Evidence map›Paper›PMID 41562928›Full record

ReviewMedical sciences (Basel, Switzerland)2026

Beyond XX and XY, Understanding Sex Differences in Leukemia.

Mai Mostafa, Alaa Elhaddad, Mohamed Z Gad, Rasha Hanafi, Hanaa Rashad, Sami El Deeb

Abstract readReview
In one paragraph

Review in Medical sciences (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Mai MostafaInstitute of Medicinal and Pharmaceutical Chemistry, Technische Universität Braunschweig, 38106 Braunschweig, Germany.ORCID 0009-0003-2962-866X
Alaa ElhaddadPediatric Oncology Department, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.
Mohamed Z GadBiochemistry Department, German University in Cairo, Cairo 11835, Egypt.ORCID 0000-0003-1173-8628
Rasha HanafiDepartment of Pharmaceutical Chemistry, German University in Cairo, Cairo 11835, Egypt.ORCID 0000-0002-8196-5108
Hanaa RashadPediatric Oncology Department, Children's Cancer Hospital Egypt (CCHE-57357), Cairo 11311, Egypt.
Sami El DeebInstitute of Medicinal and Pharmaceutical Chemistry, Technische Universität Braunschweig, 38106 Braunschweig, Germany.ORCID 0000-0001-6417-4737

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The major subtypes of leukemia show sex differences. This review summarizes current knowledge and identifies gaps regarding sex differences across acute myeloid leukemia, acute lymphoblastic leukemia, chronic myeloid leukemia, and chronic lymphoblastic leukemia in epidemiology, mortality and survival rates, risk factors, and epigenetic, metabolomic, and sex-specific patterns. Males have higher incidence and mortality rates of leukemia compared to females, emphasizing the importance of biological sex. Underreporting of sex differences in leukemia is highlighted, suggesting that sex is often overlooked as a research variable. A significant clinical observation is that women demonstrate higher overall survival rates but experience more severe treatment-related toxicity. Clinically, women tend to survive longer but experience more severe side effects. In contrast, a significant clinical observation in pediatric leukemia contradicts this enigma, suggesting that sex differences may be less pronounced during childhood. These differences play a significant role in how the disease develops. This review presents a sex-based perspective for hematological and biochemical patterns, genetic risk factors, environmental, lifestyle, and parental risk factors, epigenetics and metabolites. Furthermore, males and females might have different responses to the same toxic, environmental, and hormonal exposures. Trying to understand these disparities better based on molecular mechanisms is considered an approach for precision medicine.

Indexed as

LeukemiaSex CharacteristicsEpigenesis, GeneticFemaleHumansMaleRisk FactorsSex Factorsenigmaepidemiologyepigeneticsleukemiametabolitesrisk factorssex-basedsex differences

Identifiers

PMID41562928
PMCPMC12821550

What OpenQuestion holds

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Registered trials

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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.