Sex bias in lymphocytes: Implications for autoimmune diseases.

Sex bias in lymphocytes: Implications for autoimmune diseases.
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DOI:
10.3389/fimmu.2022.945762
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发表时间:
2022
影响因子:
7.3
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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自身免疫性疾病的特点是显著的性别二态性,女性对疾病的易感性增加。这至少在一定程度上是由于免疫系统的性别依赖差异,这种差异受到性激素和性染色体之间复杂相互作用的影响,并受到社会因素、饮食和肠道微生物群的影响。性别差异在淋巴细胞群的数量和功能上是明显的。女性比男性表现出更强的促炎反应,淋巴细胞增殖、活化和促炎细胞因子的产生增加,而男性表现出更多的调节细胞亚群。衰老以不同的方式改变了男性和女性的免疫系统,导致自身免疫性疾病易感性的变化。在这里,我们回顾了目前关于淋巴细胞功能性别差异的文献,影响这种差异的因素,以及对自身免疫性疾病的影响。我们建议提高对淋巴细胞功能性别偏见的理解,可以为更好地管理自身免疫性疾病提供针对性别的治疗策略。
Autoimmune diseases are characterized by a significant sex dimorphism, with women showing increased susceptibility to disease. This is, at least in part, due to sex-dependent differences in the immune system that are influenced by the complex interplay between sex hormones and sex chromosomes, with contribution from sociological factors, diet and gut microbiota. Sex differences are evident in the number and function of lymphocyte populations. Women mount a stronger pro-inflammatory response than males, with increased lymphocyte proliferation, activation and pro-inflammatory cytokine production, whereas men display expanded regulatory cell subsets. Ageing alters the immune landscape of men and women in differing ways, resulting in changes in autoimmune disease susceptibility. Here we review the current literature on sex differences in lymphocyte function, the factors that influence this, and the implications for autoimmune disease. We propose that improved understanding of sex bias in lymphocyte function can provide sex-specific tailoring of treatment strategies for better management of autoimmune diseases.
雌激素调节T助手17表型和实验性自身免疫性关节炎的定位。
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