在女性化性别肯定激素治疗期间的等离子体蛋白质组适应
Nhi N L Nguyen1, Den Celestra1, Lachlan M Angus2,3
1Molecular Immunity, Infection, Immunity and Global Health Theme, Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, Victoria, Australia.
Nature medicine
|October 20, 2025
概括
性别确认激素疗法 (GAHT) 显著重塑了跨性别个体的血蛋白质组,将个人资料转移到cis-female模式. 这种依赖激素的重塑影响生殖能力,免疫调节和长期健康结果.
科学领域:
- 内分泌学 在内分泌学.
- 蛋白质组学是指蛋白质组学.
- 跨性别者健康 跨性别者健康
背景情况:
- 性差异影响各种特征和疾病风险.
- 性别确认激素疗法 (GAHT) 诱导身体变化,但其对潜在生理过程的影响尚不清楚.
研究的目的:
- 为了检查六个月内经历女性化GAHT的跨性别个体的血蛋白质组变化.
- 为了比较两种抗雄激素的作用,Cyproterone乙酸和Spironolactone,当与estradiol一起使用时.
主要方法:
- 在接受女性化GAHT的40名跨性别个体中分析了血蛋白质组变化.
- 在6个月内测量了5,279种总蛋白质.
- 在接受cyproterone酸盐和spironolactone的组之间比较蛋白质组概况.
主要成果:
- 女性化GAHT改变了245种蛋白质 (cyproterone组) 和91种蛋白质 (spironolactone组),其中大多数减少 (>95%).
- 与男性精子生成相关的蛋白质减少,特别是在cyproterone酸盐下,由于的损失.
- GAHT重塑了蛋白质组,使其呈现出cis-female的形状,影响了与性别相关的蛋白质,并与更年期荷尔蒙治疗的效果重叠.
- GAHT将蛋白质配置文件转移到喘和自身免疫协会;酸特别减少了与动脉样硬化相关的配置文件.
结论:
- 女性化GAHT以激素依赖的方式重塑血蛋白质组.
- 这些蛋白质变化对生殖能力,免疫调节和长期健康有影响.
- 该研究强调了GAHT引起的显著生理变化,强调了对其长期健康影响的进一步研究的需要.
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