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4 Department of Surgery, Center for Surgical Research, Brown University School of Medicine and Rhode Island Hospital, Providence, Rhode Island 02903; 2 Department of Surgery, School of Medicine, University of Alabama-Birmingham, Birmingham, Alabama 35294; 1 Department of Trauma-Surgery, University of Ulm, 89075 Ulm, Germany; and 3 Department of Surgery, Klinikum Grosshadern, 81377 Munich, Germany
A gender dimorphic immune response has been
observed after trauma and severe hemorrhage, a condition believed to be
associated with tissue hypoxia. Although studies have shown that
hypoxemia per se in males causes a systemic inflammatory response, it
is unclear if the inflammatory response to hypoxemia exhibits gender dimorphic characteristics. To study this, male and female C3H/HeN mice
in the proestrus state of the estrous cycle were subjected to hypoxemia
(95% N2-5% O2) or sham hypoxemia (room air)
for 60 min. Later (2 h), plasma interleukin (IL)-6 and tumor necrosis factor (TNF)-
levels were determined along with splenic immune responses. Plasma IL-6 and TNF-
concentrations after hypoxemia were
significantly increased in males but not in females. Splenocyte proliferation was depressed in males after hypoxemia but not in females. A shift toward an immunosuppressive Th-2 cytokine profile was
observed in males after hypoxemia [decreased interferon-
(Th-1) and
increased IL-10 (Th-2)], whereas no such shift was observed in
females. Splenic macrophage IL-6, IL-10, and IL-12 production were
suppressed in males after hypoxemia; however, such suppression was not
observed in females. These findings therefore indicate that a gender
dimorphic immune response also exists after hypoxemia in the absence of
blood loss and tissue trauma, similar to trauma-hemorrhage.
Furthermore, because no systemic inflammatory response or alterations
in T lymphocyte or macrophage functions are observed in proestrus
females but such parameters are markedly altered after severe hypoxemia
in males, these studies indicate that proestrus females can tolerate
hypoxemia better than males.
rodent; inflammation; cytokines; sex steroids; proestrus
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