EC Neurology

Mini Review Volume 17 Issue 7 - 2025

The Y Chromosome Increases Risk, and the X Chromosome Exerts Nurture

Kenneth Blum1,3,10*, Alireza Sharafshah2, Kai-Uwe Lewandrowski3,10, Morgan P Lorio4, Brian Fuehrlein5, Albert Pinhasov1, Abdalla Bowirrat1, Eliot L Gardner6, Edward J Modestino7, Panayotis K Thanos8, Catherine A Dennen9, Sergio Luis Schmidt10, Rossano Kepler Alvim Fiorelli10, Mark S Gold,11 Marco Lindenau12, Alexander PL Lewandrowski13, Thomas Lundquist14 and Rajendra D Badgaiyan15

1Department of Molecular Biology, Adelson School of Medicine, Ariel University, Ariel, Israel 2Cellular and Molecular Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran 3Center for Advanced Spine Care of Southern Arizona, Tucson, AZ, USA 4Advanced Orthopedics, Altamonte Springs, FL. On Behalf of the International Society for the Advancement of Spine Surgery, USA 5Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA 6Neuropsychopharmacology Section, Intramural Research Program, National Institute on Drug Abuse, National Institutes of Health, Baltimore, MD, USA 7Brain and Behavior Laboratory, Department of Psychology, Curry College, Milton, MA, USA 8Behavioral Neuropharmacology and Neuroimaging Laboratory on Addictions (BNNLA), Clinical Research Institute on Addictions, Department of Pharmacology and Toxicology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, and Department of Psychology, University at Buffalo, Buffalo, NY, USA 9Department of Family Medicine, Jefferson Health Northeast, Philadelphia, PA, USA 10Programa de Pós-Graduação em Neurologia, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil 11Department of Psychiatry, Washington University in St. Louis Euclid Ave, St. Louis, MO, United States 12Division of Personalized Genomics, The Blum Institute of Behavior and Neurogenetics, LLC, Austin, Texas, USA 13Department of Biological Sciences, Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA, USA 14Advanced Pain Modalities, 2320 W Peoria Ave, Building C, Suite 102, Phoenix, AZ, USA 15Department of Psychiatry, Texas Tech University Health Sciences, School of Medicine, Midland, TX, USA

*Corresponding Author: Kenneth Blum, Department of Molecular Biology, Adelson School of Medicine, Ariel University, Ariel, Israel and Center for Advanced Spine Care of Southern Arizona, Tucson, AZ, USA and Programa de Pós-Graduação em Neurologia, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
Received: May 05, 2025; Published: June 12, 2025



Globally, women consistently outlive men, regardless of cultural or societal factors. This survival advantage holds true even in times of crisis such as famines or pandemics, underscoring that female longevity and neuroprotection are likely rooted in biology rather than environment alone. In every cell, men carry one X chromosome-always inherited from their mother-and one Y chromosome from their father. Women, by contrast, possess two X chromosomes, one from each parent. However, only one X chromosome is active in any given female cell, due to a biological process known as X inactivation, in which one X effectively shuts down its expression Mice limited to maternal X expression showed signs of accelerated brain aging and significant cognitive decline. In comparison to their wild-type, mosaic littermates, these mice performed poorly in maze-based tasks, exhibiting impaired learning ability and diminished memory retention with age. In comparison to their wild-type, mosaic littermates, these mice performed poorly in maze-based tasks, exhibiting impaired learning ability and diminished memory retention with age. Understanding these concepts, the RDS Consortium performed in silico pharmacogenomic (PGx) analyses to investigate the roles of sex chromosomes in pre-addiction susceptibility, with a focus on sex-specific genetic expression. Data from the RDS Consortium highlight notable sex-based distinctions in pre-addiction vulnerability, with the Y chromosome appearing to elevate addiction risk in males, while the X chromosome may offer neuroprotective benefits in females.

 Keywords: X and Y Chromosomes; Risk Vs Nurture; Dopaminergic Pathways; Cognition; Aging

