Sex-related responses after traumatic brain injury: Considerations for preclinical modeling
Open accessAbstract
Traumatic brain injury (TBI) has historically been viewed as a primarily male problem, since men are more likely to experience a TBI because of more frequent participation in activities that increase risk of head injuries. This male bias is also reflected in preclinical research where mostly male animals have been used in basic and translational science. However, with an aging population in which TBI incidence is increasingly sex-independent due to falls, and increasing female participation in high-risk activities, the attention to potential sex differences in TBI responses and outcomes will become more important. These considerations are especially relevant in designing preclinical animal models of TBI that are more predictive of human responses and outcomes. This review characterizes sex differences following TBI with a special emphasis on the contribution of the female sex hormones, progesterone and estrogen, to these differences. This information is potentially important in developing and customizing TBI treatments.
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A recent review reported that 93-95% of preclinical studies have failed to include biological sex as a variable.
“For example, a recent review reported that 93-95% of preclinical studies have failed to include biological sex as a variable.”
From Sex Differences in Traumatic Brain Injury: What We Know and What We Should Know (2019) · cites this paper as [20]
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- Pfaff DW Joels M 2016 Hormones, Brain and behavior - 3rd Edition 3rd
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Sex Differences in Traumatic Brain Injury: What We Know and What We Should Know
Gupte, R. P., Brooks, W. M., Vukas, R. R., Pierce, J. D., & Harris, J. L. (2019) · Journal of Neurotrauma · doi:10.1089/neu.2018.6171 · Cited by 533 · see citing works
Exploring Sex-Related Differences in Microglia May Be a Game-Changer in Precision Medicine
Lynch, M. A. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.868448 · Cited by 146 · see citing works
Saber, M., Giordano, K. R., Hur, Y., Ortiz, J. B., Morrison, H., Godbout, J. P., Murphy, S. M., Lifshitz, J., & Rowe, R. K. (2020) · European Journal of Neuroscience · doi:10.1111/ejn.14611 · Cited by 46 · see citing works
- Authors
- Späni, C. B., Braun, D. J., & Van Eldik, L. J.
- Affiliations
- University of Kentucky (US)
- Venue
- Frontiers in Neuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2018-07
- Volume
- 50
- Pages
- 52-66
- ISSN
- 0091-3022 (ISSN-L)
- PMC
- PMC6139061
- OpenAlex
- W2804503506
- Cited by
- 195
- References
- 195
- Citations by year
- 2026: 12 · 2025: 20 · 2024: 32 · 2023: 24 · 2022: 24 · 2021: 35 · 2020: 27 · 2019: 18 · 2018: 2
- FWCI
- 3.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Frontiers in Neuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (NS093920)
- Topics
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Automotive and Human Injury Biomechanics
- Keywords
- traumatic brain injury, sex differences, preclinical animal models, progesterone, estrogen, sex hormones, female sex hormones, translational research, sex bias in research
- MeSH terms
- Brain Injuries, Traumatic, Animals, Female, Humans, Male, Sex Characteristics, Gonadal Steroid Hormones, Models, Animal
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