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Peer-reviewedCC BY 4.0Nature Communications

Sex of central neurons controls intestinal niche signalling to drive sex differences in stem cell activity and cancer susceptibility

Abstract

Sex differences in cancers arising in non-reproductive organs are widespread. While sex hormones and the intrinsic sexual identity of cancer cells are well-established contributors, it is unknown whether other mechanisms are involved. Here, we reveal an unexpected source of sex-biased cancer vulnerability in a Drosophila model of tumorigenesis. By combining genetically induced tumours with tissue- and cell type-specific sex reversals, we show that sex differences in oncogenesis can arise independently of both gonadal hormone signalling and the sexual identity of tumour cells themselves. Unexpectedly, we find that a sexually dimorphic neuronal circuit, classically associated with mating behaviour, is both necessary and sufficient to drive sex-biased intestinal tumorigenesis. The sex of these gut-innervating neurons controls tumour growth by stimulating local production of an insulin-like growth factor in the visceral muscles, a key component of the intestinal stem cell niche. Our findings reveal a previously unrecognised class of tumour-promoting input: the sex of central neurons can reprogram peripheral tumour-supportive environments. Under physiological conditions, this brain–gut pathway also modulates stem cell activity and organ size in a sex-specific manner to promote reproduction. Our work opens a new line of inquiry into how neuronal sex, particularly within the brain–gut axis, shapes physiology and disease, a field still predominantly studied in a male-only context.

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BibTeX
@article{clot2026central,
  title = {{Sex of central neurons controls intestinal niche signalling to drive sex differences in stem cell activity and cancer susceptibility}},
  author = {Charlène Clot and Rénald Delanoue and Laura Helena Lavocat and Sélia Namouchi and Chloé Hérault and Bruno Hudry},
  journal = {Nature Communications},
  year = {2026},
  month = aug,
  doi = {10.1038/s41467-026-76998-z},
  url = {https://hal.science/hal-05836846v1},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Sex of central neurons controls intestinal niche signalling to drive sex differences in stem cell activity and cancer susceptibility
AU  - Charlène Clot
AU  - Rénald Delanoue
AU  - Laura Helena Lavocat
AU  - Sélia Namouchi
AU  - Chloé Hérault
AU  - Bruno Hudry
PY  - 2026
DA  - 2026/08/22
JO  - Nature Communications
DO  - 10.1038/s41467-026-76998-z
UR  - https://hal.science/hal-05836846v1
AB  - Sex differences in cancers arising in non-reproductive organs are widespread. While sex hormones and the intrinsic sexual identity of cancer cells are well-established contributors, it is unknown whether other mechanisms are involved. Here, we reveal an unexpected source of sex-biased cancer vulnerability in a Drosophila model of tumorigenesis. By combining genetically induced tumours with tissue- and cell type-specific sex reversals, we show that sex differences in oncogenesis can arise independently of both gonadal hormone signalling and the sexual identity of tumour cells themselves. Unexpectedly, we find that a sexually dimorphic neuronal circuit, classically associated with mating behaviour, is both necessary and sufficient to drive sex-biased intestinal tumorigenesis. The sex of these gut-innervating neurons controls tumour growth by stimulating local production of an insulin-like growth factor in the visceral muscles, a key component of the intestinal stem cell niche. Our findings reveal a previously unrecognised class of tumour-promoting input: the sex of central neurons can reprogram peripheral tumour-supportive environments. Under physiological conditions, this brain–gut pathway also modulates stem cell activity and organ size in a sex-specific manner to promote reproduction. Our work opens a new line of inquiry into how neuronal sex, particularly within the brain–gut axis, shapes physiology and disease, a field still predominantly studied in a male-only context.
SN  - 2041-1723
SN  - 2041-1723
ER  -