Sex-specific dynamics of MASLD reveal early hepatic and extrahepatic metabolic deterioration in females despite long-term protection

These findings demonstrate that sexual dimorphism in MASLD arises early and evolves dynamically, with females mounting an acute metabolic and intestinal stress response, whereas males activate compensatory pathways that preserve metabolic homeostasis. These results highlight sex-specific trajectory in MASLD progression and emphasize the need for integrative approaches to unravel its pathophysiology.

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Publication Details

Journal
Biology of Sex Differences
Published
2026-03-22
DOI
https://doi.org/10.1186/s13293-026-00876-y
Primary Topic
Liver Disease Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Sex-specific dynamics of MASLD reveal early hepatic and extrahepatic metabolic deterioration in females despite long-term protection

J Vendrell, Maria Repollés-de-Dalmau, Anna Marsal-Beltran, Sonia Fernández-Veledo et al.
Biology of Sex Differences
Liver Disease Diagnosis and Treatment
article

Sex-specific dynamics of MASLD reveal early hepatic and extrahepatic metabolic deterioration in females despite long-term protection

J Vendrell, Maria Repollés-de-Dalmau, Anna Marsal-Beltran, Sonia Fernández-Veledo, Catalina Núñez-Roa, Victòria Ceperuelo-Mallafré
article en

Abstract

These findings demonstrate that sexual dimorphism in MASLD arises early and evolves dynamically, with females mounting an acute metabolic and intestinal stress response, whereas males activate compensatory pathways that preserve metabolic homeostasis. These results highlight sex-specific trajectory in MASLD progression and emphasize the need for integrative approaches to unravel its pathophysiology.

Biology of Sex Differences
Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (ES), Institut de Recerca Biomèdica Catalunya Sud (ES), Universitat Rovira i Virgili (ES)
Openalex Percentile: Top 16%
Liver Disease Diagnosis and Treatment
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