Brain network interactions in transgender individuals with gender incongruence

Functional brain organization in transgender persons remains unclear. Our aims were to investigate global and regional connectivity differences within functional networks in transwomen and transmen with early-in-life onset gender incongruence; and to test the consistency of two available hypotheses...

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Authors: Uribe, Carme; Junqué i Plaja, Carme, 1955-; Gómez Gil, Esther; Abós, Alexandra; Mueller, Sven C.; Guillamon, Antonio
Format: Article
Status:Published version
Publication date:2020
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/183973
Online Access:https://hdl.handle.net/2445/183973
Access Level:Open access
Keyword:Imatges per ressonància magnètica
Transgèneres
Magnetic resonance imaging
Transgender people
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author Uribe, Carme
author2 Junqué i Plaja, Carme, 1955-
Gómez Gil, Esther
Abós, Alexandra
Mueller, Sven C.
Guillamon, Antonio
author2_role author
author
author
author
author
author_browse Abós, Alexandra
Guillamon, Antonio
Gómez Gil, Esther
Junqué i Plaja, Carme, 1955-
Mueller, Sven C.
Uribe, Carme
author_facet Uribe, Carme
Junqué i Plaja, Carme, 1955-
Gómez Gil, Esther
Abós, Alexandra
Mueller, Sven C.
Guillamon, Antonio
author_role author
collection Dipòsit Digital de la UB
description Functional brain organization in transgender persons remains unclear. Our aims were to investigate global and regional connectivity differences within functional networks in transwomen and transmen with early-in-life onset gender incongruence; and to test the consistency of two available hypotheses that attempted to explain gender variants: (i) a neurodevelopmental cortical hypothesis that suggests the existence of different brain phenotypes based on structural MRI data and genes polymorphisms of sex hormone receptors; (ii) a functional-based hypothesis in relation to regions involved in the own body perception. T2*-weighted images in a 3-T MRI were obtained from 29 transmen and 17 transwomen as well as 22 cisgender women and 19 cisgender men. Restingstate independent component analysis, seed-to-seed functional network and graph theory analyses were performed. Transmen, transwomen, and cisgender women had decreased connectivity compared with cisgender men in superior parietal regions, as part of the salience (SN) and the executive control (ECN) networks. Transmen also had weaker connectivity compared with cisgender men between intra-SN regions and weaker inter-network connectivity between regions of the SN, the default mode network (DMN), the ECN and the sensorimotor network. Transwomen had lower small-worldness, modularity and clustering coefficient than cisgender men. There were no differences among transmen, transwomen, and ciswomen. Together these results underline the importance of the SN interacting with DMN, ECN, and sensorimotor networks in transmen, involving regions of the entire brain with a frontal predominance. Reduced global connectivity graph-theoretical measures were a characteristic of transwomen. It is proposed that the interaction between networks is a keystone in building a gendered self. Finally, our findings suggest that both proposed hypotheses are complementary in explaining brain differences between gender variants.
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instname_str Universidad de Barcelona
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network_name_str España
oai_identifier_str oai:diposit.ub.edu:2445/183973
publishDate 2020
publishDateSort 2020
publisher Elsevier B.V.
publisherStr Elsevier B.V.
reponame_str Dipòsit Digital de la UB
spelling Brain network interactions in transgender individuals with gender incongruence Uribe, Carme Junqué i Plaja, Carme, 1955- Gómez Gil, Esther Abós, Alexandra Mueller, Sven C. Guillamon, Antonio Imatges per ressonància magnètica Transgèneres Magnetic resonance imaging Transgender people Functional brain organization in transgender persons remains unclear. Our aims were to investigate global and regional connectivity differences within functional networks in transwomen and transmen with early-in-life onset gender incongruence; and to test the consistency of two available hypotheses that attempted to explain gender variants: (i) a neurodevelopmental cortical hypothesis that suggests the existence of different brain phenotypes based on structural MRI data and genes polymorphisms of sex hormone receptors; (ii) a functional-based hypothesis in relation to regions involved in the own body perception. T2*-weighted images in a 3-T MRI were obtained from 29 transmen and 17 transwomen as well as 22 cisgender women and 19 cisgender men. Restingstate independent component analysis, seed-to-seed functional network and graph theory analyses were performed. Transmen, transwomen, and cisgender women had decreased connectivity compared with cisgender men in superior parietal regions, as part of the salience (SN) and the executive control (ECN) networks. Transmen also had weaker connectivity compared with cisgender men between intra-SN regions and weaker inter-network connectivity between regions of the SN, the default mode network (DMN), the ECN and the sensorimotor network. Transwomen had lower small-worldness, modularity and clustering coefficient than cisgender men. There were no differences among transmen, transwomen, and ciswomen. Together these results underline the importance of the SN interacting with DMN, ECN, and sensorimotor networks in transmen, involving regions of the entire brain with a frontal predominance. Reduced global connectivity graph-theoretical measures were a characteristic of transwomen. It is proposed that the interaction between networks is a keystone in building a gendered self. Finally, our findings suggest that both proposed hypotheses are complementary in explaining brain differences between gender variants. Elsevier B.V. https://hdl.handle.net/2445/183973
spellingShingle Brain network interactions in transgender individuals with gender incongruence
Uribe, Carme
Imatges per ressonància magnètica
Transgèneres
Magnetic resonance imaging
Transgender people
status_str publishedVersion
title Brain network interactions in transgender individuals with gender incongruence
title_full Brain network interactions in transgender individuals with gender incongruence
title_fullStr Brain network interactions in transgender individuals with gender incongruence
title_full_unstemmed Brain network interactions in transgender individuals with gender incongruence
title_short Brain network interactions in transgender individuals with gender incongruence
title_sort Brain network interactions in transgender individuals with gender incongruence
topic Imatges per ressonància magnètica
Transgèneres
Magnetic resonance imaging
Transgender people
topic_facet Imatges per ressonància magnètica
Transgèneres
Magnetic resonance imaging
Transgender people
url https://hdl.handle.net/2445/183973