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RESEARCH PAPER / 2026-05-11

The problem with one-size-fits-all medicine: Biological sex and the aging immune system.

Clayton Baker, Victor A Ansere, Cossette I Sanqui, Bérénice A Benayoun

Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, United States of America. · pubmed

Abstract

Aging has effects on the immune system that are similar in men and women, but also reshapes their immune systems in unique, sex-specific ways. These sex-specific patterns of immune aging influence disease susceptibility, vaccine effectiveness, cancer survival, and responses to pharmacological therapies, and have direct implications for preventive medicine and clinical care. However, these differences in susceptibilities and responses are rarely considered in research, clinical trials, or treatment guidelines. By integrating knowledge of sex-specific immune aging with real-world outcomes from vaccines, cancer immunotherapy, and pharmacovigilance studies, this Essay argues that accounting for both sex and age is essential to advance personalized medicine.

The following analysis is generated by AI and may contain errors. It is separate from the authors’ abstract and is not peer review.

Research summary

The paper claims that accounting for biological sex in immune aging is essential for advancing personalized medicine. This research is relevant as it addresses the unique biological mechanisms of aging and their implications for personalized approaches to treatment, which is a crucial aspect of longevity research.

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