Finger length ratios 2D:4D

The use of digit ratios as markers for perinatal androgen action.

Reprod Biol Endocrinol. 2006 Feb 26;4:10. [FFTA]

McIntyre MH.

Since the ratio of the second-to-fourth finger length was first proposed as a marker for prenatal androgen action in 1998, over 100 studies have been published that have either further tested the association between the digit ratio and prenatal androgens, or employed digit ratios as a marker to investigate the association between prenatal androgens and a variety of outcomes, including behavior, fertility, and disease risks. Despite the clear demand for an adult marker of prenatal androgen action and increased use of digit ratios as such a marker, its validity remains controversial. This review (1) evaluates current evidence for the relationship between digit ratios and prenatal androgens (using experimentation with animal models, amniotic testosterone, and congenital adrenal hyperplasia case-control studies), (2) describes opportunities for future validation tests, and (3) compares the potential advantages and disadvantages of digit ratio measures with more established methods for studying the effects of prenatal androgens. [Free Full Text Article on PubMed]

Department of Epidemiology, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA. mmcintyr@hsph.harvard.edu

Conclusion (from FFTA)

The validity of digit ratios as markers for perinatal androgen action is supported by a number of lines of recently reported evidence, but further support is needed.

(1) Sex differences in digit ratios develop early in childhood and are unaffected by pubertal growth. This seems to be firmly established.

(2) High amniotic testosterone-to-estradiol ratio predicts low 2D:4D by two years old. While current evidence is supportive, further studies using amniotic testosterone or other direct methods should be conducted.

(3) CAH affected girls have lower 2D:4D than unaffected controls. This observation is not firmly established and further studies could help to resolve inconsistencies in the literature.

(4) The CAG repeat polymorphism of the androgen receptor gene influences 2D:4D as predicted. Further studies could help to confirm this finding.

Questions remain that might also be answered through animal or in vitro experimentation, provided that the utility of particular models can be established. For example, which periods of androgen exposure during the perinatal period produce observed sex differences in digit ratios? How do the development of the right and left sides differ to yield such varying results (even among laboratory mice)?

Interesting work has already been done using 2D:4D, and it might one day prove, after further validation, to be a simple, reliable, and broadly accepted method for studying early human sex differentiation in large, representative samples. Furthermore, while interest in early testosterone has been greatest among psychologists, epidemiologists have also begun to investigate the role of early development in disease. Given that more direct measurement of early testosterone levels is unworkable in most epidemiological study designs, further research would be encouraged by the availability of markers such as digit ratios.

Hand asymmetry in heterosexual and homosexual men and women: relationship to 2D:4D digit ratios and other sexually dimorphic anatomical traits.

Arch Sex Behav. 2008 Feb;37(1):119-32.

Martin JT, Puts DA, Breedlove SM.

Sexual differentiation leads to the development of distinctive anatomical structures (e.g., gonads and genitalia); it also produces less obvious anatomical shifts in brain, bones, muscles, etc. This study is a retrospective analysis of growth patterns in the hands in relation to sex and sexual orientation. Using data from three published studies, we analyzed four hand traits in adults: hand width, hand length, second digit length, and fourth digit length. Using these measurements, we derived estimates of trait laterality (directional asymmetry or DA) and developmental instability (fluctuating asymmetry or FA). High FA is a putative indicator of interference with the cellular and molecular mechanisms regulating development. We focused on how these derived variables were related to sex, sexual orientation, and putative markers of early sex steroid exposure (e.g., the second to fourth digit ratio or 2D:4D). Our data point to three principal conclusions. First, individual differences in DA appeared to be a major source of variation in the 2D:4D ratio. The 2D:4D ratios of heterosexual men differed depending on whether they had leftward or rightward DA in their digits. Homosexual women showed the same pattern. Individuals with leftward DA in both digits had lower 2D:4D ratios than those with rightward DA. This effect was absent in heterosexual women and homosexual men. This led to sex differences in 2D:4D and sexual orientation differences in 2D:4D in the leftward DA group, but not in the rightward DA group. The second conclusion was that DA in digit length and hand width varied with sex; women were more likely to have rightward asymmetry than men. Homosexual men and women were generally sex typical in DA. The third conclusion was that homosexuality is unlikely to be a result of increased developmental instability. Although limited in scope, the present evidence actually suggests that homosexuals have lower FA than heterosexuals, raising the question of whether the positive fitness components associated with low FA may contribute to selection that maintains homosexuality in a population.

