Evidence map›Paper›PMID 27869828›Full record

ArticleNature genetics2017

Tumor-suppressor genes that escape from X-inactivation contribute to cancer sex bias.

Andrew Dunford, David M Weinstock, Virginia Savova, Steven E Schumacher, John P Cleary, Akinori Yoda, Timothy J Sullivan, Julian M Hess, Alexander A Gimelbrant, Rameen Beroukhim and 3 more

Open access · greenAbstract read
In one paragraph

Article in Nature genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 281 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
281citing papers in PubMed, 2 pooled it
13.8field-weighted citation impact, top 1% 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

281 citing papers in PubMed, 2 syntheses or guidelines pooled it, 466 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Sex-Biased Immunity: The Hidden Variable in Immuno-oncology.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  5. Article
  6. 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
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Sex Differences in Cancer Stage at Diagnosis of Nonreproductive Solid Organ Tumors in the United States, 2015 to 2022.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Andrew DunfordBroad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.
David M WeinstockBroad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.
Virginia SavovaDepartment of Cancer Biology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Steven E SchumacherBroad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.
John P ClearyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA.
Akinori YodaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA.
Timothy J SullivanBroad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.
Julian M HessBroad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.
Alexander A GimelbrantBroad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.ORCID 0000-0001-6986-0285
Rameen BeroukhimBroad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.
Michael S LawrenceDepartment of Pathology and Cancer Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Gad GetzBroad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.
Andrew A LaneBroad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.
Broad Institute · USHarvard University · US

Funding

Mechanism and function of autosomal analog of X inactivationR01GM114864 · NIGMS · DANA-FARBER CANCER INST · PI GIMELBRANT, ALEXANDER · 2014 to 2018
$4.9M
Targeting Chromatin Modifications in Leukemia with Trisomy 21K08CA181340 · NCI · DANA-FARBER CANCER INST · PI LANE, ANDREW A · 2014 to 2018
$752k
NCI NIH HHS K08 CA181340NIGMS NIH HHS R01 GM114864
6 · The paper itself

Abstract

There is a striking and unexplained male predominance across many cancer types. A subset of X-chromosome genes can escape X-inactivation, which would protect females from complete functional loss by a single mutation. To identify putative 'escape from X-inactivation tumor-suppressor' (EXITS) genes, we examined somatic alterations from >4,100 cancers across 21 tumor types for sex bias. Six of 783 non-pseudoautosomal region (PAR) X-chromosome genes (ATRX, CNKSR2, DDX3X, KDM5C, KDM6A, and MAGEC3) harbored loss-of-function mutations more frequently in males (based on a false discovery rate < 0.1), in comparison to zero of 18,055 autosomal and PAR genes (Fisher's exact P < 0.0001). Male-biased mutations in genes that escape X-inactivation were observed in combined analysis across many cancers and in several individual tumor types, suggesting a generalized phenomenon. We conclude that biallelic expression of EXITS genes in females explains a portion of the reduced cancer incidence in females as compared to males across a variety of tumor types.

Indexed as

Genes, Tumor SuppressorChromosomes, Human, XFemaleGenes, X-LinkedHumansMaleMutationNeoplasmsSexismX Chromosome Inactivation

Identifiers

PMID27869828
PMCPMC5206905
OpenAlexW2551032364

What OpenQuestion holds

Textmetadata
LicenceTDM
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.