中国神经再生研究(英文版) ›› 2022, Vol. 17 ›› Issue (3): 550-552.doi: 10.4103/1673-5374.316602

• 观点:脑损伤修复保护与再生 • 上一篇    下一篇

脑外伤后性别相关预后:开辟前进的道路

  

  • 出版日期:2022-03-15 发布日期:2021-10-14

Female sex in experimental traumatic brain injury research: forging a path forward

Theresa Currier Thomas*, Caitlin E. Bromberg, Gokul Krishna   

  1. Department of Child Health, University of Arizona College of Medicine-Phoenix; BARROW Neurological Institute at Phoenix Children’s Hospital, Phoenix, AZ, USA (Currier Thomas T, Bromberg CE, Krishna G)
    Phoenix VA Health Care System, Phoenix, AZ, USA (Currier Thomas T)
    Arizona State University, Tempe, AZ, USA (Bromberg CE)
  • Online:2022-03-15 Published:2021-10-14
  • Contact: Theresa Currier Thomas, BS, PhD, theresathomas@arizona.edu.
  • Supported by:
    TCT was supported by the National Institutes of Health (R01NS100793) and Phoenix Children’s Hospital Mission Support. 

摘要: Neural Regen Res:重视性别差异为改善创伤性脑损伤预后开辟道路
自 2016年以来,由于关于症状表现、康复和易患其他神经系统疾病性别差异报道的出现,推动了创伤性脑损伤性别差异的研究。
来自美国亚利桑那大学的Theresa Currier Thomas团队认为,生物性别相关结果强调了临床前研究中性别平等的必要性。但需要注意的是,因为许多生物过程具有性别差异和潜在的相互作用,如果将两性的数据结合起来,可能会混淆结果。从转化的角度看,需要报告与性别相关的相互矛盾变量(如发情阶段)。继续讨论和调整纳入两性的策略,创建多学科合作团队来设计实验、解释结果以及报告方法的透明性,以指导改进女性如何融入创伤性脑损伤研究。
文章在《中国神经再生研究(英文版)》杂志2022年3 月3 期发表。

https://orcid.org/0000-0002-9619-7666 (Theresa Currier Thomas);
https://orcid.org/0000-0001-5869-2204 (Gokul Krishna)

Abstract: Traumatic brain injury (TBI) is a leading cause of death and disability worldwide, with estimates indicating that ~50% of the world’s population will acquire a head injury at some point in their lifetime (Maas et al., 2017). Mild TBIs account for ~80% of all reported cases, with up to 43% of all TBI patients reporting symptoms beyond 2 weeks post-injury. As of 2016, only 7% of preclinical TBI experiments included both male and female sexes, and fewer studies analyzed the data using sex as a biological variable (Spani et al., 2018). Since 2016, there has been a bigger push for TBI research to include both sexes, due to reports of sex disparities in symptom presentation, recovery, and vulnerability to other neurological disorders; emphasizing how little we know about the pathophysiology of TBI in females. In this Perspective, we discuss some preclinical and clinical sex differences, challenges addressing female inclusion in preclinical TBI research, and potential solutions towards finding a balance between female sex inclusion and sex as an independent biological variable; forging a path towards improving scientific rigor, reproducibility and inclusivity for evaluating pathophysiological sex-differences after TBI.