Why tuberculosis affects men and women differently

Genetic and hormonal mechanisms mediating sex differences in TB and TB-HIV

NIH-funded research Johns Hopkins University · NIH-11258025

Researchers are testing whether genes and sex hormones explain why men get tuberculosis more often than women, including people with TB-HIV.

Quick facts

Grant typeR37 grant
Study typeNIH-funded research
Funding institutionJohns Hopkins University NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11258025 on NIH RePORTER

What this research studies

If you have TB or TB-HIV, this work looks at whether genes on the X chromosome and sex hormones change how well people fight TB. The team will use patient blood and tissue samples, lab-grown cells, and a special four core genotype (FCG) mouse model that separates chromosome effects from hormone effects. They will compare immune responses and X-linked genes to pinpoint biological reasons for the male bias in TB. Results may suggest sex-specific ways to prevent or treat TB, especially for people living with HIV.

Who could benefit from this research

Good fit: Adults with active tuberculosis or TB-HIV coinfection who can provide blood, sputum, or other samples would be the most relevant participants for the human-sample parts of this work.

Not a fit: People without TB or those seeking immediate changes to their medical care are unlikely to receive direct personal benefit from this basic-science focused work.

Why it matters

Potential benefit: If successful, the work could reveal why men are more likely to get TB and lead to new prevention or treatment approaches tailored by sex and HIV status.

How similar studies have performed: Prior human observations and animal studies have suggested sex and hormone effects in TB, but combining X-chromosome genetics with the FCG mouse model and human samples is relatively novel.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome Virus
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.