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Molecular androgen memory in sex development.

Paul-Martin Holterhus1

  • 1Department of Pediatrics, Division of Pediatric Endocrinology and Diabetes, Christian-Albrechts-University of Kiel & University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany. holterhus@pediatrics.uni-kiel.de

Pediatric Endocrinology Reviews : PER
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Summary

Androgens, acting through the androgen receptor, drive sex-specific development from embryogenesis through puberty. Evidence suggests a molecular "androgen memory" exists at the gene expression and epigenome levels, influencing long-term anatomical and functional changes.

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Area of Science:

  • Developmental Biology
  • Endocrinology
  • Genetics

Background:

  • Human sex-specific development involves irreversible changes in genitalia, secondary sex characteristics, and extragenital tissues, including the brain.
  • Androgens, mediated by the androgen receptor, are critical regulators of these developmental processes.
  • While androgens induce reversible gene transcription changes, their long-term impact on development is often irreversible.

Purpose of the Study:

  • To explore the role of androgens and the androgen receptor in sex-specific human development.
  • To investigate the molecular mechanisms underlying both short-term and long-term effects of androgens.
  • To examine evidence for a molecular memory of androgen action at the transcriptome and epigenome levels.

Main Methods:

  • Review of existing literature on sex-specific development and androgen action.
  • Analysis of recent genome-wide gene expression studies.
  • Discussion of emerging experimental data at the epigenome level.

Main Results:

  • Androgens play a pivotal role in sexual differentiation and maturation throughout human development.
  • Single-cell studies show androgens induce reversible changes in gene transcription via androgen receptor activation.
  • Developmental effects of androgens can lead to irreversible anatomical and functional changes.

Conclusions:

  • There is compelling evidence for a molecular "androgen memory" that persists at both the transcriptome and epigenome levels.
  • This molecular memory contributes to the establishment of irreversible sex-specific traits.
  • Understanding androgen memory is crucial for comprehending human development and potential endocrine disruptions.