Sex-related Differences in Inflammatory Bowel Diseases: The Potential Role of Sex Hormones

被引:37
作者
Xu, Leiqi [1 ]
Huang, Gang [1 ]
Cong, Yingzi [2 ,3 ]
Yu, Yanbo [1 ]
Li, Yanqing [1 ]
机构
[1] Shandong Univ, Qilu Hosp, Dept Gastroenterol, 107 Wenhuaxi Rd, Jinan 250012, Shandong, Peoples R China
[2] Univ Texas Med Branch, Dept Microbiol & Immunol, Galveston, TX USA
[3] Univ Texas Med Branch, Dept Pathol, Galveston, TX USA
基金
中国国家自然科学基金;
关键词
sex hormones; sex difference; inflammatory bowel disease; ESTROGEN-RECEPTOR-BETA; GENDER-RELATED DIFFERENCES; CROHNS-DISEASE; TESTOSTERONE REPLACEMENT; ORAL-CONTRACEPTIVES; IMMUNE-RESPONSE; CELL RESPONSES; T-CELLS; IN-VIVO; PROGESTERONE;
D O I
10.1093/ibd/izac094
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Inflammatory bowel disease (IBD), characterized by chronic inflammation of the gastrointestinal tract, is a global health care problem. Compelling evidence shows sex differences regarding the prevalence, pathophysiology, clinical presentation, and treatment outcome of IBD. Sex hormones, including estrogen, progesterone, and androgen, have been proposed to have a role in the pathogenesis of sexual dimorphism in IBD. Clinical and experimental data support the modulatory effects of sex hormones on various clinical characteristics of the disease, including intestinal barrier dysfunction and mucosal immune activation. Additionally, the potential role of sex hormones in the modulation of gut microbiota is attracting increasing attention. Here, we discuss the sex dimorphic disease profile and address the potential mechanisms involved in the sex-specific pathogenesis of IBD. Improved understanding of these sex differences in the clinic could improve the knowledge of patients with IBD with heterogeneous disease profiles.
引用
收藏
页码:1766 / 1775
页数:10
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