Evidence map›Paper›PMID 39996497›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

X-Linked Gene Dosage and SOX2 Act as Key Roadblocks for Human Germ Cell Specification in Klinefelter Syndrome.

Wenteng He, Qing Luo, Jian Zhao, Mengting Wang, Allan Zhao, Luohua Feng, Ahmed Reda, Eva Lindgren, Jan-Bernd Stukenborg, Jiayu Chen and 1 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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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

11 authors.

Wenteng HeDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, 171 77, Sweden.ORCID https://orcid.org/0000-0002-3549-7593
Qing LuoDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, 171 77, Sweden.
Jian ZhaoDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, 171 77, Sweden.
Mengting WangClinical and Translational Research Center of Shanghai First Maternity and Infant Hospital, Shanghai Key Laboratory of Signaling and Disease Research, School of Life Sciences and Technology, Tongji University, Shanghai, 200092, China.
Allan ZhaoDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, 171 77, Sweden.
Luohua FengDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, 171 77, Sweden.
Ahmed RedaDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, 171 77, Sweden.
Eva LindgrenDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, 171 77, Sweden.
Jan-Bernd StukenborgNORDFERTIL Research Lab Stockholm, Childhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital, Stockholm, 17 165, Sweden.
Jiayu ChenClinical and Translational Research Center of Shanghai First Maternity and Infant Hospital, Shanghai Key Laboratory of Signaling and Disease Research, School of Life Sciences and Technology, Tongji University, Shanghai, 200092, China.
Qiaolin DengDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, 171 77, Sweden.ORCID https://orcid.org/0000-0001-5934-7816

Funding

Barndiabetes fonden, Birgitta and Carl-Axel Rydbeck's Research 2022-00327Diabetes foundation DIA2022-733Karolinska Institutet Research Foundation 2024-2025 (no. 2024-02911)Kunt-Alice Wallenberg Foundation 2019.0211National Key R&D Program of China 2024YFA1802300Swedish Research Council 2018-02557Swedish Research Council 2020-00253
6 · The paper itself

Abstract

Klinefelter syndrome (KS), characterized by the presence of at least one extra X-chromosome, is a common cause of male infertility. However, the mechanism underlying the failure of germline specification is not well studied. Intriguingly, the differentiation efficiency of female human pluripotent stem cells (hPSCs) is often lower than that of male. This study investigates how X-linked gene dosage affects human primordial germ cell-like cells (hPGCLCs) specification in both healthy and diseased conditions. This work reveals that X-linked genes play a multifaceted role against the fate competency to hPGCLCs, with escape genes IGSF1 and CHRDL1 inhibiting the TGF-beta/Activin A and BMP pathways, respectively. Notably, this work identifies a previously unrecognized role of SOX2, upregulated by the escape gene USP9X, elucidating a species-specific function in the mammalian germline. The USP9X-SOX2 regulatory axis profoundly influenced cellular metabolism, mitochondrial morphology, and progenitor competence in hPGCLCs specification. Furthermore, the inability to downregulate SOX2 and upregulate SOX17 in response to BMP signaling impedes downstream gene activation due to motif binding competition. These findings shed novel insights into the human germline specification by elucidating the divergent roles of SOX2 versus SOX17 in mammals, influenced by X-linked gene dosage effects. These results offer potential applications for improving the induction efficiency of hPGCLCs, facilitating disease mechanistic studies.

Indexed as

Gene DosageGenes, X-LinkedGerm CellsKlinefelter SyndromeSOXB1 Transcription FactorsCell DifferentiationFemaleHumansMalePluripotent Stem CellsSOX2 protein, humanSOXB1 Transcription Factorshuman germ cell specificationiPSC differentiationklinefelter syndromesex differencex‐linked dosage compensation

Identifiers

PMID39996497
PMCPMC12005746

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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.