Sexual Dimorphism and Gender in Infectious Diseases
Epidemiological studies and clinical observations show evidence of sexual dimorphism in infectious diseases. Women are at less risk than men when it comes to developing most infectious diseases. However, understanding these observations requires a gender approach that takes into account an analysis...
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Published in | Frontiers in immunology Vol. 12; p. 698121 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Switzerland
Frontiers
22.07.2021
Frontiers Media S.A |
Subjects | |
Online Access | Get full text |
ISSN | 1664-3224 1664-3224 |
DOI | 10.3389/fimmu.2021.698121 |
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Abstract | Epidemiological studies and clinical observations show evidence of sexual dimorphism in infectious diseases. Women are at less risk than men when it comes to developing most infectious diseases. However, understanding these observations requires a gender approach that takes into account an analysis of both biological and social factors. The host’s response to infection differs in males and females because sex differences have an impact on hormonal and chromosomal control of immunity. Estradiol appears to confer protective immunity, while progesterone and testosterone suppress anti-infectious responses. In addition, genetic factors, including those associated with sex chromosomes, also affect susceptibility to infections. Finally, differences in occupational activities, lifestyle, and comorbidities play major roles in exposure to pathogens and management of diseases. Hence, considering sexual dimorphism as a critical variable for infectious diseases should be one of the steps taken toward developing personalized therapeutic approaches. |
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AbstractList | Epidemiological studies and clinical observations show evidence of sexual dimorphism in infectious diseases. Women are at less risk than men when it comes to developing most infectious diseases. However, understanding these observations requires a gender approach that takes into account an analysis of both biological and social factors. The host’s response to infection differs in males and females because sex differences have an impact on hormonal and chromosomal control of immunity. Estradiol appears to confer protective immunity, while progesterone and testosterone suppress anti-infectious responses. In addition, genetic factors, including those associated with sex chromosomes, also affect susceptibility to infections. Finally, differences in occupational activities, lifestyle, and comorbidities play major roles in exposure to pathogens and management of diseases. Hence, considering sexual dimorphism as a critical variable for infectious diseases should be one of the steps taken toward developing personalized therapeutic approaches. Epidemiological studies and clinical observations show evidence of sexual dimorphism in infectious diseases. Women are at less risk than men when it comes to developing most infectious diseases. However, understanding these observations requires a gender approach that takes into account an analysis of both biological and social factors. The host's response to infection differs in males and females because sex differences have an impact on hormonal and chromosomal control of immunity. Estradiol appears to confer protective immunity, while progesterone and testosterone suppress anti-infectious responses. In addition, genetic factors, including those associated with sex chromosomes, also affect susceptibility to infections. Finally, differences in occupational activities, lifestyle, and comorbidities play major roles in exposure to pathogens and management of diseases. Hence, considering sexual dimorphism as a critical variable for infectious diseases should be one of the steps taken toward developing personalized therapeutic approaches.Epidemiological studies and clinical observations show evidence of sexual dimorphism in infectious diseases. Women are at less risk than men when it comes to developing most infectious diseases. However, understanding these observations requires a gender approach that takes into account an analysis of both biological and social factors. The host's response to infection differs in males and females because sex differences have an impact on hormonal and chromosomal control of immunity. Estradiol appears to confer protective immunity, while progesterone and testosterone suppress anti-infectious responses. In addition, genetic factors, including those associated with sex chromosomes, also affect susceptibility to infections. Finally, differences in occupational activities, lifestyle, and comorbidities play major roles in exposure to pathogens and management of diseases. Hence, considering sexual dimorphism as a critical variable for infectious diseases should be one of the steps taken toward developing personalized therapeutic approaches. |
Author | Gay, Laetitia Bendiane, Marc-Karim Leone, Marc Melenotte, Cléa Lakbar, Ines Mezouar, Soraya Devaux, Christian Raoult, Didier Mège, Jean-Louis |
AuthorAffiliation | 2 Aix-Marseille Univ, INSERM, IRD, SESSTIM, Economy and Social Science, Health Care Systems and Societies , Marseille , France 3 Department of Anaesthesia and Intensive Care, Hôpital Nord, Aix-Marseille Univ, APHM , Marseille , France 1 Aix-Marseille Univ, IRD, APHM, MEPHI, IHU-Méditerranée Infection , Marseille , France |
AuthorAffiliation_xml | – name: 2 Aix-Marseille Univ, INSERM, IRD, SESSTIM, Economy and Social Science, Health Care Systems and Societies , Marseille , France – name: 3 Department of Anaesthesia and Intensive Care, Hôpital Nord, Aix-Marseille Univ, APHM , Marseille , France – name: 1 Aix-Marseille Univ, IRD, APHM, MEPHI, IHU-Méditerranée Infection , Marseille , France |
Author_xml | – sequence: 1 givenname: Laetitia surname: Gay fullname: Gay, Laetitia – sequence: 2 givenname: Cléa surname: Melenotte fullname: Melenotte, Cléa – sequence: 3 givenname: Ines surname: Lakbar fullname: Lakbar, Ines – sequence: 4 givenname: Soraya surname: Mezouar fullname: Mezouar, Soraya – sequence: 5 givenname: Christian surname: Devaux fullname: Devaux, Christian – sequence: 6 givenname: Didier surname: Raoult fullname: Raoult, Didier – sequence: 7 givenname: Marc-Karim surname: Bendiane fullname: Bendiane, Marc-Karim – sequence: 8 givenname: Marc surname: Leone fullname: Leone, Marc – sequence: 9 givenname: Jean-Louis surname: Mège fullname: Mège, Jean-Louis |
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Copyright | Copyright © 2021 Gay, Melenotte, Lakbar, Mezouar, Devaux, Raoult, Bendiane, Leone and Mège. Attribution Copyright © 2021 Gay, Melenotte, Lakbar, Mezouar, Devaux, Raoult, Bendiane, Leone and Mège 2021 Gay, Melenotte, Lakbar, Mezouar, Devaux, Raoult, Bendiane, Leone and Mège |
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Keywords | gender sex hormones infectious disease sexual dimorphism personalized medicine |
Language | English |
License | Copyright © 2021 Gay, Melenotte, Lakbar, Mezouar, Devaux, Raoult, Bendiane, Leone and Mège. Attribution: http://creativecommons.org/licenses/by This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 This article was submitted to Microbial Immunology, a section of the journal Frontiers in Immunology These authors have contributed equally to this work and share first authorship These authors have contributed equally to this work and share last authorship Reviewed by: Katie Louise Flanagan, RMIT University, Australia; Sharvan Sehrawat, Indian Institute of Science Education and Research Mohali, India Edited by: Dane Parker, Rutgers, The State University of New Jersey, United States |
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SubjectTerms | Bacteriology Cardiology and cardiovascular system Communicable Diseases Emerging diseases Female gender Human health and pathology Humans Immunology infectious disease Infectious diseases Life Sciences Male Microbiology and Parasitology Parasitology personalized medicine Sex Characteristics sex hormones sexual dimorphism Virology |
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Title | Sexual Dimorphism and Gender in Infectious Diseases |
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