The original study used perforin-deficient mice on a C57BL/6 × 129 mixed genetic background, whereas the recent study used mice on a C57BL/6 background. The authors noted that the differences observed between their work and the previous study might reflect the background of the mice used in the experiments, because MCMV resistance varies by mouse strain. IFN-α, IFN-β and IL-12 are potent activators of NK cell IFN-γ secretion and cytotoxic activity, which are crucial for NK cell control of infection. Treatment with testosterone resulted in a remarkable reduction in the dense fibrous tissue of the stained area compared to the vehicle-treated mice. Sirius red staining of livers from the CCl4 mice exhibited increased collagen deposition in perisinusoidal areas in both the acute and chronic CCl4 models (black arrows), but the impact of collagen depositions was more pronounced in the chronic model. However, in mice treated with testosterone, there was a delay in the appearance of these histological findings, and a significant reduction in both microvascular and macrovascular steatosis was observed specifically in the chronic model. All stained cells were analyzed with a flow cytometer (BD LSR Fortessa™, Becton Dickinson, Immunofluorimetry systems, Mountain View, CA). The increase in circulating B cells was largely due higher numbers of B cell progenitors in the bone marrow with a B220(lo+) CD24(hi+) phenotype, and this increase was sustained in castrated mice for at least 54 days. Thus, physiologic levels of androgens regulate in part the production of B lymphocytes, and increased B cell numbers occur in conditions when androgen levels are decreased. It is known that AR is expressed in B cell progenitors but not in mature or peripheral B cells, therefore they are sensitive to androgens primarily during development (112). To determine the impact of testosterone (T) on the observed sex differences in melanoma tumor burden in the lung, 1.5 mg T pellets were implanted at the time of castration to replicate physiological levels (Supplementary Fig. 4a). Neutrophils in sham male mice were found to be in contact with the tumor, which is represented by a distance of 0 µM, more often (47%) than in castrated male (26%) or female mice (17%), with a significant difference in distance in sham male compared with female mice, and a similar trend in castrated mice (Fig. 3h). The enhanced percent of ROS-producing male neutrophils in response to PMA was also observed in naïve mice (Supplementary Fig. 3l–m), indicating that neutrophils from castrated mice have an innate defect in responding to stimuli. However, upon stimulation with PMA, a significantly increased percent of sham male neutrophils produced ROS compared with neutrophils from castrated and female mice (Fig. 3f). Interestingly, castration resulted in upregulation of AR in neutrophils, which has previously been shown in prostate cancer cells treated with an AR antagonist28. To elucidate the effects of testosterone signaling via AR in neutrophils, we performed a profiler qPCR array of AR signaling targets in isolated neutrophils from sham and castrated male mice. The Panc02 cells not only proved to be a good model in vitro but also in vivo. Loss of the Y chromosome is a frequent event in human PDAC and in multiple PDAC cell lines.69 In addition, Panc02 displays SMAD4 deficiency, which is described as a PDAC hallmark,70 and expresses mild inflammatory features.57 Therefore, it represents a sex-neutral target suitable for studying NK cell function in PDAC. Although Panc02 was originally described as male,57 karyotyping and RNA-seq revealed no Y-chromosomal features, indicating the loss of sex-specific properties. Initial differences in NK cell cytotoxicity appear to be primarily driven by epigenetic mechanisms that operate independently of sex hormones. In contrast, male tumors presented upregulated proliferation pathways, including E2F and MYC targets, the G2M checkpoint, and mTORC1 signaling (Figure 7E, Supplementary Table T12). H3K27 methylation levels derived from MICS are shown as violin plots for the cell type exhibiting the strongest alterations (left). Although the administration of testosterone substitution varies widely, comparable results are reported from other mouse models of infectious diseases such as malaria , , , strongyloidiasis , schistosomiasis , trypanosomiasis or tuberculosis . A) Time schedule of gonadectomy, testosterone substitution and intrahepatic infection with E. Intrahepatic infection of the various groups of testosterone and placebo substituted animals revealed significant increases of abscess sizes in testosterone-substituted animals compared to sham-substituted controls (pFig. 2C). Substitution was performed by subcutaneous implantation of small pellets releasing either testosterone or placebo. Histolytica trophozoites from abscessed liver tissue was determined (Fig. 1B). The student`s t test was applied for the statistical analysis of the IFNγ values obtained by the NKT cell activation assay. They have been already approved for certain entities including lung-, bladder-, kidney-, skin-, and head-and-neck cancer amongst others (150, 151). Immune checkpoint inhibitors (ICIs) lead to promising outcomes in some but not all cancer entities. Nevertheless, the relationship between androgen deprivation and immunization is not always straightforward. There are various examples, in particular for parasitic diseases, in which male individuals are more frequently infected with the respective pathogen, suffer from higher parasite burden or develop more severe clinical courses in comparison to females , . Amebic liver abscess (ALA), a parasitic disease due to infection with the protozoan Entamoeba histolytica, occurs age and gender dependent with strong preferences for adult males. Testosterone and strength training may act in a similar way in men, and only abnormal testosterone levels warrant medical attention . Lipoic Acid and folic acid (synthetic form) may also inhibit NK cells, but they are also used as dietary supplements. These cells are extremely diverse, as are genetic factors impacting them . Studies suggest that NK cells develop long-lived and highly-specific memories to a variety of targets . NK cells are hypothesized to become active around 3 days after infection . NK cells are produced in the bone marrow, lymph nodes, spleen, tonsils, and thymus, from where they then enter into the circulation .