DOE PAGES title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Let’s talk about sex: A biological variable in immune response against melanoma

Journal Article · · Pigment Cell & Melanoma Research
DOI: https://doi.org/10.1111/pcmr.13028 · OSTI ID:2471539

As science culture gravitates toward a more holistic inclusion of both males and females in research design, the outlining of sex differences and their respective intersections with disease physiology and pathophysiology should see reciprocal expansion. Melanoma skin cancer, for example, has observed a female advantage in incidence, mortality, and overall survival since the early 1970s. The exact biological mechanism of this trend, however, is unclear and further complicated by a layering of clinical variables such as skin phototype, age, and body mass index. In this perspective, we highlight epidemiological evidence of sex differences in melanoma and summarize the landscape of their potential origin. Among several biological hallmarks, we make a note of sex-specific immune profiles—along with divergent hormonal regulation, social practices, DNA damage and oxidative stress responses, body composition, genetic variants, and X-chromosome expression—as probable drivers of disparity in melanoma initiation and progression. This review further focuses the conversation of sex as an influencing factor in melanoma development and its potential implication for disease management and treatment strategies.

Research Organization:
Pacific Northwest National Laboratory (PNNL), Richland, WA (United States)
Sponsoring Organization:
USDOE; National Institutes of Health (NIH); Congressionally Directed Medical Research Program (CDMRP)
Grant/Contract Number:
AC05-76RL01830
OSTI ID:
2471539
Journal Information:
Pigment Cell & Melanoma Research, Journal Name: Pigment Cell & Melanoma Research Journal Issue: 2 Vol. 35; ISSN 1755-1471
Publisher:
WileyCopyright Statement
Country of Publication:
United States
Language:
English

References (65)

