TY - JOUR KW - Alzheimer's disease KW - Gene Expression Profiling KW - Gene regulation AU - Aliza P. Wingo AU - Yue Liu AU - Ekaterina S. Gerasimov AU - Selina M. Vattathil AU - Jiaqi Liu AU - David J. Cutler AU - Michael P. Epstein AU - Gabriƫlla A. M. Blokland AU - Madhav Thambisetty AU - Juan C. Troncoso AU - Duc M. Duong AU - David A. Bennett AU - Allan I. Levey AU - Nicholas T. Seyfried AU - Thomas S. Wingo AB - Most complex human traits differ by sex, but we have limited insight into the underlying mechanisms. Here, we investigated the influence of biological sex on protein expression and its genetic regulation in 1,277 human brain proteomes. We found that 13.2% (1,354) of brain proteins had sex-differentiated abundance and 1.5% (150) of proteins had sex-biased protein quantitative trait loci (sb-pQTLs). Among genes with sex-biased expression, we found 67% concordance between sex-differentiated protein and transcript levels; however, sex effects on the genetic regulation of expression were more evident at the protein level. Considering 24 psychiatric, neurologic and brain morphologic traits, we found that an average of 25% of their putatively causal genes had sex-differentiated protein abundance and 12 putatively causal proteins had sb-pQTLs. Furthermore, integrating sex-specific pQTLs with sex-stratified genome-wide association studies of six psychiatric and neurologic conditions, we uncovered another 23 proteins contributing to these traits in one sex but not the other. Together, these findings begin to provide insights into mechanisms underlying sex differences in brain protein expression and disease. BT - Nature Medicine DA - 2023-08-31 DO - 10.1038/s41591-023-02509-y LA - en N2 - Most complex human traits differ by sex, but we have limited insight into the underlying mechanisms. Here, we investigated the influence of biological sex on protein expression and its genetic regulation in 1,277 human brain proteomes. We found that 13.2% (1,354) of brain proteins had sex-differentiated abundance and 1.5% (150) of proteins had sex-biased protein quantitative trait loci (sb-pQTLs). Among genes with sex-biased expression, we found 67% concordance between sex-differentiated protein and transcript levels; however, sex effects on the genetic regulation of expression were more evident at the protein level. Considering 24 psychiatric, neurologic and brain morphologic traits, we found that an average of 25% of their putatively causal genes had sex-differentiated protein abundance and 12 putatively causal proteins had sb-pQTLs. Furthermore, integrating sex-specific pQTLs with sex-stratified genome-wide association studies of six psychiatric and neurologic conditions, we uncovered another 23 proteins contributing to these traits in one sex but not the other. Together, these findings begin to provide insights into mechanisms underlying sex differences in brain protein expression and disease. PY - 2023 SP - 1 EP - 9 T2 - Nature Medicine TI - Sex differences in brain protein expression and disease UR - https://www.nature.com/articles/s41591-023-02509-y Y2 - 2023-09-15 SN - 1546-170X ER -