Abstract

Cancer has an important and considerable gender differential susceptibility confirmed by several epidemiological studies. Gastric (GC) and thyroid cancer (TC) are examples of malignancies with a higher incidence in males and females, respectively. Beyond environmental predisposing factors, it is expected that gender-specific gene deregulation contributes to this differential incidence. We performed a detailed characterization of the transcriptomic differences between genders in normal and tumor tissues from stomach and thyroid using Genotype-Tissue Expression (GTEx) and The Cancer Genome Atlas (TCGA) data. We found hundreds of sex-biased genes (SBGs). Most of the SBGs shared by normal and tumor belong to sexual chromosomes, while the normal and tumor-specific tend to be found in the autosomes. Expression of several cancer-associated genes is also found to differ between sexes in both types of tissue. Thousands of differentially expressed genes (DEGs) between paired tumor–normal tissues were identified in GC and TC. For both cancers, in the most susceptible gender, the DEGs were mostly under-expressed in the tumor tissue, with an enrichment for tumor-suppressor genes (TSGs). Moreover, we found gene networks preferentially associated to males in GC and to females in TC and correlated with cancer histological subtypes. Our results shed light on the molecular differences and commonalities between genders and provide novel insights in the differential risk underlying these cancers.

Highlights

  • Sexual dimorphism is a taxonomically widespread phenomenon, whereby certain traits differ consistently between males and females within a given species

  • Our results demonstrate that sex-biased gene expression is more pronounced in normal tissues than tumor tissues and that most of the shared variation arises from the sexual chromosomes

  • We found a significant enrichment for tumor-suppressor genes (TSGs) on males in GC (9%) and females in thyroid cancer (TC) (17%) [Figures 3D,F], with the majority being under-expressed in tumors [Figures 3D,F]

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Summary

Introduction

Sexual dimorphism is a taxonomically widespread phenomenon, whereby certain traits differ consistently between males and females within a given species. In humans and other animals, these differences go beyond morphological and behavioral traits and include molecular phenotypes such as gene expression (Trabzuni et al, 2013; Melé et al, 2015; Gershoni and Pietrokovski, 2017; Naqvi et al, 2019). One remarkable exception is the thyroid tissue, where women have three times higher risk of developing cancer (Rahbari et al, 2010). For malignancies such as acute lymphoblastic leukemia or non-Hodgkin lymphoma, the gender-bias incidence occurs already in childhood, being more common in boys (Dorak and Karpuzoglu, 2012). Environmental and lifestyle factors largely contribute to gender disparities in cancer, it seems clear that gender intrinsic molecular factors may play an important role

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