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Sex-Specific Gene Expression Linked to Asthma Immune Dysfunction

Publication Title: Sex-biased Gene Expression Underlies Immune Dysfunction in Asthma.

Summary

  • American Journal of Respiratory Cell and Molecular Biology

    73 (6) - December 2025

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Question
This study explored how differences in gene expression between males and females contribute to immune system dysfunction in adults with asthma. The researchers aimed to identify sex-biased genes (SBGs)—genes expressed differently in males and females—that influence asthma's clinical features and immune pathways.
Why it Matters

Asthma affects males and females differently, with males more affected before puberty and females experiencing greater disease burden after puberty. Understanding these sex-based differences is crucial for developing personalized asthma treatments. By identifying sex-specific gene expression patterns, this research advances precision medicine and may help improve asthma care.

Methods
The researchers conducted a meta-analysis of gene expression data from blood samples of 3,639 adults, 56% of whom were female. They identified SBGs in asthma by comparing individuals with and without the disease. An independent cohort of 132 asthma patients was used to validate findings and correlate gene expression with clinical features.
Key Findings
The study identified 61 SBGs specific to adults with asthma. These genes are involved in critical immune processes, such as lymphocyte (a type of white blood cell) activity and allergic responses in the lungs. Female-biased genes were linked to lymphocyte function, while male-biased genes were associated with eosinophils and neutrophils—cells involved in inflammation. Additionally, these genes correlated with key asthma characteristics, including symptom severity and lung function.
Implications

This research highlights the role of sex-specific immune mechanisms in asthma, offering insights into why the disease manifests differently in males and females. These findings may help guide the development of more personalized treatment strategies by accounting for sex-specific biological pathways that influence asthma severity, immune responses, and therapeutic outcomes.

Next Steps
The authors suggest further research to explore the role of these sex-biased genes in specific asthma subtypes and across different tissues, such as airway epithelial cells. They also emphasize the need to investigate how hormonal changes influence these gene expression patterns to better understand asthma's sex-specific mechanisms.
Funding Information
This research was supported by the Yale Center for Precision Pulmonary Medicine, which curated the Transcriptomic and Gene Regulation (TIGER) database used in this study. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Yale University also provided funding and support for this research.

Full Citation

Kay S, Rajeevan H, Son M, Kwah J, Ramirez M, Liu Y, Wang Z, Yan X, Nino G, Britto C, Chupp G, Gomez J. Sex-biased Gene Expression Underlies Immune Dysfunction in Asthma. American Journal Of Respiratory Cell And Molecular Biology 2025, 73: 884-896. PMID: 40587876, DOI: 10.1165/rcmb.2024-0565oc.
This AI-assisted summary has been reviewed and approved by at least one of the study's authors to ensure it accurately reflects the research.

Authors

  • Shannon Kay

    First Author
    School Building Streamline Icon: https://streamlinehq.comOther Institution
  • Jose Gomez Villalobos, MD, MS

    Last Author
    Yale School of Medicine

    Associate Professor of Medicine (Pulmonary, Critical Care and Sleep Medicine)

Research Themes

  • American Journal of Respiratory Cell and Molecular Biology

    73 (6) - December 2025

    Read Full Publication
  • Engagement

    Citation
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