How Testosterone Levels Impact Men's Immunity: New Research Uncovers Sex Differences in Infection and Cancer Risk

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Sex differences play a crucial role in shaping human immune responses, influencing susceptibility to infections, cancer, and autoimmune diseases.

Overview of Sex-Based Immune Differences​

Females generally exhibit more robust immune responses than males, resulting in fewer severe infections and lower cancer rates. However, this heightened immunity makes females more prone to autoimmune diseases, where the immune system mistakenly targets the body's own tissues. Males, conversely, tend to have a lower immune response, making them more vulnerable to infections and certain cancers.

The Role of Sex Hormones​

The immune system can be viewed as a thermostat: turning it down leads to more infections and cancer, while turning it up reduces these risks but increases autoimmunity. Sex hormones—such as testosterone and estrogen—are thought to modulate this immune "thermostat". Dr. Camila Consiglio and her group investigate how fluctuating hormone levels throughout life impact immune profiles in both men and women.

  • Women with elevated testosterone levels are compared to those with normal ranges.
  • Men undergoing testosterone-targeting treatment are compared to untreated men.
    These studies help reveal how varying hormone levels shape the immune system across sexes.

Systems Immunology Approach​

Rather than isolating single cells or proteins, Consiglio's team uses techniques like proteomics and transcriptomics to analyze multiple proteins and gene expressions simultaneously. This comprehensive approach unveils how the immune system functions as a network, investigating:

  • Protein profiles in blood cells
  • Gene expression across different cell types
  • Composition of immune cell populations
    By mapping these interactions, researchers deepen their understanding of how biological sex orchestrates immune function.

Implications for Medical Treatment​

A nuanced understanding of sex and immune interplay could lead to tailored treatment strategies based on biological sex. This advances personalized medicine, with potential to optimize therapies for infections, cancer, and autoimmune diseases in men and women alike.


 
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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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