Article

Sex differences in cerebral ischemia: possible molecular mechanisms.

Department of Neuroscience, University of Connecticut Health Center, Farmington, Connecticut 06030, USA.
Journal of Neuroscience Research (impact factor: 2.74). 10/2010; 88(13):2765-74. DOI:10.1002/jnr.22406 pp.2765-74
Source: PubMed

ABSTRACT Sex is emerging as an important factor in the etiology and expression of many different pathological conditions, including stroke. Initially, the levels of sex hormones were thought to be the major contributor to these sex differences, especially after puberty, when gonadal steroid levels sharply diverge between the sexes. More recently, it is recognized that sex differences also result from the organizational effects of sex hormone exposure early in development, even in the absence of hormone exposure later in life, as well as effects mediated by the sex chromosomes themselves. Epigenetic modifications of developmental genes important in sexual differentiation and the response to sex steroid hormones are also emerging as another important contributor to sex differences in disease expression. This review describes recent research on the relationship between hormones, organizational-activational effects of gonadal steroids, and epigenetic modifications in brain pathology, focusing specifically on cerebral ischemia.

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Keywords

brain pathology
 
cerebral ischemia
 
contributor
 
developmental genes
 
different pathological conditions
 
disease expression
 
epigenetic modifications
 
hormone exposure
 
hormones
 
major contributor
 
organizational effects
 
organizational-activational effects
 
puberty
 
recent research
 
sex chromosomes
 
sex differences
 
sex hormone exposure
 
sex hormones
 
sex steroid hormones
 
sexual differentiation
 

Chad Siegel