Department of Basic Medical Sciences, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, 309 E. 2nd Street, Pomona, CA 91766, USA. jmartin@westernu.edu



Sexual orientation and fluctuating asymmetry in men and women.

Arch Sex Behav. 2008 Feb;37(1):158-65.

Hall PA, Schaeff CM.

Previous research suggests that individuals' sexual orientation may be affected by developmental instability (DI) induced by exposure to prenatal stresses. We tested this relationship using fluctuating asymmetry (FA), the small random deviations from symmetry that arise in otherwise bilaterally symmetrical traits as a consequence of developmental noise and developmental instability. Differences among individuals reflect variation in their exposure to and ability to accommodate for stresses experienced during development as well as to developmental noise that arises due to cellular stocasticity. FA measurements for 156 heterosexual and 132 homosexual men and women participants provided strong support for the developmental instability hypothesis: FA was significantly higher in both male and female homosexuals (men: four of seven bilateral traits and composite FA values (cFA); women: five of seven bilateral traits and composite FA values). Although finger-length ratios (FLRs), an indirect marker for prenatal hormones, were sex-atypical (e.g., feminized) for homosexual men, we failed to detect any relationship between FA levels and 2D:4D finger-length ratios (FLRs). Hence, although elevated levels of developmental stress appear to be linked to shifts in sexual orientation, the underlying mechanism does not seem to be connected to sex-atypical prenatal hormones. Additional analyses with sex atypical individuals are needed to confirm this.



Fluctuating asymmetry, second to fourth finger length ratios and human sexual orientation.

Psychoneuroendocrinology. 2005 May;30(4):382-91. Epub 2005 Jan 13.

Rahman Q.

Sexual orientation in humans may be influenced by levels of prenatal sex steroids which canalise neurodevelopment along sex-typical (heterosexual) or sex-atypical (homosexual) lines. Some evidence for sexual-orientation-related differences in putative somatic markers of prenatal sex hormones supports this view. A competing theory asserts that human homosexuality is due to developmental instability (DI) because it represents a shift from the species-typical pattern of heterosexual orientation. Evidence for elevated rates of non-right handedness among homosexuals provides limited support for this account. The current study tested both theories by examining nine bilateral somatic traits in 120 healthy heterosexual and homosexual men and women in order to compute second to fourth finger length ratios (2D:4D), a measure ascribed to levels of prenatal sex steroids, and fluctuating asymmetry (FA), a measure of DI. Homosexual men and women had significantly lower right hand 2D:4D ratios (even after controlling for handedness, height and weight differences) in comparison to heterosexuals, but sexual orientation did not relate to composite FA scores. The findings constrain the number of possible neurodevelopmental pathways responsible for sexual orientation in humans.

School of Psychology, University of East London, The Green, London, UK. q.rahman@uel.ac.uk


Digit length ratios predict reactive aggression in women, but not in men.

Horm Behav. 2004 Dec;46(5):558-64.

Considerable evidence suggests that digit length and dermatoglyphic asymmetry patterns in the hand are affected by early exposure to androgens. Because androgens play an important role in sexual differentiation of morphological and behavioral traits, digit length patterns often display sex differences. When present, sex differences in digit lengths are more pronounced on the right side as compared to the left side. Moreover, the ratio of the second to fourth digit length (2D:4D) in the right hand is inversely correlated with testosterone (T) in men. Because T is implicated in agonistic behavior, 2D:4D may be used as a marker of androgen exposure and subsequent behavioral variation in adulthood. Consequently, we investigated the relationships among 2D:4D, directional asymmetry of 2D:4D (left hand 2D:4D minus right hand 2D:4D) as a variant of T, and human reactive aggression. One hundred young men (n = 51) and women (n = 49) participated in our experiments (mean age = 20.1 years). Participants called two noncompliant confederates to solicit donations for a fictitious charity organization and selected follow-up letters after the calls. The force exerted when hanging up the phone and the "tone" of the follow-up letters were used to assess reactive aggression. High aggression scores were associated with high directional asymmetry of 2D:4D and masculinized (low) right hand 2D:4D, only in females and under high provocation. Directional asymmetry of 2D:4D was positively correlated with T in males (pooled data, n = 97). Taken together, these data confirm the predominantly right-sided influence of androgens on digit length and suggest that digit length ratios may be associated with female reactive aggression when sufficient provocation is present.