Sex differences in XIAP cleavage after traumatic brain injury in the rat

Helen M Bramlett1, Ofelia Furones-Alonso, George Lotocki

  • 1Department of Neurological Surgery, Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33101, USA. hbramlett@miami.edu

Insights

Sex influences traumatic brain injury (TBI) outcomes. This study found that X-linked inhibitor of apoptosis protein (XIAP) processing differs between sexes after TBI, potentially influenced by estrogen.

Area of Science:

  • Neuroscience
  • Immunology
  • Endocrinology

Background:

  • Sex significantly impacts histological and behavioral outcomes after traumatic brain injury (TBI).
  • The sex-dependent molecular mechanisms underlying TBI outcomes are not well understood.
  • X-linked inhibitor of apoptosis protein (XIAP) plays roles in cell death inhibition, immune regulation, and cell migration.

Purpose of the Study:

  • To investigate sex differences in the regulation of X-linked inhibitor of apoptosis protein (XIAP) processing following TBI.
  • To determine the influence of estrogen on XIAP processing after TBI.
  • To explore the role of XIAP in sex-dependent TBI pathomechanisms.

Main Methods:

  • Adult male and female Sprague-Dawley rats underwent moderate fluid percussion (FP) TBI.
  • Experimental groups included male TBI, female TBI, ovariectomized female TBI, and ovariectomized female TBI with estrogen supplementation.
  • XIAP processing in cortical tissue was analyzed 24 hours post-injury using immunoblot analysis and confocal microscopy.

Main Results:

  • Significant differences in XIAP cleavage products were observed in the ipsilateral cortex between experimental groups.
  • XIAP processing was significantly increased in intact females (TBI-F) and estrogen-supplemented ovariectomized females (TBI-OVX+EST) compared to males (TBI-M) and non-supplemented ovariectomized females (TBI-OVX).
  • Sex-dependent changes in XIAP co-localization within neurons were also detected.

Conclusions:

  • XIAP processing after TBI exhibits sex-dependent regulation.
  • Estrogen appears to influence XIAP processing following TBI, with higher processing observed in the presence of estrogen.
  • These findings suggest that XIAP pathway modulation by sex hormones may contribute to sex differences in TBI outcomes.

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