Version 1
: Received: 13 May 2021 / Approved: 14 May 2021 / Online: 14 May 2021 (13:45:35 CEST)
Version 2
: Received: 10 September 2021 / Approved: 15 September 2021 / Online: 15 September 2021 (12:21:27 CEST)
Lutz, C.T.; Livas, L.; Presnell, S.R.; Sexton, M.; Wang, P. Gender Differences in Urothelial Bladder Cancer: Effects of Natural Killer Lymphocyte Immunity. J. Clin. Med.2021, 10, 5163.
Lutz, C.T.; Livas, L.; Presnell, S.R.; Sexton, M.; Wang, P. Gender Differences in Urothelial Bladder Cancer: Effects of Natural Killer Lymphocyte Immunity. J. Clin. Med. 2021, 10, 5163.
Lutz, C.T.; Livas, L.; Presnell, S.R.; Sexton, M.; Wang, P. Gender Differences in Urothelial Bladder Cancer: Effects of Natural Killer Lymphocyte Immunity. J. Clin. Med.2021, 10, 5163.
Lutz, C.T.; Livas, L.; Presnell, S.R.; Sexton, M.; Wang, P. Gender Differences in Urothelial Bladder Cancer: Effects of Natural Killer Lymphocyte Immunity. J. Clin. Med. 2021, 10, 5163.
Abstract
Men are more likely to develop cancer than women. In fact, male predominance is one of the most consistent cancer epidemiology findings. Additionally, men have a poorer prognosis and an increased risk of secondary malignancies compared to women. These differences have been investigated in order to better understand cancer and to better treat both men and women. In this review, we discuss factors that may cause this gender difference, focusing on urothelial bladder cancer (UBC) pathogenesis. We consider physiological factors that may cause higher male cancer rates, including differences in X chromosome gene expression. We discuss how androgens may promote bladder cancer development directly by stimulating bladder urothelium and indirectly by suppressing immunity. We are particularly interested in natural killer (NK) cells because they are important, but often overlooked anti-cancer lymphocytes.
Keywords
Urothelial bladder cancer; Natural Killer Cells; Androgens; Immunosuppression; X Chromosome
Subject
Medicine and Pharmacology, Urology and Nephrology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.