Sex differences in functional brain networks involved in interoception: An fMRI study
Open accessAbstract
Interoception can be described as the ability to perceive inner body sensations and it is different between biological sex. However, no previous research correlated this ability with brain functional connectivity (FC) between males and females. In this study, we used resting-state functional magnetic resonance imaging to investigate FC of networks involved in interoception among males and females in a sample of healthy volunteers matched for age. In total, 67 participants (34 females, mean age 44.2; 33 males, mean age 37.2) underwent a functional MRI session and completed the Self-Awareness Questionnaire (SAQ) that tests the interoceptive awareness. To assess the effect of sex on scores obtained on the SAQ we performed a multivariate analysis of variance. A whole-brain seed-to-seed FC analysis was conducted to investigate the correlation between SAQ score and FC, and then to test differences in FC between males and females with SAQ score as a covariate. MANOVA revealed a significant difference in SAQ scores between males and females with higher values for the second ones. Also, significant correlations among interoception scores and FC in Salience network and fronto-temporo-parietal brain areas have been detected, with a sharp prevalence for the female. These results support the idea of a female advantage in the attention toward interoceptive sensations, suggesting common inter-network areas that concur to create the sense of self.
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Sex differences extend to individual cells within the brain parenchyma, including microglia.
“Sex differences also extend to individual cells within the brain parenchyma, including microglia [3, 14, 15].”
From Sex chromosomes and sex hormones differently shape microglial properties during normal physiological conditions in the adult mouse hippocampus (2025) · cites this paper as [3]
The Introduction (page unavailable) reports sex differences in brain cytoarchitecture and regional structure. It does not say that these differences extend to individual cells in the brain parenchyma or mention microglia; searches for those terms found no supporting passage. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe brain exhibits clear structural and functional differences based on sex.
“The brain exhibits clear structural and functional differences based on sex [1–3].”
From Sex chromosomes and sex hormones differently shape microglial properties during normal physiological conditions in the adult mouse hippocampus (2025) · cites this paper as [3]
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Cites
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(Bud) Craig, A. D. (2009) · Nature Reviews Neuroscience · doi:10.1038/nrn2555 · Cited by 6,657 · cited 2× · see citing works
“Specifically, the anterior insular cortex has been considered as an hub which encodes and represents interoceptive information, and for this reason it has been also defined as an interoceptive cortex (Critchley et al., 2004; Craig, 2009).”
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Sex differences in the structural connectome of the human brain
Ingalhalikar, M., Smith, A., Parker, D., Satterthwaite, T. D., Elliott, M. A., Ruparel, K., Hakonarson, H., Gur, R. E., Gur, R. C., & Verma, R. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1316909110 · Cited by 1,223 · see citing works
Neuroanatomical basis for first- and second-order representations of bodily states
Critchley, H. D., Mathias, C. J., & Dolan, R. J. (2001) · Nature Neuroscience · doi:10.1038/84048 · Cited by 312 · see citing works
Interoception and gender: What aspects should we pay attention to?
Grabauskaitė, A., Baranauskas, M., & Griškova-Bulanova, I. (2017) · Consciousness and Cognition · doi:10.1016/j.concog.2016.11.002 · Cited by 167 · see citing works
Sex Differences in Anxiety Disorders: A Review
University of Texas Health Science Center at Houston, & Jalnapurkar, I. (2018) · Psychiatry, Depression & Anxiety · doi:10.24966/pda-0150/100011 · Cited by 139 · see citing works
Gender Brain Structural Differences and Interoception
Longarzo, M., Mele, G., Alfano, V., Salvatore, M., & Cavaliere, C. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2020.586860 · Cited by 43 · see citing works
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Bobotis, B. C., Khakpour, M., Braniff, O., de Andrade, E. G., Gargus, M., Allen, M., Carrier, M., Baillargeon, J., Rangachari, M., & Tremblay, M.-È. (2025) · Journal of Neuroinflammation · doi:10.1186/s12974-025-03341-6 · Cited by 17 · see citing works
“The brain exhibits clear structural and functional differences based on sex [1–3].”
- Authors
- Alfano, V., Cavaliere, C., Di Cecca, A., Ciccarelli, G., Salvatore, M., Aiello, M., & Federico, G.
- Venue
- Frontiers in Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2023-03-14
- Volume
- 17
- Pages
- 1130025-1130025
- ISSN
- 1662-453X (ISSN-L)
- PMC
- PMC10043182
- OpenAlex
- W4324145444
- Cited by
- 32
- References
- 8
- Citations by year
- 2026: 8 · 2025: 14 · 2024: 8 · 2023: 2
- FWCI
- 4.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Ministero della Salute
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- interoception, sex differences, functional connectivity, brain networks, interoceptive awareness, salience network, self-awareness, resting-state functional connectivity
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