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Originally published In Press as doi:10.1074/jbc.M405461200 on July 1, 2004

J. Biol. Chem., Vol. 279, Issue 37, 38563-38570, September 10, 2004
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Innate Gender-based Proclivity in Response to Cytotoxicity and Programmed Cell Death Pathway*

Lina Du{ddagger}, Hülya Bayir{ddagger}, Yichen Lai{ddagger}, Xiaopeng Zhang{ddagger}, Patrick M. Kochanek{ddagger}§, Simon C. Watkins||, Steven H. Graham**, and Robert S. B. Clark{ddagger}§{ddagger}{ddagger}

From the Departments of {ddagger}Critical Care Medicine, §Pediatrics, ||Cell Biology and Physiology, and **Neurology, Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15260 and Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania15213

Many central nervous system (CNS) diseases display sexual dimorphism. Exposure to circulating sex steroids is felt to be a chief contributor to this phenomenon; however, CNS diseases of childhood and the elderly also demonstrate gender predominance and/or a sexually dimorphic response to therapies. Here we show that XY and XX neurons cultured separately are differentially susceptible to various cytotoxic agents and treatments. XY neurons were more sensitive to nitrosative stress and excitotoxicity versus XX neurons. In contrast, XX neurons were more sensitive to etoposide- and staurosporine-induced apoptosis versus XY neurons. The responses to specific therapies were also sexually dimorphic. Moreover, gender proclivity in programmed cell death pathway was observed. After cytotoxic challenge, programmed cell death proceeded predominately via an apoptosis-inducing factor-dependent pathway in XY neurons versus a cytochrome c-dependent pathway in XX neurons. This gender-dependent susceptibility is related to the incapacity of XY neurons to maintain intracellular levels of reduced glutathione. In vivo studies further demonstrated an incapacity for male, but not female, 17-day-old rats to maintain reduced glutathione levels within cerebral cortex acutely after an 8-min asphyxial cardiac arrest. This gender difference in sensitivity to cytotoxic agents may be generalized to nonneuronal cells, as splenocytes from male and female 16–18-day-old rats show similar gender-dependent responses to nitrosative stress and staurosporine-induced apoptosis. These data support gender stratification in the evaluation of mechanisms and treatment of CNS disease, particularly those where glutathione may play a role in detoxification, such as Parkinson's disease, traumatic brain injury, and conditions producing cerebral ischemia, and may apply to non-CNS diseases as well.


Received for publication, May 17, 2004 , and in revised form, June 30, 2004.

* This work was supported by NINDS, National Institutes of Health Grants RO1 NS38620 and P50 NS30318, NICHD, National Institutes of Health Grant T32 HD40686, and by the Children's Hospital of Pittsburgh. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

{ddagger}{ddagger} To whom correspondence should be addressed: Safar Center for Resuscitation Research, 3434 Fifth Ave., Pittsburgh, PA 15260. Tel.: 412-383-1900; Fax: 412-624-0943; E-mail: clarkrs{at}ccm.upmc.edu.


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