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Male-biased Yap1-Cd276/B7-H3 axis for immune evasion in medulloblastoma
Nourhan Abdelfattah1, Sivaraman Natarajan2, Han Nhat Tran1
1Department of Neurology, Houston Methodist Research Institute, Houston, TX 77030, USA.
Abstract:
Molecular mechanisms underlying sex-specific differences in cancer incidence and therapy responses are under intense investigation. Here, we report sex-biased functions of Yap1 in multiple cancer types in human and mouse. Through integrated multi-omics analyses, we demonstrate that Yap1 deletion significantly extends survival in male but not female Sonic Hedgehog (SHH) medulloblastomas (MB) models. While Yap1 is required to maintain stem-like cells in both sexes, Yap1 plays a more critical role in immune evasion in males. Mechanistically, YAP1 is essential for activating Cd276/B7-H3 expression to mediate CD8+ T cell suppression in males. Consistently, CD276 inhibition extends survival in male but not female SHH MB. Moreover, in vivo targets of YAP1 stratify survival in male but not female patients with medulloblastoma, glioblastoma, mesothelioma, and lung cancer. This study provides evidence for sex-biased functions of Yap1 and CD276 in MB immune suppression and highlights the importance of biological sex in cancer:immune interactions.
Insights
Sex-biased Yap1 functions impact cancer immunity. Yap1 deletion improves male survival in Sonic Hedgehog medulloblastoma by enhancing immune response, unlike in females.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Sex-specific differences in cancer incidence and treatment outcomes are significant.
- The molecular underpinnings of these sex biases are not fully understood.
Purpose of the Study:
- To investigate the sex-biased roles of Yap1 in cancer, particularly in Sonic Hedgehog medulloblastoma (SHH MB).
- To elucidate the mechanisms by which Yap1 influences cancer immunity in a sex-specific manner.
Main Methods:
- Integrated multi-omics analyses in human and mouse cancer models.
- Yap1 deletion and CD276 inhibition experiments in vivo.
- Analysis of Yap1 targets in patient data for medulloblastoma, glioblastoma, mesothelioma, and lung cancer.
Main Results:
- Yap1 deletion extended survival in male but not female SHH MB models.
- Yap1 is crucial for immune evasion in males by upregulating CD276/B7-H3, which suppresses CD8+ T cells.
- CD276 inhibition improved survival in male but not female SHH MB.
- Yap1 targets predict survival differently in males versus females across multiple cancer types.
Conclusions:
- Yap1 exhibits sex-biased functions in cancer, particularly in regulating immune responses.
- CD276 is a key mediator of Yap1's sex-specific immune suppressive role in SHH MB.
- Biological sex is a critical factor in cancer-immune interactions and therapeutic strategies.
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