Longevity & AgingResearch PaperOpen Access

Sex Differences in Kidney Gene Expression Emerge After Puberty in Mice

Multi-omic study reveals sex-specific kidney gene patterns that develop after 3 weeks of age, driven by hormones.

Friday, April 3, 2026 0 views
Published in Nat Genet
microscopic view of kidney tissue cross-section showing tubular structures with pink and blue fluorescent markers highlighting different cell types

Summary

Researchers analyzed kidney samples from 68 mice across six life stages using multiple genomic technologies. They discovered that sex differences in gene expression don't appear until after 3 weeks of age (equivalent to puberty), with the strongest differences occurring in proximal tubules. These differences are primarily driven by sex hormones like androgens and estrogens. The study identified 385 sex-biased genes and revealed that aging affects kidney gene expression differently in males versus females, particularly in tubules and collecting ducts.

Detailed Summary

This comprehensive study provides the first detailed molecular atlas of how sex differences in kidney function develop and change throughout life. Researchers from Washington University analyzed 76 kidney samples from 68 mice at six time points from embryonic development through old age, using six different genomic technologies including single-cell RNA sequencing and spatial transcriptomics.

The most striking finding was that sex differences in gene expression are virtually absent during embryonic development and early life, only emerging after 3 weeks of age—equivalent to puberty in humans. The proximal tubules showed the most dramatic sex-specific changes, with 385 genes showing different expression patterns between males and females. These differences were directly linked to hormonal regulation, particularly androgens and estrogens.

Spatial analysis revealed that sex-biased gene expression patterns vary by kidney region, with distinct differences in the cortex and outer medulla. The researchers also discovered that aging affects kidney gene expression differently in males versus females, with older mice showing more aging-related changes in loops of Henle, proximal tubules, and collecting ducts in a sex-dependent manner.

These findings help explain why many kidney diseases show sex bias in incidence and progression. For example, males have higher rates of kidney cancer and different responses to kidney injury, which may be related to these fundamental differences in gene expression. The research provides a molecular foundation for understanding why treatments might need to be tailored differently for men and women, and why hormonal changes throughout life could affect kidney health differently between sexes.

Key Findings

  • Sex differences in kidney gene expression emerge only after 3 weeks of age (puberty equivalent)
  • Proximal tubules show the most sex-biased gene expression with 385 differentially expressed genes
  • Sex hormones (androgens and estrogens) directly regulate kidney gene expression patterns
  • Aging affects kidney gene expression differently between males and females
  • Spatial gene expression patterns vary by kidney region in sex-specific ways

Methodology

Researchers used six genomic technologies (snRNA-seq, snATAC-seq, Visium spatial transcriptomics, Xenium ST, multiplexed imaging, and immunofluorescence) to analyze 76 kidney samples from 68 C57BL/6J mice across six life stages. The multi-omic approach provided both cellular-level and spatial resolution of gene expression patterns.

Study Limitations

The study was conducted only in mice, so translation to human kidney biology requires validation. The research focused on normal kidney development and aging, not disease states. Long-term functional consequences of the observed gene expression differences were not directly measured.

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