Sex-specific association between prenatal androgenization (second-to-fourth digit length ratio) and frontal brain volumes in adolescents


Lenz, Bernd ; Gerhardt, Sarah ; Boroumand-Jazi, Rafat ; Eichler, Anna ; Buchholz, Verena Nadine ; Fasching, Peter A. ; Kornhuber, Johannes ; Banaschewski, Tobias ; Flor, Herta ; Guldner, Stella ; Prignitz, Maren ; Nees, Frauke


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DOI: https://doi.org/10.1007/s00406-022-01515-4
URL: https://link.springer.com/article/10.1007/s00406-0...
URN: urn:nbn:de:bsz:180-madoc-703696
Document Type: Article
Year of publication: 2023
The title of a journal, publication series: European Archives of Psychiatry and Clinical Neuroscience
Volume: 273
Issue number: 6
Page range: 1243-1254
Place of publication: Berlin ; Darmstadt
Publishing house: Springer ; Steinkopff
ISSN: 0940-1334 , 1433-8491
Publication language: English
Institution: School of Social Sciences > Klinische Psychologie, Interaktions- und Psychotherapieforschung (Aguilar-Raab 2023-)
Pre-existing license: Creative Commons Attribution 4.0 International (CC BY 4.0)
Subject: 150 Psychology
Keywords (English): digit ratio , anterior cingulate gyrus , inferior frontal gyrus , behavioral control , sex , gender
Abstract: Prenatal androgenization associates sex-dependently with behavior and mental health in adolescence and adulthood, including risk-taking, emotionality, substance use, and depression. However, still little is known on how it affects underlying neural correlates, like frontal brain control regions. Thus, we tested whether prenatal androgen load is sex-dependently related to frontal cortex volumes in a sex-balanced adolescent sample. In a cross-sectional magnetic resonance imaging study, we examined 61 adolescents (28 males, 33 females; aged 14 or 16 years) and analyzed associations of frontal brain region volumes with the second-to-fourth digit length ratio (2D:4D), an established marker for prenatal androgenization, using voxel-based morphometry in a region-of-interest approach. Lower 2D:4D (indicative of higher prenatal androgen load) correlated significantly with smaller volumes of the right anterior cingulate cortex (r-ACC; β = 0.45) in male adolescents and with larger volumes of the left inferior frontal gyrus orbital part (l-IFGorb; β = – 0.38) in female adolescents. The regression slopes of 2D:4D on the r-ACC also differed significantly between males and females. The study provides novel evidence that prenatal androgenization may influence the development of the frontal brain in a sex- and frontal brain region-specific manner. These effects might contribute to the well-known sex differences in risk-taking, emotionality, substance use, and depression. Future research is needed to elucidate the role of prenatal androgenization within the biopsychosocial model.




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