  1. Hallast P and Jobling MA. “The Y chromosomes of the great apes”. Human Genetics 5 (2017): 511-528.
  2. Raznahan A., et al. “Globally divergent but locally convergent X- and Y-chromosome influences on cortical development”. Cerebral Cortex 1 (2016): 70-79.
  3. Schaffer L., et al. “X- vs. Y-chromosome influences on human behavior: A deep phenotypic comparison of psychopathology in XXY and XYY syndromes”. medRxiv Preprint (2023).
  4. Guma E., et al. “A cross-species neuroimaging study of sex chromosome dosage effects on human and mouse brain anatomy”. Journal of Neuroscience 8 (2023): 1321-1333.
  5. Rocks D., et al. “Early-life stress and ovarian hormones alter transcriptional regulation in the nucleus accumbens resulting in sex-specific responses to cocaine”. Cell Reports 10 (2023): 113187.
  6. Gillies GE., et al. “Sex-dependent diversity in ventral tegmental dopaminergic neurons and developmental programing: A molecular, cellular and behavioral analysis”. Neuroscience 282 (2014): 69-85.
  7. Hasbi A., et al. “Sex difference in dopamine D1-D2 receptor complex expression and signaling affects depression- and anxiety-like behaviors”. Biology of Sex Differences 1 (2020): 8.
  8. Hughes JF and Page DC. “The Biology and Evolution of Mammalian Y Chromosomes”. Annual Review of Genetics 49 (2015): 507-527.
  9. Hochberg Y and Benjamini Y. “More powerful procedures for multiple significance testing”. Statistics in Medicine 7 (1990): 811-818.
  10. San Roman AK., et al. “The human Y and inactive X chromosomes similarly modulate autosomal gene expression”. Cell Genomics 1 (2024): 100462.
  11. Shannon P., et al. “Cytoscape: a software environment for integrated models of biomolecular interaction networks”. Genome Research 11 (2003): 2498-2504.
  12. Sousa AMM., et al. “Molecular and cellular reorganization of neural circuits in the human lineage”. Science 6366 (2017): 1027-1032.
  13. Sumner AT and Speed RM. “Immunocytochemical labelling of the kinetochore of human synaptonemal complexes, and the extent of pairing of the X and Y chromosomes”. Chromosoma5 (1987): 359-365.
  14. Taylor AMW., et al. “Sex differences in kappa opioid receptor antinociception is influenced by the number of X chromosomes in mouse”. Journal of Neuroscience Research 1 (2022): 183-190.
  15. Talbott GD. “Alcoholism and other drug addictions: a primary disease entity, 1991 update”. Journal of the Medical Association of Georgia 6 (1991): 337-342.
  16. Kananen L and Marttila S. “Ageing-associated changes in DNA methylation in X and Y chromosomes”. Epigenetics and Chromatin1 (2021): 33.
  17. Printzlau F., et al. “Cognitive, behavioral, and neural consequences of sex chromosome aneuploidy”. Journal of Neuroscience Research 1-2 (2017): 311-319.
  18. Rau S., et al. “Patterns of psychopathology and cognition in sex chromosome aneuploidy”. Journal of Neurodevelopmental Disorders 1 (2021): 61.
  19. Lee NR., et al. “Dosage effects of X and Y chromosomes on language and social functioning in children with supernumerary sex chromosome aneuploidies: implications for idiopathic language impairment and autism spectrum disorders”. Journal of Child Psychology and Psychiatry 10 (2012): 1072-1081.
  20. Warling A., et al. “Sex chromosome dosage effects on white matter structure in the human brain”. Cerebral Cortex 12 (2021): 5339-5353.
  21. Xenophontos A., et al. “Altered sex chromosome dosage induces coordinated shifts in cortical anatomy and anatomical covariance”. Cerebral Cortex 4 (2020): 2215-2228.
  22. Reardon PK., et al. “An allometric analysis of sex and sex chromosome dosage effects on subcortical anatomy in humans”. Journal of Neuroscience 8 (2016): 2438-2448.
  23. Sánchez FJ and Vilain E. “Genes and brain sex differences”. Progress in Brain Research 186 (2010): 65-76.
  24. Nguyen TA., et al. “A cluster of autism-associated variants on X-linked NLGN4X functionally resemble NLGN4Y”. Neuron5 (2020): 759-768.e7.
  25. Paus T. “Sex differences in the human brain: a developmental perspective”. Progress in Brain Research 186 (2010): 13-28.
  26. Lin A., et al. “Mapping the stability of human brain asymmetry across five sex-chromosome aneuploidies”. Journal of Neuroscience 1 (2015): 140-145.
  27. Wade BS., et al. “Effects of sex chromosome dosage on corpus callosum morphology in supernumerary sex chromosome aneuploidies”. Biology of Sex Differences 5 (2014): 16.
  28. Quinn JJ., et al. “Sex chromosome complement regulates habit formation”. Nature Neuroscience 11 (2007): 1398-1400.
  29. Kumra S., et al. “Brief report: association of sex chromosome anomalies with childhood-onset psychotic disorders”. Journal of the American Academy of Child and Adolescent Psychiatry 3 (1998): 292-296.

Kenneth Blum., et al. “The Y Chromosome Increases Risk, and the X Chromosome Exerts Nurture”. EC Neurology  17.7 (2025): 01-10.