Sex Differences in Brain Injury and Repair in Newborn Infants: Clinical Evidence and Biological Mechanisms

Differences in the development of the male and female brain are an evolving area of investigation. We are beginning to understand the underpinnings of male and female advantages due to differences in brain development as well as the consequences following hypoxic-ischemic brain injury in the newborn...

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Main Authors: Ted S. Rosenkrantz, Zeenat Hussain, Roslyn Holly Fitch
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-06-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fped.2019.00211/full
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author Ted S. Rosenkrantz
Zeenat Hussain
Zeenat Hussain
Roslyn Holly Fitch
author_facet Ted S. Rosenkrantz
Zeenat Hussain
Zeenat Hussain
Roslyn Holly Fitch
author_sort Ted S. Rosenkrantz
collection DOAJ
description Differences in the development of the male and female brain are an evolving area of investigation. We are beginning to understand the underpinnings of male and female advantages due to differences in brain development as well as the consequences following hypoxic-ischemic brain injury in the newborn. The two main factors that appear to affect outcomes are gestation age at the time of injury and sex of the subject. This review starts with a summary of differences in the anatomy and physiology of the developing male and female brain. This is followed by a review of the major factors responsible for the observed differences in the face of normal development and hypoxic injury. The last section reviews the response of male and female subjects to various neuroprotective strategies that are currently being used and where there is a need for additional information for more precise therapy based on the sex of the infant.
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spelling doaj.art-f224c15cacbd4d25a175a439e31adcd62022-12-21T18:47:31ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602019-06-01710.3389/fped.2019.00211446572Sex Differences in Brain Injury and Repair in Newborn Infants: Clinical Evidence and Biological MechanismsTed S. Rosenkrantz0Zeenat Hussain1Zeenat Hussain2Roslyn Holly Fitch3Division of Neonatology, Department of Pediatrics, University of Connecticut School of Medicine, Farmington, CT, United StatesDepartment of Volunteer Services, UCONN Health, Farmington, CT, United StatesDepartment of Anthropology, New York University, New York, NY, United StatesDepartment of Psychology, University of Connecticut, Storrs, CT, United StatesDifferences in the development of the male and female brain are an evolving area of investigation. We are beginning to understand the underpinnings of male and female advantages due to differences in brain development as well as the consequences following hypoxic-ischemic brain injury in the newborn. The two main factors that appear to affect outcomes are gestation age at the time of injury and sex of the subject. This review starts with a summary of differences in the anatomy and physiology of the developing male and female brain. This is followed by a review of the major factors responsible for the observed differences in the face of normal development and hypoxic injury. The last section reviews the response of male and female subjects to various neuroprotective strategies that are currently being used and where there is a need for additional information for more precise therapy based on the sex of the infant.https://www.frontiersin.org/article/10.3389/fped.2019.00211/fullsexgenderinfantnewbornneurological braininjury
spellingShingle Ted S. Rosenkrantz
Zeenat Hussain
Zeenat Hussain
Roslyn Holly Fitch
Sex Differences in Brain Injury and Repair in Newborn Infants: Clinical Evidence and Biological Mechanisms
Frontiers in Pediatrics
sex
gender
infant
newborn
neurological brain
injury
title Sex Differences in Brain Injury and Repair in Newborn Infants: Clinical Evidence and Biological Mechanisms
title_full Sex Differences in Brain Injury and Repair in Newborn Infants: Clinical Evidence and Biological Mechanisms
title_fullStr Sex Differences in Brain Injury and Repair in Newborn Infants: Clinical Evidence and Biological Mechanisms
title_full_unstemmed Sex Differences in Brain Injury and Repair in Newborn Infants: Clinical Evidence and Biological Mechanisms
title_short Sex Differences in Brain Injury and Repair in Newborn Infants: Clinical Evidence and Biological Mechanisms
title_sort sex differences in brain injury and repair in newborn infants clinical evidence and biological mechanisms
topic sex
gender
infant
newborn
neurological brain
injury
url https://www.frontiersin.org/article/10.3389/fped.2019.00211/full
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AT zeenathussain sexdifferencesinbraininjuryandrepairinnewborninfantsclinicalevidenceandbiologicalmechanisms
AT roslynhollyfitch sexdifferencesinbraininjuryandrepairinnewborninfantsclinicalevidenceandbiologicalmechanisms