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Loss of the Y chromosome drives basal identity and metastatic potential via epigenetic reprogramming in pancreatic cancer

Dorsch, M.; Beaudry, F. E. G.; Baginska, A. K.; Meyer, N.; Petzold, A.; Zhao, P.; Otero-Carrasco, B.; Aliar, K.; Urban, S.; Zummack, J.; Jung, J.; Hölken, J. M.; Duan, N.; Godfrey, L.; Chen, M.-j. M.; Schlüter, K.; Ganesan, K.; Over, F.; Kono, T.; Schildhaus, H.-U.; Steiger, K.; Schwarz, R.; Hessmann, E.; Schneider, G.; Siveke, J. T.; Neoptolemos, J. P.; Peccerella, T.; Llamazares-Prada, M.; Schramm, A.; Plass, C.; Rambow, F.; Notta, F.; Grünwald, B. T.; Grüner, B. M.

2026-10-07 cancer biology
10.64898/2026.10.06.756936 bioRxiv
Show abstract

Loss of the Y chromosome (LOY) has been largely unexplored in pancreatic ductal adenocarcinoma (PDAC), and no mechanistic framework previously explained its role in tumor biology. We identify LOY as a recurrent, functionally consequential alteration affecting ~50% of male PDAC patients across two independent cohorts, with strong enrichment in advanced disease and, critically, in the basal subtype, establishing LOY as a clinically actionable biomarker. Comprehensive genomic profiling positions LOY as a distinct genetic event associated with TP53 mutations, implicating it in aggressive tumor evolution. Integrative analyses across bulk tumors, single-cell datasets and CRISPR-engineered PDAC models converge on epithelial-to-mesenchymal transition (EMT) as the dominant LOY-driven program. Y-chromosome deletion alone induces EMT transcriptional states, mesenchymal morphology and enhanced metastatic ability. Mechanistically, LOY disrupts epigenetic regulation through loss of Y-linked chromatin modifiers, reshaping DNA methylation at EMT- and basal-defining loci and reducing chemotherapy sensitivity. These findings establish LOY as a causal genetic driver of PDAC progression and a clinically accessible biomarker with direct therapeutic relevance.

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