Sex differences in the fingers of 3 to 5 month old infants do not predict concurrent
salivary testosterone levels
Matthew H. McIntyre
a,
⁎, Gerianne M. Alexander
b
a
Department of Anthropology, 309 Howard Phillips Hall, University of Central Florida, 4000 Central Florida Blvd., Orlando, FL 32816 USA
b
Department of Psychology, TAMU-2435, Texas A&M University, College Station, TX 77845 USA
abstract article info
Article history:
Received 26 August 2010
Received in revised form 20 January 2011
Accepted 31 January 2011
Keywords:
Perinatal
Postnatal
Prenatal
Androgens
2D:4D
Digit ratios
Testosterone was assayed in the saliva of 32 female and 42 male 3–5 month old infants, and the lengths of
their finger segments between flexion creases were measured. While expected sex differences were identified
in the finger measures, these sex differences were not correlated with salivary testosterone in either sex.
© 2011 Elsevier Ireland Ltd. All rights reserved.
Most early mammalian secondary sex differentiation occurs under
the influence of testicular testosterone produced by males in utero [1].
However, male mammals, including primates, also produce testoster-
one immediately after birth [2–7]. In humans, testicular testosterone
production peaks a second time between 1 and 6 months [8,9]. Salivary
testosterone, the unbound, free fraction of plasma testosterone that is
able to diffuse across the salivary glands, is highly correlated with the
physiologically active portion of total circulating testosterone [10]. The
postnatal surge is not detected in saliva [11,12] because rising levels of
sex hormone binding globulin bind much of the testosterone [9]
preventing its perfusion into the salivary glands, and also, presumably,
into target organs. Despite the presumably low bioavailability, and
although the biologically active proportion of testosterone in male
neonates is well below that observed in adult men [13], the postnatal
increase in testosterone levels is critical for the normal development of
male genitalia and reproductive function [14,15]. For example, in a large
prospective study of penile growth in male infants from birth to three
years of age, higher levels of total and free testosterone at 3 months of
age were associated with greater penile growth across the three years of
development [16].
Thus, secondary sex differences arising prior to puberty are usually
attributable to the effects of prenatal or postnatal elevation in
testicular testosterone production in males relative to females, who
produce less testosterone from non-testicular sources. One example
of such a sex difference is relative finger length, especially the ratio of
the index-to-ring-finger length (2D:4D), which in recent years has
been widely used to study the effects of early sex differentiation
[17,18]. The possible, if small, influence of hormones on the
development of 2D:4D has been studied using a number of methods.
As blood levels of testosterone are studied only in abortuses, evidence
about developmental effects of prenatal hormones, such as sex
differences in 2D:4D, has been somewhat indirect. Lutchmaya et al.
[19] found an association between amniotic fluid testosterone:
estradiol ratio and lower 2D:4D at 2 years old in sample of 18 boys
and 15 girls. Other studies have considered associations with diseases
affecting prenatal hormone function, especially congenital adrenal
hyperplasia [20–25]. The current study investigated the possibility
that established sex differences in the hands of infants are also
associated with postnatal testosterone action.
1. Methods
Participants include 32 girls and 42 boys from whom both a single
saliva sample of adequate volume and a clear photocopy of the right
hand were obtained between 3 and 5 months old. As previously
described [26], saliva (b 15 ml) was collected by a sterile DeLee
suction catheter from each infant at the end of a behavioral testing
session. Saliva samples were immediately stored at -80 °C. Frozen
samples were shipped overnight in dry ice to Salimetrics (State
College, Pennsylvania), where salivary levels of testosterone and
estradiol were measured in duplicate aliquots using enzyme immu-
noassays (assay sensitivity b 1 pg/ml).
Early Human Development 87 (2011) 349–351
⁎ Corresponding author. Tel.: +1 407 823 4611; fax: +1 407 823 3498.
E-mail address: mmcintyr@mail.ucf.edu (M.H. McIntyre).
0378-3782/$ – see front matter © 2011 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.earlhumdev.2011.01.046
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