Evidence map›Paper›PMID 42070209›Full record

ReviewDiscover oncology2026

Molecular mechanisms and clinical impacts of sex differences in urologic cancers.

Pengcheng Fu, Dong Wen, Geliu Shuai, Yuebin Wang, Shengxin Yu, Yuanri Xie, Pufang Xue, Zhenqin Liang, Junrong Zou, Xiaofeng Zou

Abstract readReview
In one paragraph

Review in Discover oncology, 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

10 authors.

Pengcheng FuThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China.ORCID http://orcid.org/0009-0003-7850-5308
Dong WenThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China.
Geliu ShuaiThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China.
Yuebin WangThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China.
Shengxin YuThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China.
Yuanri XieThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China.
Pufang XueThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China.
Zhenqin LiangThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China.
Junrong ZouThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China.ORCID http://orcid.org/0000-0003-4409-5294
Xiaofeng ZouThe First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China. gyfyzouxf@126.com.ORCID http://orcid.org/0000-0002-7472-4488

Funding

Ganzhou Science and Technology Guidance Program GZ2023ZSF097Ganzhou Science and Technology Innovation Talent Project 2022CXRC9621Jiangxi Department of Education Science and Technology Project GJJ190819Jiangxi Graduate Student Innovation Fund YC2025-S234Jiangxi Provincial Key R&D Program 20212BBG71013
6 · The paper itself

Abstract

Urological cancers exhibit significant sex differences in incidence, treatment response, and prognosis, with males generally showing higher morbidity and mortality. This review systematically summarizes the underlying molecular and clinical mechanisms of these disparities, focusing on sex hormones, chromosome biology, tumor immune microenvironment, and microbiota. Sex hormones modulate key tumor processes including proliferation, apoptosis, non-apoptotic cell death, and DNA repair. Genetic factors such as X chromosome inactivation escape genes and Y chromosome loss also contribute to sex-biased cancer susceptibility. Furthermore, sex-specific differences in the urinary system and gut microbiota influence local immunity and inflammation, thereby affecting tumor progression and therapeutic response. Lifestyle and environmental factors, including smoking, alcohol consumption, and occupational exposures, further exacerbate these disparities. Clinically, sex differences impact the efficacy of immunotherapy and targeted therapies, underscoring the need for sex-informed treatment strategies. Integrating sex as a biological variable in research, clinical practice, and public health policies is essential for advancing precision oncology in urologic cancers.

Indexed as

Androgen receptorsBladder cancerSex biasSex hormoneUrologic neoplasms

Identifiers

PMID42070209
PMCPMC13283953

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.