrus females (62).…”
Section: Ncoas and Estrogen Receptors (Er␣ And Er␤)mentioning
confidence: 99%
“…Therefore, it is reasonable to presume that, to the extent steroids regulate the expression of transposable elements, this regulation could contribute to observed sex differences in mental disorders. To extend the hypothesis about schizophrenia, elaborated above, it could be argued that the earlier age of onset of this disease in males could be due to the underexplored immunosuppressive effects of androgens, which are at peak concentrations in the adolescent males at risk for a first psychotic episode (91,92). Alternately, it could be due to direct activation of ectopic retrotransposon expression by AR itself.…”
Section: Transposons: Controlling Elements After All?mentioning
confidence: 99%
“…The sex of the host influences the incidence of disease, parasite burden, pathology, mortality, and immunological response against various parasites, including Leishmania both in humans and in rodents (reviewed in [712]).…”
Section: Introductionmentioning
confidence: 99%