Sex—the most underappreciated variable in research: insights from helminth-infected hosts

Abstract The sex of a host affects the intensity, prevalence, and severity of helminth infection. In many cases, one sex has been found to be more susceptible than the other, with the prevalence and intensity of helminth infections being generally higher among male than female hosts; however, many e...

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Main Author: Agnieszka Wesołowska
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Veterinary Research
Subjects:
Online Access:https://doi.org/10.1186/s13567-022-01103-3
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author Agnieszka Wesołowska
author_facet Agnieszka Wesołowska
author_sort Agnieszka Wesołowska
collection DOAJ
description Abstract The sex of a host affects the intensity, prevalence, and severity of helminth infection. In many cases, one sex has been found to be more susceptible than the other, with the prevalence and intensity of helminth infections being generally higher among male than female hosts; however, many exceptions exist. This observed sex bias in parasitism results primarily from ecological, behavioural, and physiological differences between males and females. Complex interactions between these influences modulate the risk of infection. Indeed, an interplay among sex hormones, sex chromosomes, the microbiome and the immune system significantly contributes to the generation of sex bias among helminth-infected hosts. However, sex hormones not only can modulate the course of infection but also can be exploited by the parasites, and helminths appear to have developed molecules and pathways for this purpose. Furthermore, host sex may influence the efficacy of anti-helminth vaccines; however, although little data exist regarding this sex-dependent efficacy, host sex is known to influence the response to vaccines. Despite its importance, host sex is frequently overlooked in parasitological studies. This review focuses on the key contributors to sex bias in the case of helminth infection. The precise nature of the mechanisms/factors determining these sex-specific differences generally remains largely unknown, and this represents an obstacle in the development of control methods. There is an urgent need to identify any protective elements that could be targeted in future therapies to provide optimal disease management with regard to host sex. Hence, more research is needed into the impact of host sex on immunity and protection.
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spelling doaj.art-c225845630b84bf8977785a9934481452022-12-22T03:43:01ZengBMCVeterinary Research1297-97162022-11-0153111710.1186/s13567-022-01103-3Sex—the most underappreciated variable in research: insights from helminth-infected hostsAgnieszka Wesołowska0Witold Stefański Institute of Parasitology, Polish Academy of SciencesAbstract The sex of a host affects the intensity, prevalence, and severity of helminth infection. In many cases, one sex has been found to be more susceptible than the other, with the prevalence and intensity of helminth infections being generally higher among male than female hosts; however, many exceptions exist. This observed sex bias in parasitism results primarily from ecological, behavioural, and physiological differences between males and females. Complex interactions between these influences modulate the risk of infection. Indeed, an interplay among sex hormones, sex chromosomes, the microbiome and the immune system significantly contributes to the generation of sex bias among helminth-infected hosts. However, sex hormones not only can modulate the course of infection but also can be exploited by the parasites, and helminths appear to have developed molecules and pathways for this purpose. Furthermore, host sex may influence the efficacy of anti-helminth vaccines; however, although little data exist regarding this sex-dependent efficacy, host sex is known to influence the response to vaccines. Despite its importance, host sex is frequently overlooked in parasitological studies. This review focuses on the key contributors to sex bias in the case of helminth infection. The precise nature of the mechanisms/factors determining these sex-specific differences generally remains largely unknown, and this represents an obstacle in the development of control methods. There is an urgent need to identify any protective elements that could be targeted in future therapies to provide optimal disease management with regard to host sex. Hence, more research is needed into the impact of host sex on immunity and protection.https://doi.org/10.1186/s13567-022-01103-3Helminthshost seximmunitysex steroidsvaccination
spellingShingle Agnieszka Wesołowska
Sex—the most underappreciated variable in research: insights from helminth-infected hosts
Veterinary Research
Helminths
host sex
immunity
sex steroids
vaccination
title Sex—the most underappreciated variable in research: insights from helminth-infected hosts
title_full Sex—the most underappreciated variable in research: insights from helminth-infected hosts
title_fullStr Sex—the most underappreciated variable in research: insights from helminth-infected hosts
title_full_unstemmed Sex—the most underappreciated variable in research: insights from helminth-infected hosts
title_short Sex—the most underappreciated variable in research: insights from helminth-infected hosts
title_sort sex the most underappreciated variable in research insights from helminth infected hosts
topic Helminths
host sex
immunity
sex steroids
vaccination
url https://doi.org/10.1186/s13567-022-01103-3
work_keys_str_mv AT agnieszkawesołowska sexthemostunderappreciatedvariableinresearchinsightsfromhelminthinfectedhosts