Evidence map›Paper›PMID 27072778›Full record

ArticleNature communications2016

Sex bias in CNS autoimmune disease mediated by androgen control of autoimmune regulator.

Meng-Lei Zhu, Pearl Bakhru, Bridget Conley, Jennifer S Nelson, Meghan Free, Aaron Martin, Joshua Starmer, Elizabeth M Wilson, Maureen A Su

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 1 synthesis or guideline pooled it, 154 citations in OpenAlex.

  1. Pooled it
  2. Sex Steroid Hormone Regulation of T-Cell Function and Antitumor Immunity.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  3. Article
  4. Androgens are a Key Factor Affecting Immune Related Diseases.The world journal of men's health · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Sex Bias in Autoimmunity: New Findings and New Opportunities.JID innovations : skin science from molecules to population health · 2025
    Review
  10. Article
  11. Review
  12. Aire Mutations and Autoimmune Diseases.Advances in experimental medicine and biology · 2025
    Review
  13. Review
  14. Review
  15. Review
  16. Mechanisms underlying sex differences in autoimmunity.The Journal of clinical investigation · 2024
    Review
  17. Article
  18. The conneXion between sex and immune responses.Nature reviews. Immunology · 2024
    Review
  19. RISING STARS: Androgens and immune cell function.The Journal of endocrinology · 2024
    Review
  20. Review

33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Meng-Lei ZhuDivision of Endocrinology, Department of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Pearl BakhruDivision of Endocrinology, Department of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Bridget ConleyDivision of Endocrinology, Department of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Jennifer S NelsonDivision of Cardiothoracic Surgery, Department of Surgery, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Meghan FreeDepartment of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Aaron MartinDepartment of Microbiology and Immunology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Joshua StarmerDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Elizabeth M WilsonDivision of Endocrinology, Department of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Maureen A SuDivision of Endocrinology, Department of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
University of North Carolina at Chapel Hill · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Translation of Knowledge on the Pathogenesis of ANCA Disease into NovelP01DK058335 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JENNETTE, CHARLES · 2000 to 2019
$25.9M
Autoimmune mechanisms in a novel Aire-deficient model of peripheral neuropathyR01NS079683 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SU, MAUREEN A · 2013 to 2017
$1.8M
NCI NIH HHS P30 CA016086NIDDK NIH HHS P01 DK058335NINDS NIH HHS R01 NS079683
6 · The paper itself

Abstract

Male gender is protective against multiple sclerosis and other T-cell-mediated autoimmune diseases. This protection may be due, in part, to higher androgen levels in males. Androgen binds to the androgen receptor (AR) to regulate gene expression, but how androgen protects against autoimmunity is not well understood. Autoimmune regulator (Aire) prevents autoimmunity by promoting self-antigen expression in medullary thymic epithelial cells, such that developing T cells that recognize these self-antigens within the thymus undergo clonal deletion. Here we show that androgen upregulates Aire-mediated thymic tolerance to protect against autoimmunity. Androgen recruits AR to Aire promoter regions, with consequent enhancement of Aire transcription. In mice and humans, thymic Aire expression is higher in males compared with females. Androgen administration and male gender protect against autoimmunity in a multiple sclerosis mouse model in an Aire-dependent manner. Thus, androgen control of an intrathymic Aire-mediated tolerance mechanism contributes to gender differences in autoimmunity.

Indexed as

SexismAIRE ProteinAndrogensAnimalsAntigensAutoimmune DiseasesCentral Nervous SystemDihydrotestosteroneEncephalomyelitis, Autoimmune, ExperimentalFemaleFluorescent Antibody TechniqueHumansMaleMice, Inbred C57BLMyelin-Oligodendrocyte GlycoproteinPromoter Regions, GeneticAIRE ProteinAndrogensAntigensDihydrotestosteroneMyelin-Oligodendrocyte GlycoproteinReceptors, AndrogenRNA, MessengerTranscription Factors

Identifiers

PMID27072778
PMCPMC5512610
OpenAlexW2338613830

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.