Sex Differences in Airway Remodeling and Inflammation: Clinical and Biological Factors

Asthma is characterized by an increase in the contraction and inflammation of airway muscles, resulting in airflow obstruction. The prevalence of asthma is lower in females than in males until the start of puberty, and higher in adult women than men. This sex disparity and switch at the onset of pub...

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Main Authors: Carolyn Damilola Ekpruke, Patricia Silveyra
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Allergy
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/falgy.2022.875295/full
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author Carolyn Damilola Ekpruke
Patricia Silveyra
Patricia Silveyra
author_facet Carolyn Damilola Ekpruke
Patricia Silveyra
Patricia Silveyra
author_sort Carolyn Damilola Ekpruke
collection DOAJ
description Asthma is characterized by an increase in the contraction and inflammation of airway muscles, resulting in airflow obstruction. The prevalence of asthma is lower in females than in males until the start of puberty, and higher in adult women than men. This sex disparity and switch at the onset of puberty has been an object of debate among many researchers. Hence, in this review, we have summarized these observations to pinpoint areas needing more research work and to provide better sex-specific diagnosis and management of asthma. While some researchers have attributed it to the anatomical and physiological differences in the male and female respiratory systems, the influences of hormonal interplay after puberty have also been stressed. Other hormones such as leptin have been linked to the sex differences in asthma in both obese and non-obese patients. Recently, many scientists have also demonstrated the influence of the sex-specific genomic framework as a key player, and others have linked it to environmental, social lifestyle, and occupational exposures. The majority of studies concluded that adult men are less susceptible to developing asthma than women and that women display more severe forms of the disease. Therefore, the understanding of the roles played by sex- and gender-specific factors, and the biological mechanisms involved will help develop novel and more accurate diagnostic and therapeutic plans for sex-specific asthma management.
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spelling doaj.art-225d1eebdbaf4dba911ee7b9e1a7a0eb2022-12-22T02:56:04ZengFrontiers Media S.A.Frontiers in Allergy2673-61012022-04-01310.3389/falgy.2022.875295875295Sex Differences in Airway Remodeling and Inflammation: Clinical and Biological FactorsCarolyn Damilola Ekpruke0Patricia Silveyra1Patricia Silveyra2Department of Environmental and Occupational Health, Indiana University Bloomington School of Public Health, Bloomington, IN, United StatesDepartment of Environmental and Occupational Health, Indiana University Bloomington School of Public Health, Bloomington, IN, United StatesDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, United StatesAsthma is characterized by an increase in the contraction and inflammation of airway muscles, resulting in airflow obstruction. The prevalence of asthma is lower in females than in males until the start of puberty, and higher in adult women than men. This sex disparity and switch at the onset of puberty has been an object of debate among many researchers. Hence, in this review, we have summarized these observations to pinpoint areas needing more research work and to provide better sex-specific diagnosis and management of asthma. While some researchers have attributed it to the anatomical and physiological differences in the male and female respiratory systems, the influences of hormonal interplay after puberty have also been stressed. Other hormones such as leptin have been linked to the sex differences in asthma in both obese and non-obese patients. Recently, many scientists have also demonstrated the influence of the sex-specific genomic framework as a key player, and others have linked it to environmental, social lifestyle, and occupational exposures. The majority of studies concluded that adult men are less susceptible to developing asthma than women and that women display more severe forms of the disease. Therefore, the understanding of the roles played by sex- and gender-specific factors, and the biological mechanisms involved will help develop novel and more accurate diagnostic and therapeutic plans for sex-specific asthma management.https://www.frontiersin.org/articles/10.3389/falgy.2022.875295/fullasthmaairwaysexgenderlunghormone
spellingShingle Carolyn Damilola Ekpruke
Patricia Silveyra
Patricia Silveyra
Sex Differences in Airway Remodeling and Inflammation: Clinical and Biological Factors
Frontiers in Allergy
asthma
airway
sex
gender
lung
hormone
title Sex Differences in Airway Remodeling and Inflammation: Clinical and Biological Factors
title_full Sex Differences in Airway Remodeling and Inflammation: Clinical and Biological Factors
title_fullStr Sex Differences in Airway Remodeling and Inflammation: Clinical and Biological Factors
title_full_unstemmed Sex Differences in Airway Remodeling and Inflammation: Clinical and Biological Factors
title_short Sex Differences in Airway Remodeling and Inflammation: Clinical and Biological Factors
title_sort sex differences in airway remodeling and inflammation clinical and biological factors
topic asthma
airway
sex
gender
lung
hormone
url https://www.frontiersin.org/articles/10.3389/falgy.2022.875295/full
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