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Lupus
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Possible mechanisms of gender bias in SLE: a new hypothesis involving a comparison of SLE with atopy

I Sekigawa

Department of Medicine, Juntendo University Izu-Nagaoka Hospital, Shizuoka, Japan, isekigawa{at}mva.biglobe.ne.jp

T Naito

Department of General Medicine, Juntendo University School of Medicine, Tokyo, Japan

K Hira

Department of Dermatology and Atopy Research Center, Juntendo University School of Medicine, Tokyo, Japan

K Mitsuishi

Department of Dermatology and Atopy Research Center, Juntendo University School of Medicine, Tokyo, Japan

H Ogasawara

Department of Internal Medicine and Rheumatology, Juntendo University School of Medicine, Tokyo, Japan

H Hashimoto

Department of Internal Medicine and Rheumatology, Juntendo University School of Medicine, Tokyo, Japan

H Ogawa

Department of Dermatology and Atopy Research Center, Juntendo University School of Medicine, Tokyo, Japan

The prevalence of systemic lupus erythematosus (SLE) is far higher in females than in males, and numerous investigations of this gender bias have been performed from several perspectives. Sex hormones, particularly estrogens, may be significant in causing the gender discrepancy. This article discusses the possible importance of estrogens in regulating the expression of and responsivity to autoantigens in SLE and in atopic disorders, which are associated with hyperreactivity to exogenous antigens. Estrogens seem to play an important role in the overexpressionof endogenousautoantigens, such as human endogenousretroviruses (HERV), and this may be related to the existence of a gender bias in the incidence of SLE but not atopy.

Key Words: atopic disease • DNA methylation • estrogen • human endogenous retrovirus • systemic lupus erythematosus

Lupus, Vol. 13, No. 4, 217-222 (2004)
DOI: 10.1191/0961203304lu1012ed


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