RT journal article T1 Sexually dimorphic metal alterations in childhood obesityare modulated by a complex interplay between inflammation, insulin, and sex hormones A1 González-Domínguez, Álvaro A1 Domínguez Riscart, Jesús A1 Millán-Martínez, María A1 Lechuga Sancho, Alfonso María A1 González-Domínguez, Raúl A2 Materno-Infantil y Radiología K1 childhood obesity K1 inflammation K1 insulin K1 trace elements AB Although growing evidence points to a pivotal role of perturbed metal homeostasis in childhood obesity, sexual dimorphisms in this association have rarely been investigated. In this study, we applied multi-elemental analysis to plasma and erythrocyte samples from an observational cohort comprising children with obesity, with and without insulin resistance, and healthy control children. Furthermore, a wide number of variables related to carbohydrate and lipid metabolism, inflammation, and sex hormones were also determined. Children with obesity, regardless of sex and insulin resistance status, showed increased plasma copper-to-zinc ratios. More interestingly, obesity-related erythroid alterations were found to be sex-dependent, with increased contents of iron, zinc, and copper being exclusively detected among female subjects. Our findings suggest that a sexually dimorphic hormonal dysregulation in response to a pathological cascade involving inflammatory processes and hyperinsulinemia could be the main trigger of this female-specific intracellular sequestration of trace elements. Therefore, the present study highlights the relevance of genotypic sex as a susceptibility factor influencing the pathogenic events behind childhood obesity, thereby opening the door to develop sex-personalized approaches in the context of precision medicine. © 2023 The Authors. BioFactors published by Wiley Periodicals LLC on behalf of International Union of Biochemistry and Molecular Biology. PB Wiley SN 0951-6433 YR 2023 FD 2023-03 LK http://hdl.handle.net/10498/28627 UL http://hdl.handle.net/10498/28627 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 11-nov-2026