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  • Effects of gender-affirming hormone therapy on gray matter density, microstructure and monoamine oxidase A levels in transgender subjects.
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No description defined
  • Effects of gender-affirming hormone therapy on gray matter density, microstructure and monoamine oxidase A levels in transgender subjects.

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Effects of gender-affirming hormone therapy on gray matter density, microstructure and monoamine oxidase A levels in transgender subjects. (English)
1 reference
MAO-A catalyzes the oxidative degradation of monoamines and is thus implicated in sex-specific neuroplastic processes that influence gray matter (GM) density (GMD) and microstructure (GMM). (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
Given the exact monitoring of plasma hormone levels and sex steroid intake, transgender individuals undergoing gender-affirming hormone therapy (GHT) represent a valuable cohort to potentially investigate sex steroid-induced changes of GM and concomitant MAO-A density. (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
Here, we investigated the effects of GHT over a median time period of 4.5 months on GMD and GMM as well as MAO-A distribution volume. (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
To this end, 20 cisgender women, 11 cisgender men, 20 transgender women and 10 transgender men underwent two MRI scans in a longitudinal design. (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
PET scans using [<sup>11</sup>C]harmine were performed before each MRI session in a subset of 35 individuals. (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
GM changes determined by diffusion weighted imaging (DWI) metrics for GMM and voxel based morphometry (VBM) for GMD were estimated using repeated measures ANOVA. (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
Regions showing significant changes of both GMM and GMD were used for the subsequent analysis of MAO-A density. (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
These involved the fusiform gyrus, rolandic operculum, inferior occipital cortex, middle and anterior cingulum, bilateral insula, cerebellum and the lingual gyrus (post-hoc tests: p<sub>FWE+Bonferroni</sub> < 0.025). (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
In terms of MAO-A distribution volume, no significant effects were found. (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
Additionally, the sexual desire inventory (SDI) was applied to assess GHT-induced changes in sexual desire, showing an increase of SDI scores among transgender men. (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
Changes in the GMD of the bilateral insula showed a moderate correlation to SDI scores (rho = - 0.62, p<sub>Bonferroni</sub> = 0.047). (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
The present results are indicative of a reliable influence of gender-affirming hormone therapy on 1) GMD and GMM following an interregional pattern and 2) sexual desire specifically among transgender men. (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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15 August 2024
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15 August 2024
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297
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120716
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120716
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S1053-8119(24)00210-6
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Declaration of competing interest With relevance to this work there is no conflict of interest to declare. (English)
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R. Lanzenberger received travel grants and/or conference speaker honoraria within the last three years from Bruker BioSpin MR, Heel, and support from Siemens Healthcare regarding clinical research using PET/MR. (English)
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He is a shareholder of the start-up company BM Health GmbH since 2019. (English)
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G.S. (English)
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Kranz declares that he received conference speaker honorarium from Roche, AOP Orphan and Pfizer. (English)
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P. Handschuh received authorship honoraria from MedMedia Verlag and a travel grant from Angelini Pharma. (English)
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The other authors report no conflict of interest. (English)
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