In search of sex-related mediators of affective illness

Abstract Sex differences in the rates of affective disorders have been recognized for decades. Studies of physiologic sex-related differences in animals and humans, however, have generally yielded little in terms of explaining these differences. Furthermore, the significance of these findings is dif...

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Main Authors: Christopher Sikes-Keilp, David R. Rubinow
Format: Article
Language:English
Published: BMC 2021-10-01
Series:Biology of Sex Differences
Subjects:
Online Access:https://doi.org/10.1186/s13293-021-00400-4
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author Christopher Sikes-Keilp
David R. Rubinow
author_facet Christopher Sikes-Keilp
David R. Rubinow
author_sort Christopher Sikes-Keilp
collection DOAJ
description Abstract Sex differences in the rates of affective disorders have been recognized for decades. Studies of physiologic sex-related differences in animals and humans, however, have generally yielded little in terms of explaining these differences. Furthermore, the significance of these findings is difficult to interpret given the dynamic, integrative, and highly context-dependent nature of human physiology. In this article, we provide an overview of the current literature on sex differences as they relate to mood disorders, organizing existing findings into five levels at which sex differences conceivably influence physiology relevant to affective states. These levels include the following: brain structure, network connectivity, signal transduction, transcription/translation, and epigenesis. We then evaluate the importance and limitations of this body of work, as well as offer perspectives on the future of research into sex differences. In creating this overview, we attempt to bring perspective to a body of research that is complex, poorly synthesized, and far from complete, as well as provide a theoretical framework for thinking about the role that sex differences ultimately play in affective regulation. Despite the overall gaps regarding both the underlying pathogenesis of affective illness and the role of sex-related factors in the development of affective disorders, it is evident that sex should be considered as an important contributor to alterations in neural function giving rise to susceptibility to and expression of depression.
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spelling doaj.art-acd81272d5214530a18dd280b4e77c472022-12-21T20:37:26ZengBMCBiology of Sex Differences2042-64102021-10-0112112110.1186/s13293-021-00400-4In search of sex-related mediators of affective illnessChristopher Sikes-Keilp0David R. Rubinow1Department of Psychiatry, University of North CarolinaDepartment of Psychiatry, University of North CarolinaAbstract Sex differences in the rates of affective disorders have been recognized for decades. Studies of physiologic sex-related differences in animals and humans, however, have generally yielded little in terms of explaining these differences. Furthermore, the significance of these findings is difficult to interpret given the dynamic, integrative, and highly context-dependent nature of human physiology. In this article, we provide an overview of the current literature on sex differences as they relate to mood disorders, organizing existing findings into five levels at which sex differences conceivably influence physiology relevant to affective states. These levels include the following: brain structure, network connectivity, signal transduction, transcription/translation, and epigenesis. We then evaluate the importance and limitations of this body of work, as well as offer perspectives on the future of research into sex differences. In creating this overview, we attempt to bring perspective to a body of research that is complex, poorly synthesized, and far from complete, as well as provide a theoretical framework for thinking about the role that sex differences ultimately play in affective regulation. Despite the overall gaps regarding both the underlying pathogenesis of affective illness and the role of sex-related factors in the development of affective disorders, it is evident that sex should be considered as an important contributor to alterations in neural function giving rise to susceptibility to and expression of depression.https://doi.org/10.1186/s13293-021-00400-4Sex differencesDepressionReproductive steroidsBrainStressNetwork connectivity
spellingShingle Christopher Sikes-Keilp
David R. Rubinow
In search of sex-related mediators of affective illness
Biology of Sex Differences
Sex differences
Depression
Reproductive steroids
Brain
Stress
Network connectivity
title In search of sex-related mediators of affective illness
title_full In search of sex-related mediators of affective illness
title_fullStr In search of sex-related mediators of affective illness
title_full_unstemmed In search of sex-related mediators of affective illness
title_short In search of sex-related mediators of affective illness
title_sort in search of sex related mediators of affective illness
topic Sex differences
Depression
Reproductive steroids
Brain
Stress
Network connectivity
url https://doi.org/10.1186/s13293-021-00400-4
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