Evidence map›Paper›PMID 41574968›Full record

ReviewImmunological reviews2026

The X Factor in Immunity: Sex Differences Shaped by the X Chromosome.

Katherine B Radovanovic, Megan Wynalda, Montserrat C Anguera

Abstract readReview
In one paragraph

Review in Immunological reviews, 2026. 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. The HIV Reservoir and Immune Landscape Across the Life Course of Women: Implications for Cure Strategies.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  3. Article
  4. Review
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

3 authors.

Katherine B RadovanovicDepartment of Biomedical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0009-0005-6623-076X
Megan WynaldaDepartment of Biomedical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Montserrat C AngueraDepartment of Biomedical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-6406-0086

Funding

Gene regulation mechanisms involving the inactive X in B cells during lupus diseaseR01AI134834 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Montserrat C Anguera · 2018 to 2026
$4.2M
Role for nuclear matrix proteins and DNA methylation for XCI maintenance in female lymphocytesR01AI168047 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Montserrat C Anguera · 2023 to 2026
$2.2M
NIAID NIH HHS R01 AI134834NIAID NIH HHS R01 AI168047
6 · The paper itself

Abstract

There are sex differences with immune responses where females exhibit stronger immune responses compared to males. Both sex hormones and sex chromosome differences between males and females contribute to the observed sex differences with innate and adaptive immune cell composition and function. Here, we present recent findings investigating sex differences with immune cells and responses, highlighting contributions from sex hormones or X-linked genes. We also review the epigenetic gene regulatory mechanisms that form the inactive X chromosome (Xi), known as X-Chromosome Inactivation (XCI), the heterochromatic nature of the Xi that allows for selective gene reactivation, and recent work investigating the mechanisms of XCI maintenance in female immune cells. We also highlight some dosage-sensitive X-linked genes involved in female-biased autoimmune disease, discuss sex differences with immune signaling pathways, and sex differences with viral infections and vaccine responses with the ultimate goal to leverage these insights for the development of sex-specific therapeutic interventions for immune-related diseases.

Indexed as

Chromosomes, Human, XImmunityX ChromosomeAnimalsAutoimmune DiseasesEpigenesis, GeneticFemaleGenes, X-LinkedGonadal Steroid HormonesHumansMaleSex CharacteristicsSex FactorsSignal TransductionVirus DiseasesX Chromosome InactivationGonadal Steroid Hormonesautoimmunityimmune signalingsex differencesviral infectionsX‐chromosome inactivationXist RNA

Identifiers

PMID41574968
PMCPMC12829307

What OpenQuestion holds

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LicenceCC BY
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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.