Complexity of Sex Differences and Their Impact on Alzheimer’s Disease

Sex differences are present in brain morphology, sex hormones, aging processes and immune responses. These differences need to be considered for proper modelling of neurological diseases with clear sex differences. This is the case for Alzheimer’s disease (AD), a fatal neurodegenerative disorder wit...

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Main Authors: Marion Kadlecova, Kristine Freude, Henriette Haukedal
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/5/1261
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author Marion Kadlecova
Kristine Freude
Henriette Haukedal
author_facet Marion Kadlecova
Kristine Freude
Henriette Haukedal
author_sort Marion Kadlecova
collection DOAJ
description Sex differences are present in brain morphology, sex hormones, aging processes and immune responses. These differences need to be considered for proper modelling of neurological diseases with clear sex differences. This is the case for Alzheimer’s disease (AD), a fatal neurodegenerative disorder with two-thirds of cases diagnosed in women. It is becoming clear that there is a complex interplay between the immune system, sex hormones and AD. Microglia are major players in the neuroinflammatory process occurring in AD and have been shown to be directly affected by sex hormones. However, many unanswered questions remain as the importance of including both sexes in research studies has only recently started receiving attention. In this review, we provide a summary of sex differences and their implications in AD, with a focus on microglia action. Furthermore, we discuss current available study models, including emerging complex microfluidic and 3D cellular models and their usefulness for studying hormonal effects in this disease.
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spelling doaj.art-d07fd458dc3f45e887859695cd86dfcd2023-11-18T00:34:23ZengMDPI AGBiomedicines2227-90592023-04-01115126110.3390/biomedicines11051261Complexity of Sex Differences and Their Impact on Alzheimer’s DiseaseMarion Kadlecova0Kristine Freude1Henriette Haukedal2Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 C Frederiksberg, DenmarkDepartment of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 C Frederiksberg, DenmarkDepartment of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 C Frederiksberg, DenmarkSex differences are present in brain morphology, sex hormones, aging processes and immune responses. These differences need to be considered for proper modelling of neurological diseases with clear sex differences. This is the case for Alzheimer’s disease (AD), a fatal neurodegenerative disorder with two-thirds of cases diagnosed in women. It is becoming clear that there is a complex interplay between the immune system, sex hormones and AD. Microglia are major players in the neuroinflammatory process occurring in AD and have been shown to be directly affected by sex hormones. However, many unanswered questions remain as the importance of including both sexes in research studies has only recently started receiving attention. In this review, we provide a summary of sex differences and their implications in AD, with a focus on microglia action. Furthermore, we discuss current available study models, including emerging complex microfluidic and 3D cellular models and their usefulness for studying hormonal effects in this disease.https://www.mdpi.com/2227-9059/11/5/1261sex differencesmicrogliasex hormonesestrogenAlzheimer’s diseasehiPSC
spellingShingle Marion Kadlecova
Kristine Freude
Henriette Haukedal
Complexity of Sex Differences and Their Impact on Alzheimer’s Disease
Biomedicines
sex differences
microglia
sex hormones
estrogen
Alzheimer’s disease
hiPSC
title Complexity of Sex Differences and Their Impact on Alzheimer’s Disease
title_full Complexity of Sex Differences and Their Impact on Alzheimer’s Disease
title_fullStr Complexity of Sex Differences and Their Impact on Alzheimer’s Disease
title_full_unstemmed Complexity of Sex Differences and Their Impact on Alzheimer’s Disease
title_short Complexity of Sex Differences and Their Impact on Alzheimer’s Disease
title_sort complexity of sex differences and their impact on alzheimer s disease
topic sex differences
microglia
sex hormones
estrogen
Alzheimer’s disease
hiPSC
url https://www.mdpi.com/2227-9059/11/5/1261
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