Sex-related dimorphism of the morphofunctional characteristics of the epiphysis in newborn children subjected to hypoxic impairment and asphyxia

In 72 newborn children (37 boys and 35 girls) who suffered from prenatal hypoxia and were born in an asphyxic state, we measured the level of melatonin in the umbilicial blood and observed clinical manifestations of the adaptation/stress syndrome. These data were compared with the results of morphological examination of the epiphyses from 27 stillborns (15 boys and 12 girls) who perished because of heavy prenatal hypoxia. The level of melatonin in the blood of ill newborn girls was much higher than that in boys, and both these indices were about two times higher than those in respective groups of healthy newborn children. At the same time, the pathomorphological examination showed that active epiphyseal cell units in the male fetuses were much more numerous. The results show that the epiphysis plays a significant role in determination of the sex-related dimorphism of the adaptation/stress syndrome in newborn children suffering from hypoxia- and asphyxia-evoked heavy CNS damage. The reasons and consequences of more intensive morphofunctional loading of the epiphyseal system in the male fetuses are discussed.