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Sex-biased autophagy as a potential mechanism mediating sex differences in ischemic stroke outcome

Neural Regeneration Research 2023年第1期18卷 31-37页

作者： brian noh Louise D.McCullough Jose F.Moruno-Manchon Department of Neurology McGovern Medical School at the University of Texas Health Science Center at HoustonHoustonTXUSA

Stroke is the second leading cause of death and a major cause of disability worldwide,and biological sex is an important determining factor in stroke incidence and *** childhood through adulthood,men have a higher incidence of stroke compared with *** research has confirmed the beneficial effects of estrogen in experimental ischemic stroke but genetic factors such as the X-chromosome complement can also play an important role in determining sex differences in *** is a self-degrading cellular process orchestrated by multiple core proteins,which leads to the engulfment of cytoplasmic material and degradation of cargo after autophagy vesicles fuse with lysosomes or *** levels and the activity of components of these signaling pathways and of autophagy-related proteins can be altered during ischemic *** stroke activates autophagy,however,whether inhibiting autophagy after stroke is beneficial in the brain is still under a *** is a potential mechanism that may contribute to differences in stroke progression between the ***,the effects of manipulating autophagy may also differ between the *** that regulate autophagy in a sex-dependent manner in ischemic stroke remain *** this review,we summarize clinical and pre-clinical evidence for sex differences in *** briefly introduce the autophagy process and summarize the effects of gonadal hormones in autophagy in the brain and discuss X-linked genes that could potentially regulate brain ***,we review pre-clinical studies that address the mechanisms that could mediate sex differences in brain autophagy after stroke.

关键词： autophagy brain estrogen gonadal hormones neurodegeneration neuron stroke X-chromosome

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