Sex bias in autoimmunity.

Abstract:

PURPOSE OF REVIEW:To give an overview of recently published articles addressing the mechanisms underlying sex bias in autoimmune disease. RECENT FINDINGS:Recent studies investigating the origins of sex bias in autoimmune disease have revealed an extensive and interconnected network of genetic, hormonal, microbial, and environmental influences. Investigation of sex hormones has moved beyond profiling the effects of hormones on activity and prevalence of immune cell types to defining the specific immunity-related genes driving these changes. Deeper examination of the genetic content of the X and Y chromosomes and genetic escapees of X chromosome inactivation has revealed some key drivers of female-biased autoimmunity. Animal studies are offering further insights into the connections among microbiota, particularly that of the gut, and the immune system. SUMMARY:Sex bias in autoimmune disease is the manifestation of a complex interplay of the sex chromosomes, sex hormones, the microbiota, and additional environmental and sociological factors.

journal_name

Curr Opin Rheumatol

authors

Billi AC,Kahlenberg JM,Gudjonsson JE

doi

10.1097/BOR.0000000000000564

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

53-61

issue

1

eissn

1040-8711

issn

1531-6963

journal_volume

31

pub_type

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