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Coordinated Loss of the Y Chromosome in Tumors Linked to Poor Cancer Survival

Experts suggest pre-therapy testing of immune cells’ chromosomal status could enhance immunotherapy effectiveness in male patients.

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Overview

  • New Nature research finds that when tumor cells and surrounding immune cells both lack the Y chromosome, male patients experience more aggressive cancers and lower survival rates.
  • T cell populations with missing Y show impaired cytotoxicity and helper functions alongside immunosuppressive gene signatures, weakening anti-tumor defense.
  • Correlation of Y loss across malignant and immune cells suggests either selective recruitment of deficient T cells or a transfer mechanism within the tumor microenvironment.
  • Investigators recommend screening T cell products for chromosomal integrity before adoptive immunotherapies to ensure robust anti-cancer responses.
  • The study analyzed multiple cancer types using extensive genomic datasets and validated findings with patient tumor samples and preclinical models at Cedars-Sinai, University of Arizona and University College London.