Rate of Growth in Melanomas journal December 2006
Association Between Indoor Tanning and Melanoma in Younger Men and Women journal March 2016
Prevalence of Sun Protection Use and Sunburn and Association of Demographic and Behaviorial Characteristics With Sunburn Among US Adults journal May 2018
Assessing the Prognostic Significance of Tumor-Infiltrating Lymphocytes in Patients With Melanoma Using Pathologic Features Identified by Natural Language Processing journal September 2021
HUman MicroNucleus project: international database comparison for results with the cytokinesis-block micronucleus assay in human lymphocytes: I. Effect of laboratory protocol, scoring criteria, and host factors on the frequency of micronuclei journal January 2001
DNA damage and nucleotide excision repair capacity in healthy individuals journal April 2011
DNA repair capacity as a risk factor for non‐melanocytic skin cancer—a molecular epidemiological study journal July 1994
Tamoxifen prevents the skeletal effects of ovarian hormone deficiency in rats journal October 1987
Gender affects doxorubicin pharmacokinetics in patients with normal liver biochemistry journal January 1995
Estrogen and thyroid cancer is a stem affair: A preliminary study journal January 2017
Gender effect on in vitro lymphocyte subset levels of healthy individuals journal January 2012
Estrogen receptors regulate innate immune cells and signaling pathways journal April 2015
Obesity and risk of malignant melanoma: A meta-analysis of cohort and case–control studies journal February 2013
Genetic variants in TKT and DERA in the nicotinamide adenine dinucleotide phosphate pathway predict melanoma survival journal September 2020
Age, sex, and race influence single-strand break repair capacity in a human population journal December 2008
13. Cancers attributable to solar (ultraviolet) radiation exposure in the UK in 2010 journal December 2011
Global differences between women and men in the prevalence of obesity: is there an association with gender inequality? journal June 2014
Gender Differences in Melanoma Survival: Female Patients Have a Decreased Risk of Metastasis journal March 2011
Investigation of the Effect of MDM2 SNP309 and TP53 Arg72Pro Polymorphisms on the Age of Onset of Cutaneous Melanoma journal May 2012
Replication of Associations between GWAS SNPs and Melanoma Risk in the Population Architecture Using Genomics and Epidemiology (PAGE) Study journal July 2014
X-inactivation profile reveals extensive variability in X-linked gene expression in females journal March 2005
Landscape of X chromosome inactivation across human tissues journal October 2017
High-throughput epitope discovery reveals frequent recognition of neo-antigens by CD4+ T cells in human melanoma journal December 2014
Sex differences in immune responses journal August 2016
The X chromosome in immune functions: when a chromosome makes the difference journal August 2010
Parent-of-origin differences in DNA methylation of X chromosome genes in T lymphocytes journal December 2019
DNA repair and aging in basal cell carcinoma: a molecular epidemiology study. journal February 1993
DNA oxidative damage and strand breaks in young healthy individuals: A gender difference and the role of life style factors journal January 2006
Sex as a Biological Variable: A 5-Year Progress Report and Call to Action journal June 2020
Epidemiology of invasive cutaneous melanoma journal August 2009
Multiple markers for melanoma progression regulated by DNA methylation: insights from transcriptomic studies journal June 2005
HDM2 Protein Overexpression and Prognosis in Primary Malignant Melanoma journal December 2002
Gender Disparity and Mutation Burden in Metastatic Melanoma journal August 2015
Effects of age and gender on micronucleus and chromosome nondisjunction frequencies in centenarians and younger subjects journal February 2007
Sex-specific effect of RNASEL rs486907 and miR-146a rs2910164 polymorphisms’ interaction as a susceptibility factor for melanoma skin cancer journal August 2017
Global survey of escape from X inactivation by RNA-sequencing in mouse journal April 2010
Age and gender effects on DNA strand break repair in peripheral blood mononuclear cells journal November 2012
Oestrogen receptor beta and melanoma: a comparative study journal February 2013
Differences in tumor initiation and progression of melanoma in the BrafCA;Tyr‐CreERT2;Ptenf/f model between male and female mice journal September 2019
Impact of the Circadian Clock on UV‐Induced DNA Damage Response and Photocarcinogenesis journal December 2016
Differential Ligand Activation of Estrogen Receptors ERα and ERβ at AP1 Sites journal September 1997
Conservation, acquisition, and functional impact of sex-biased gene expression in mammals journal July 2019
Sex differences in immune responses journal January 2021
Integrative Analysis of Complex Cancer Genomics and Clinical Profiles Using the cBioPortal journal March 2013
The protein phosphatase 2A regulatory subunit PR70 is a gonosomal melanoma tumor suppressor gene journal December 2016
Predicted lean body mass, fat mass, and all cause and cause specific mortality in men: prospective US cohort study journal July 2018
MDM2 and Prognosis journal January 2004
Non-random X chromosome inactivation in mammalian cells journal January 1998
Greater Oxidative Stress in Healthy Young Men Compared With Premenopausal Women journal March 2002
Inhibition of estrogen signaling in myeloid cells increases tumor immunity in melanoma journal December 2021
Sex Is an Independent Prognostic Indicator for Survival and Relapse/Progression-Free Survival in Metastasized Stage III to IV Melanoma: A Pooled Analysis of Five European Organisation for Research and Treatment of Cancer Randomized Controlled Trials journal June 2013
Pleiotropic and Sex-Specific Effects of Cancer GWAS SNPs on Melanoma Risk in the Population Architecture Using Genomics and Epidemiology (PAGE) Study journal March 2015
Structure-Activity Relationships of Anti-Oestrogens with Regard to Interaction with 17β-Oestradiol in the Mouse Uterus and Vagina journal March 1971
Consistent production of a higher TH1:TH2 cytokine ratio by stimulated T cells in men compared with women journal July 2000
Immune system and melanoma biology: a balance between immunosurveillance and immune escape journal October 2017
Cancer Statistics, 2021 journal January 2021
A Possible Link of Genetic Variations in ER/IGF1R Pathway and Risk of Melanoma journal March 2020
Effect of Gender on the Outcome of Patients Receiving Immune Checkpoint Inhibitors for Advanced Cancer: A Systematic Review and Meta-Analysis of Phase III Randomized Clinical Trials journal December 2018
Sex Differences in Cancer Immunotherapy Efficacy, Biomarkers, and Therapeutic Strategy journal September 2019
The obesity paradox in the US population journal June 2013
Cutting Edge: Estrogen Drives Expansion of the CD4 + CD25 + Regulatory T Cell Compartment journal August 2004
Sex differences in the use of healthcare services among US adults with and without a cancer diagnosis journal June 2018
A 10-year follow-up study of sex inclusion in the biological sciences journal June 2020
Sexual dimorphism in trait variability and its eco-evolutionary and statistical implications journal November 2020
Reporting and misreporting of sex differences in the biological sciences journal November 2021