The impact of sex and gender on immunotherapy outcomes

Abstract Immunotherapies are often used for the treatment, remission, and possible cure of autoimmune diseases, infectious diseases, and cancers. Empirical evidence illustrates that females and males differ in outcomes following the use of biologics for the treatment of autoimmune diseases, e.g., rh...

Full description

Bibliographic Details
Main Authors: Sabra L. Klein, Rosemary Morgan
Format: Article
Language:English
Published: BMC 2020-05-01
Series:Biology of Sex Differences
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13293-020-00301-y
_version_ 1819207582811684864
author Sabra L. Klein
Rosemary Morgan
author_facet Sabra L. Klein
Rosemary Morgan
author_sort Sabra L. Klein
collection DOAJ
description Abstract Immunotherapies are often used for the treatment, remission, and possible cure of autoimmune diseases, infectious diseases, and cancers. Empirical evidence illustrates that females and males differ in outcomes following the use of biologics for the treatment of autoimmune diseases, e.g., rheumatoid arthritis (RA), infectious diseases, e.g., influenza, and solid tumor cancers. Females tend to experience more adverse reactions than males following the use of a class of biologics referred to as immunotherapies. For immunotherapies aimed at stimulating an immune response, e.g., influenza vaccines, females develop greater responses and may experience greater efficacy than males. In contrast, for immunotherapies that repress an immune response, e.g., tumor necrosis factor (TNF) inhibitors for RA or checkpoint inhibitors for melanoma, the efficacy is reportedly greater for males than females. Despite these differences, discrepancies in reporting differences between females and males exist, with females have been historically excluded from biomedical and clinical studies. There is a critical need for research that addresses the biological (i.e., sex) as well as sociocultural (i.e., gender) causes of male-female disparities in immunotherapy responses, toxicities, and outcomes. One-size-fits-all approaches to immunotherapies will not work, and sex/gender may contribute to variable treatment success, including adherence, in clinical settings.
first_indexed 2024-12-23T05:25:47Z
format Article
id doaj.art-49b5228be56a4bc6ab92c8779cc73fb9
institution Directory Open Access Journal
issn 2042-6410
language English
last_indexed 2024-12-23T05:25:47Z
publishDate 2020-05-01
publisher BMC
record_format Article
series Biology of Sex Differences
spelling doaj.art-49b5228be56a4bc6ab92c8779cc73fb92022-12-21T17:58:36ZengBMCBiology of Sex Differences2042-64102020-05-0111111010.1186/s13293-020-00301-yThe impact of sex and gender on immunotherapy outcomesSabra L. Klein0Rosemary Morgan1W. Harry Feinstone Department of Molecular Microbiology and Immunology, The Johns Hopkins Bloomberg School of Public HealthDepartment of International Health, The Johns Hopkins Bloomberg School of Public HealthAbstract Immunotherapies are often used for the treatment, remission, and possible cure of autoimmune diseases, infectious diseases, and cancers. Empirical evidence illustrates that females and males differ in outcomes following the use of biologics for the treatment of autoimmune diseases, e.g., rheumatoid arthritis (RA), infectious diseases, e.g., influenza, and solid tumor cancers. Females tend to experience more adverse reactions than males following the use of a class of biologics referred to as immunotherapies. For immunotherapies aimed at stimulating an immune response, e.g., influenza vaccines, females develop greater responses and may experience greater efficacy than males. In contrast, for immunotherapies that repress an immune response, e.g., tumor necrosis factor (TNF) inhibitors for RA or checkpoint inhibitors for melanoma, the efficacy is reportedly greater for males than females. Despite these differences, discrepancies in reporting differences between females and males exist, with females have been historically excluded from biomedical and clinical studies. There is a critical need for research that addresses the biological (i.e., sex) as well as sociocultural (i.e., gender) causes of male-female disparities in immunotherapy responses, toxicities, and outcomes. One-size-fits-all approaches to immunotherapies will not work, and sex/gender may contribute to variable treatment success, including adherence, in clinical settings.http://link.springer.com/article/10.1186/s13293-020-00301-yAutoimmunityCancerCheckpoint therapyCTLA-4Influenza vaccineRheumatoid arthritis
spellingShingle Sabra L. Klein
Rosemary Morgan
The impact of sex and gender on immunotherapy outcomes
Biology of Sex Differences
Autoimmunity
Cancer
Checkpoint therapy
CTLA-4
Influenza vaccine
Rheumatoid arthritis
title The impact of sex and gender on immunotherapy outcomes
title_full The impact of sex and gender on immunotherapy outcomes
title_fullStr The impact of sex and gender on immunotherapy outcomes
title_full_unstemmed The impact of sex and gender on immunotherapy outcomes
title_short The impact of sex and gender on immunotherapy outcomes
title_sort impact of sex and gender on immunotherapy outcomes
topic Autoimmunity
Cancer
Checkpoint therapy
CTLA-4
Influenza vaccine
Rheumatoid arthritis
url http://link.springer.com/article/10.1186/s13293-020-00301-y
work_keys_str_mv AT sabralklein theimpactofsexandgenderonimmunotherapyoutcomes
AT rosemarymorgan theimpactofsexandgenderonimmunotherapyoutcomes
AT sabralklein impactofsexandgenderonimmunotherapyoutcomes
AT rosemarymorgan impactofsexandgenderonimmunotherapyoutcomes