Publication: Liver gender dimorphism - insights from quantitative morphology
Authors
Marcos, Ricardo ; Correia Gomes, Carla ; Miranda, Helena ; Carneiro, Fatima
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Publisher
Universidad de Murcia. Departamento de BiologĂa Celular e HistologĂa
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DOI
10.14670/HH-11-648
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info:eu-repo/semantics/article
Description
Abstract
It was shown recently that many genes are
differentially expressed in the liver of males and
females, thus strengthening the concept of liver gender
dimorphism. This dimorphism exists in many
pathological scenarios, from regeneration to fibrosis,
which has led to the development of gender hepatology.
Nevertheless, it is still unknown if gender dimorphism
occurs in the structure of the normal liver. In recent
years, it has been shown that, compared with male, the
female rat liver bears less fibrotic tissue, more Kupffer
cells (per volume unit) and has higher hepatocellularity,
including binucleated hepatocytes (per volume unit).
Our hypothesis is that the human liver also hides a
gender dimorphic pattern. Baseline differences in
fibrotic tissue would contribute to explain severe liver
fibrosis in men. As to the disparity of Kupffer cells, this
would clarify the stronger response to post-surgery
infections in women, and it could be equated when
appraising the higher susceptibility to alcohol.
Regarding differences in hepatocytes, they not only
justify existing differences in some liver parameters
(e.g., transaminases and bilirubin), but they could also
account for the higher regenerative potential of the
female liver. The structural dimorphism in the human
liver would sustain the concept of gender hepatology
and, eventually, should be considered in the context of
liver transplantation.
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Citation
Histology and Histopathology, vol. 30, nÂş 12, (2015)
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