In men, sexual orientation correlates with an individual's number of older
brothers, each additional older brother increasing the odds of homosexualit
y by approximately 33%. It has been hypothesized that this fraternal birth
order effect reflects the progressive immunization of some mothers to Y-lin
ked minor histocompatibility antigens (H-Y antigens) by each succeeding mal
e fetus and the concomitantly increasing effects of such maternal immunizat
ion on the future sexual orientation of each succeeding male fetus. Accordi
ng to this hypothesis, anti-H-Y antibodies produced by the mother pass thro
ugh the placental barrier to the fetus and affect aspects of sexual differe
ntiation in the fetal brain. This explanation is consistent with a variety
of evidence, including the apparent irrelevance of older sisters to the sex
ual orientation of later born males, the probable involvement of H-Y antige
n in the development of sex-typical traits, and the detrimental effects of
immunization of female mice to H-Y antigen on the reproductive performance
of subsequent male offspring. The maternal immune hypothesis might also exp
lain the recent finding that heterosexual males with older brothers weigh l
ess at birth than heterosexual males with older sisters and homosexual male
s with older brothers weigh even less than heterosexual males with older br
others. (C) 2001 Academic Press.