Evidence map›Paper›PMID 42387342›Full record

ArticleCell communication and signaling : CCS2026

A pan-cancer single-cell atlas uncovers the role of sex hormones and chromosomes in sex-divergent reprogramming of the tumor microenvironment.

Zhenyu Luo, Haoran Shi, Yingyi Shan, Dongxiang Wen, Lede Lin, Xin Luo, Longbin Xiong, Yongchao Yu, Yi Wu, Jiayu Zhou and 17 more

Abstract read
In one paragraph

Article in Cell communication and signaling : CCS, 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
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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

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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

27 authors.

Zhenyu Luo *State Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Haoran Shi *Department of Thoracic Surgery, The First Affiliated Hospital of Nanchang University, Yongwaizhengjie 17, Nanchang, P. R. China.
Yingyi Shan *Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Dongxiang Wen *State Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Lede Lin *Department of Urology and Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Xin LuoState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Longbin XiongState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Yongchao YuState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Yi WuState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, China.
Jiayu ZhouState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Xinyang CaiState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Ziying LiZhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China.
Jian BuZhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China.
Ziwen LuoSchool of Medicine (Shenzhen), Sun Yat-sen University, Guangzhou, China.
Han HongZhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China.
Hao LiThe Second Clinical College of Hainan Medical University, Haikou, China.
Yulian LaiClinical Medical College, Southwest Medical University, Luzhou, China.
Lexuan HongBreast Tumor Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Ankui YangState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Zhen LiDepartment of Urology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.
Zhiling ZhangState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Tong WuState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Jingtao ZhangDepartment of Thoracic Surgery, The First Affiliated Hospital of Nanchang University, Yongwaizhengjie 17, Nanchang, P. R. China. ndyfy07806@ncu.edu.cn.
Bentong YuDepartment of Thoracic Surgery, The First Affiliated Hospital of Nanchang University, Yongwaizhengjie 17, Nanchang, P. R. China. ndyfy02006@ncu.edu.cn.
Zhaohui ZhouState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China. zhouzhh1@sysucc.org.cn.
Kang NingState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China. ningkang@sysucc.org.cn.
Yulu PengState Key Laboratory of Oncology in Southern China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China. pengyl1@sysucc.org.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex bias is pervasive in tumors; however, how sex chromosomes and hormone-responsive signaling shape the tumor microenvironment (TME) remains insufficiently characterized. Considering the critical impact of the TME on tumor progression and response to immunotherapy, a pan-cancer investigation of sex-specific and cancer-context-dependent TME features is warranted.

methodBased on stringent inclusion criteria, we constructed a high-resolution pan-cancer single-cell sequencing atlas by integrating 31 publicly available single-cell RNA-seq datasets, comprising a total of 1,831,436 cells by integrating 468 samples from eight types of non-sex-specific solid tumors (282 males and 186 females). After correcting for batch effects, we identified major and minor cellular subsets. Multiple computational approaches were applied to investigate sex-associated differences in cellular composition, gene expression, pathway activity, malignant cell states and intercellular communication.

resultsWe systematically compared sex-specific TME features across eight common solid malignancies. Male-biased CD8

conclusionOur study uncovers extensive but heterogeneous sex-specific differences in the TME across multiple cancer types. We propose a regulatory framework linking sex chromosomes, hormone-responsive signaling and TME interactions, which is consistent with recurrent male-biased CD8⁺ T cell exhaustion and context-dependent M2-like macrophage polarization. Importantly, the magnitude and, in some cancers, the direction of these sex-biased features are modified by tissue-specific contexts. These findings underscore the need to include sex chromosome and hormone status as essential biological variables in studies of the tumor microenvironment and the design of immunotherapies.

Indexed as

Gonadal Steroid HormonesNeoplasmsSex CharacteristicsSex ChromosomesSingle-Cell AnalysisTumor MicroenvironmentFemaleGene Expression Regulation, NeoplasticHumansMaleSingle-Cell Gene Expression AnalysisT-Cell ExhaustionGonadal Steroid HormonesPan-cancer analysisSex chromosomesSex differencesSex hormonesSingle-cell RNA sequencingTumor microenvironment

Identifiers

PMID42387342
PMCPMC13555956

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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.