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. 2019 Oct 7;34(1):129–140. doi: 10.1111/1365-2435.13458

Table 1.

Four explanations for sex differences in immunity (columns, see text) framed in terms of expectations in the ‘caring’ sex (generally females), and expected alignment with immune trade‐offs (rows) with implications for senescence (final row)

Trade‐off Quantitative differences Qualitative differences Effect of transfer of antibodies Effect of pregnancy
Having an immune systema More expenditure Either Either Either
Maintaining an immune systema More expenditure Either Either Either
Discriminating to trigger a response or not (favouring false positives vs. false negatives) Possibly more triggering (more ‘sensitive’, Figure 3a) Undefined (for Th1/Th2 contrast), or less triggering, that is less sensitive (for discrimination contrast) More trigger (more sensitive) Either
Magnitude of the triggered responsea Larger response Smaller inflammatory response (for Th1/Th2 contrast) and immune effector response (for discrimination contrast) Either (but likely smaller) Larger response to offset females spending time immunosuppressed to tolerate a foetus
Tolerating the infection (without reducing burden) versus nota Possibly greater tolerance to offset greater responses? Greater tolerance (under Th1 vs. Th2 contrast) or either (discrimination contrast) Either Either
Resistance, that is excluding infectiona Larger investment Either Either Either
Implications for immune effects on survival in the caring sex at late ages Greater immunopathology and immune memory depletion; greater survival in the face of late life infections, unless memory depletion has reached problematic levels Less (for Th1/Th2 contrast) or more (for discrimination contrast) immunopathology; and less memory so less defence against infection for the discrimination contrast More autoimmunity, immunopathology More autoimmunity, more immunopathology; assuming that change is in magnitude rather than regulation
a

vs. expending resources on another aspect of life history (survival, fertility).