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Male Sex Bias in Immune Biomarkers for Tuberculosis.

ABSTRACT: Males have a bias toward developing sputum smear-positive pulmonary tuberculosis, whereas other forms of the disease have an equal sex ratio. Immune responses are known to be affected by estrogen and testosterone. Biomarkers may therefore be affected by these hormones, especially between 16 and 45 years of age when the differences are most marked. Using large data sets, we examined whether the male bias was significant in terms of diagnosis or predictive ability for the development of disease in those exposed to tuberculosis. Despite the large numbers, the need to specify homogeneous population groups for analysis affected the statistical power to discount a useful biomarker. In general, males showed higher interferon-gamma responses to TB antigens ESAT-6 and CFP-10, whilst females had stronger tuberculin responses in those with sputum smear- and culture-positive tuberculosis, but smaller responses in those who were screened for tuberculosis and who did not develop disease. Importantly, in contacts of sputum smear-positive pulmonary tuberculosis, more males who did not develop tuberculosis had tuberculin skin tests in the range between 10 and 14 mm, suggesting that sex-specific cut-offs might be better than general cut-off values for determining who should receive preventive treatment. Immunocytochemistry of the tuberculin responses correlated with cell numbers only in females. Total and anti-lipoarabinomannan IgM antibody levels were lower in males, whereas total and anti-BCG IgE antibody levels were higher. Evaluation of biomarkers should take account of the spectrum of tuberculosis and male sex bias for sputum smear-positive pulmonary tuberculosis. These findings improve our understanding of how immune responses contribute to the pathogenesis of infectious tuberculosis as well as suggesting clinical applications of the differences between the sexes.

SUBMITTER: Bothamley GH

PROVIDER: S-EPMC8007857 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:Parent sex ratio allocation has consequences for individual fitness, population dynamics, and conservation. Theory predicts that parents should adjust offspring sex ratio when the fitness returns of producing male or female offspring varies. Previous studies have assumed that only mothers are capable of biasing offspring sex ratios, but have neglected fathers, given the expectation of an equal proportion of X- and Y-chromosome-bearing (CBS) sperm in ejaculates due to sex chromosome segregation at meiosis. This assumption has been recently refuted and both paternal fertility and paternal genetic quality have been shown to bias sex ratios. Here, we simultaneously test the relative contribution of paternal, maternal, and individual genetic quality, as measured by inbreeding, on the probability of being born a son or a daughter, using pedigree and lifelong offspring sex ratio data for the eastern bongo ( Tragelaphus eurycerus isaaci). Our models showed first, that surprisingly, as individual inbreeding decreases the probability of being born male increases, second, that paternal genetic effects on sex ratio were stronger than maternal genetic effects (which were absent). Furthermore, paternal effects were opposite in sign to those predicted; father inbreeding increases the probability of having sons. Previous paternal effects have been interpreted as adaptive due to sex-specific inbreeding depression for reproductive traits. We argue that in the eastern bongo, the opposite sign of the paternal effect on sex ratios results from a reversed sex-specific inbreeding depression pattern (present for female but not male reproductive traits). We anticipate that this research will help stimulate research on evolutionary constraints to sex ratios. Finally, the results open a new avenue of research to predict sex ratio allocation in an applied conservation context. Future models of sex ratio allocation should also include the predicted inbreeding level of the offspring and paternal inbreeding levels.

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Male Sex Bias in Immune Biomarkers for Tuberculosis.

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