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Q: You’ve devoted your career to studying hormonal effects on the brain, including sex differences. What surprises you most about how male and female brains differ?

McEwen: There are fundamental sex differences between males and females that go well beyond reproduction. The more people look, the more differ­ences are found in both the structure and function of cells throughout the brain. It’s just mind-boggling when you see the complexities. There is recent data suggesting that glial cells from male and female neonates respond differently to estrogen, as if there’s already been some programming that keeps the male glial cells from responding to estrogen the same way as the female cells. We have evidence, as do others, that the hippocampus, a memory-related organ unrelated to reproduction, responds differently to estrogens. The female responds to estrogen by forming new synaptic connections in the hippocampus, while the male does not. But if you block the actions of testosterone in the male at birth, then the male will respond to estrogens to induce these synapses. There are many other examples. The differences include cerebellum, the autonomic nervous system, cerebral cortex, and hypothalamus. The more we look, the more sex differences we discover.

Q: Has science done enough to take into account sex differences in basic and clinical research?

McEwen: Science has not done enough to take into account sex differences in either basic or clinical research. It’s very clear, for example, that psychotropic medications and many other drugs work differently in males and females. Some of it is related to sex differ­ences in how the liver clears drugs from the body, but almost any drug that affects the brain is going to work somewhat differently in the male and female, depending on the gender first and secondly on the hormonal status. The NIH now has an office of Women’s Health Research and there are a number of private and university-sponsored programs in women’s health research. This has revitalized the study of sex differences, meaning, in large part, the study of whole animals and how they differ behaviorally and physiologically. You can’t just assume that what works in the male is going to work the same way in the female.

{ Sex Differences in the Brain, Inetrview with Bruce McEwen | The DANA Foundation | Continue reading }

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