Sex-related peripheral immune profile in ulcerative colitis: links to fatigue - Report - MDSpire

Sex-related peripheral immune profile in ulcerative colitis: links to fatigue

  • By

  • Thyra Albrecht

  • Elisa Wider-Eberspächer

  • Alejandra P. Garza

  • Lorena Morton

  • Sabrina Sulzer

  • Verena Keitel-Anselmino

  • Rosa Rosania

  • Ildiko R. Dunay

  • May 14, 2026

  • 0 min

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Gender-specific Peripheral Immune Characteristics in Ulcerative Colitis: Associations with Fatigue

Overview

This study investigates the peripheral immune profiles in ulcerative colitis (UC) and their association with fatigue, highlighting gender-specific differences. Findings indicate that immune dysregulation correlates with fatigue severity differently in males and females.

Background

Ulcerative colitis is a chronic inflammatory bowel disease that significantly impacts patients' quality of life, with fatigue being a common and debilitating symptom. Understanding the immune mechanisms underlying fatigue can inform targeted management strategies. Gender differences in immune responses and fatigue severity necessitate further exploration to optimize treatment approaches.

Data Highlights

GroupParticipantsKey Findings
Active UC29Increased neutrophils, classical monocytes, TNF, BDNF, sTREM-2
Remission30Increased plasmacytoid DCs, CD141+ DCs, Th9/Th22 cells
Healthy Controls30Baseline immune profiles

Key Findings

  • Active UC is associated with elevated neutrophils and classical monocytes.
  • Fatigue severity correlates with specific immune subsets in a sex-dependent manner.
  • Males show an inverse relationship between fatigue and classical monocytes, while females correlate fatigue with NK cells and Tregs.
  • Fatigue scores are higher in female UC patients compared to males.
  • Immune dysregulation persists even during remission, indicating ongoing systemic imbalance.

Clinical Implications

Clinicians should consider gender-specific immune profiles when assessing fatigue in UC patients. Tailoring fatigue management strategies based on these immune characteristics may enhance patient outcomes and quality of life.

Conclusion

The study underscores the importance of understanding gender-specific immune responses in ulcerative colitis, particularly regarding fatigue. This knowledge can guide personalized treatment approaches for managing fatigue in affected individuals.

Related Resources & Content

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  7. Journal of Crohn's and Colitis — Creeping fat in Crohn’s disease: an immunometabolic imbalance worth targeting?
  8. The updated 2025 ACG guidelines to manage adult ulcerative colitis patients - American College of Gastroenterology
  9. Risankizumab for Ulcerative Colitis: Two Randomized Clinical Trials | Trials | JAMA | JAMA Network
  10. The conneXion between sex and immune responses | Nature Reviews Immunology

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