Evidence map›Paper›PMID 41949638›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2026

Sex Differences in Colorectal Tumor-Associated T-cell Responses.

Elizabeth Seitz, Ya-Yu Tsai, Rebeca Sanz-Pamplona, Marilena Melas, Christopher P Walker, Joseph D Bonner, Kevin J McDonnell, Gregory E Idos, Joel K Greenson, Gad Rennert and 3 more

Abstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Elizabeth SeitzCase Western Reserve University School of Medicine, Cleveland, Ohio.ORCID 0009-0007-3800-5009
Ya-Yu TsaiDepartment of Genomic Sciences and Systems Biology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-5085-6400
Rebeca Sanz-PamplonaCatalan Institute of Oncology (ICO), Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0002-2187-3527
Marilena MelasNorris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.ORCID 0009-0000-1412-7668
Christopher P WalkerDepartment of Medical Oncology and Center for Precision Medicine, City of Hope National Medical Center, Duarte, California.ORCID 0000-0002-6069-0184
Joseph D BonnerDepartment of Medical Oncology and Center for Precision Medicine, City of Hope National Medical Center, Duarte, California.ORCID 0000-0002-3571-2097
Kevin J McDonnellDepartment of Medical Oncology and Center for Precision Medicine, City of Hope National Medical Center, Duarte, California.ORCID 0000-0002-3354-4747
Gregory E IdosDepartment of Medical Oncology and Center for Precision Medicine, City of Hope National Medical Center, Duarte, California.ORCID 0000-0002-6068-4139
Joel K GreensonUniversity of Michigan , Ann Arbor, Michigan.ORCID 0000-0001-9509-4836
Gad RennertTechnion- Israel Institute of Technology , Haifa, Israel.ORCID 0000-0002-8512-068X
Victor MorenoCatalan Institute of Oncology (ICO), Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0002-2818-5487
Stephen B GruberONCOBELL Program, Bellvitge Biomedical Research Institute (IDIBELL), Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0001-8656-7822
Stephanie L SchmitDepartment of Genomic Sciences and Systems Biology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0001-5931-1194

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fumito Ito · 1985 to 2026
$181.4M
MOLECULAR EPIDEMIOLOGY OF COLORECTAL CANCERR01CA081488 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GRUBER, STEPHEN B · 1999 to 2008
$9.2M
Variation in tumor-associated immune profiles and colorectal cancer outcomesR01CA248931 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI SCHMIT, STEPHANIE L. · 2021 to 2025
$3.5M
Integration of epidemiology, pathology, immunology and outcomes in colorectal cancerR01CA263318 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI STEPHEN B GRUBER · 2022 to 2026
$3.4M
The Epidemiology of Immune Responses in Colorectal CancerR01CA197350 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GRUBER, STEPHEN B · 2015 to 2019
$3.2M
Action GenriskFundación Científica Asociación Española Contra el Cáncer (AECC) GCTRA18022MOREGeneralitat de Catalunya (Government of Catalonia)James and Ruth Levitan Cancer Research Endowment from Case Comprehensive Cancer CenterNational Cancer Institute (NCI) P30CA01408988National Cancer Institute (NCI) R01CA0814National Cancer Institute (NCI) R01CA197350NCI NIH HHS P30 CA014089NCI NIH HHS R01 CA081488NCI NIH HHS R01 CA197350NCI NIH HHS R01 CA248931NCI NIH HHS R01 CA263318
6 · The paper itself

Abstract

backgroundAlthough males exhibit higher colorectal cancer incidence and mortality rates than females, the underlying mechanisms remain unclear. We hypothesized that females mount stronger antitumor T-cell responses, contributing to their improved survival.

methodsTumor samples from a discovery cohort (Molecular Epidemiology of Colorectal Cancer, N = 2,750) and an independent replication cohort (Spanish study, N = 444) underwent immunosequencing to quantify T-cell receptor (TCR) abundance and clonality. Tumor-infiltrating lymphocytes per high-powered field (TIL/hpf) were also scored in the discovery cohort. Multivariable logistic regression estimated odds ratios (OR) for the associations between sex and T-cell metrics. The data were then stratified by sex, and multivariable Cox proportional hazards regression estimated hazard ratios (HR) for the associations between T-cell metrics and 5-year overall and colorectal cancer-specific survival, adjusting for known prognostic indicators.

resultsMultivariable analysis demonstrated no association between sex and TCR abundance, clonality, or TILs/hpf (P > 0.05 for all) in both discovery and replication cohorts. In multivariable survival analysis, higher TCR abundance and TILs/hpf were consistently associated with improved survival across sexes in both cohorts. TCR clonality showed inconsistent associations across cohorts and sexes. Importantly, formal interaction testing showed no significant interaction between sex and T-cell metrics in relation to survival outcomes for both cohorts.

conclusionsWe observed no significant sex differences in colorectal cancer-associated T-cell responses and no significant interaction between sex and T-cell responses in relation to survival. IMPACT: Sex differences in colorectal cancer are unlikely to be explained by the differences in the robustness and diversity of tumor-associated T-cell responses.

Indexed as

Colorectal NeoplasmsLymphocytes, Tumor-InfiltratingT-LymphocytesAgedCohort StudiesFemaleHumansMaleMiddle AgedPrognosisReceptors, Antigen, T-CellSex FactorsReceptors, Antigen, T-Cell

Identifiers

PMID41949638
PMCPMC13395480

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.