Differential causal networks highlight sex-based differences in human tissues

Sex differences appear in healthy and pathological conditions and may influence sex-specific therapeutic responses. Understanding such differences is a key activity for developing precision medicine strategies. This study investigates sex differences in gene expression across 40 human tissues by applying a Differential Causal Network (DCN) analysis using data from the Genotype-Tissue Expression project. We identified sex-based DCNs that highlight distinct molecular mechanisms influencing both health and disease in men and women. For example, in pancreas tissue, genes associated with immune system show significant differences in their regulatory patterns between sexes, demonstrating a possible different response to diseases such as diabetes mellitus and cancer. Our findings provide valuable information on the biological underpinnings of sex differences, offering potential pathways for the development of precision medicine strategies.