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X Chromosome

Genetics and Genomics · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

The female sex chromosome, being the differential sex chromosome carried by half the male gametes and all female gametes in human and other male-heterogametic species.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (834 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

The female sex chromosome, being the differential sex chromosome carried by half the male gametes and all female gametes in human and other male-heterogametic species.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Chromosomes, X; Chromosome, X; X Chromosomes.

Where it fits in the MeSH classification

Broader topics
Sex Chromosomes
Narrower topics
Chromosomes, Human, X

Research landscape

PubMed indexes 24,488 records tagged with the MeSH heading “X Chromosome” (counts retrieved 2026-10-29). 1,427 of them (5.8%) were published from 2020 onward, and the busiest period so far is through 1999 with 13,085 records.

Reviews account for 2,810 records (11.5%) and meta-analyses for 35. Randomized controlled trials number 14 (0.1%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 13,085 records; 2000-2009: 6,391 records; 2010-2019: 3,585 records; 2020 onward: 1,427 records13,085through 19996,3912000-20093,5852010-20191,4272020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199913,085
2000-20096,391
2010-20193,585
2020 onward1,427
Share of records by publication typeReviews: 11.5 percent; Meta-analyses: 0.1 percent; Randomized controlled trials: 0.1 percentReviews11.5% (2,810)Meta-analyses0.1% (35)Randomized controlled trials0.1% (14)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 24,488 PubMed records
TypeRecordsShare
Reviews2,81011.5%
Meta-analyses350.1%
Randomized controlled trials140.1%

Method: PubMed query "X Chromosome"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in genetics and genomics

Genetic findings vary widely in strength. A variant linked to a condition in one study may not replicate in other ancestries, and most common variants have small effects that are meaningful only in aggregate. Studies of rare, high-impact variants can support strong causal claims about a gene, while association studies describe statistical links that need functional and independent replication. Check the sample size, the ancestry of participants, whether results were replicated, and whether a laboratory or clinical outcome was actually measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Telomere-to-telomere assembly of a complete human X chromosome
Miga KH, Koren S, Rhie A, Vollger MR, Gershman A, Bzikadze A, et al.
2020Research article
Design not recorded in structured metadata
635cc by
PMID 32663838 · DOI · PMC7484160
The complete sequence and comparative analysis of ape sex chromosomes
Makova KD, Pickett BD, Harris RS, Hartley GA, Cechova M, Pal K, et al.
2024Research article
Design not recorded in structured metadata
142cc by
PMID 38811727 · DOI · PMC11168930
Chromosome-Scale Genome Assemblies of Aphids Reveal Extensively Rearranged Autosomes and Long-Term Conservation of the X Chromosome
Mathers TC, Wouters RHM, Mugford ST, Swarbreck D, van Oosterhout C, Hogenhout SA
2021Research article
Design not recorded in structured metadata
100cc by
PMID 32966576 · DOI · PMC7947777
The X Factor in Immunity: Sex Differences Shaped by the X Chromosome
Radovanovic KB, Wynalda M, Anguera MC, Anguera MC
2026Review article
Design not recorded in structured metadata
10cc by
PMID 41574968 · DOI · PMC12829307

Telomere-to-telomere assembly of a complete human X chromosome [1]

Research article Miga KH, Koren S, Rhie A, Vollger MR, Gershman A, Bzikadze A, et al. · · 2020 · cited 635 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
After two decades of improvements, the current human reference genome (GRCh38) is the most accurate and complete vertebrate genome ever produced.
Closing excerpt
Our results demonstrate that finishing the entire human genome is now within reach, and the data presented here will facilitate ongoing efforts to complete the other human chromosomes.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (193 words)

After two decades of improvements, the current human reference genome (GRCh38) is the most accurate and complete vertebrate genome ever produced. However, no single chromosome has been finished end to end, and hundreds of unresolved gaps persist1,2. Here we present a human genome assembly that surpasses the continuity of GRCh382, along with a gapless, telomere-to-telomere assembly of a human chromosome. This was enabled by high-coverage, ultra-long-read nanopore sequencing of the complete hydatidiform mole CHM13 genome, combined with complementary technologies for quality improvement and validation. Focusing our efforts on the human X chromosome3, we reconstructed the centromeric satellite DNA array (approximately 3.1 Mb) and closed the 29 remaining gaps in the current reference, including new sequences from the human pseudoautosomal regions and from cancer-testis ampliconic gene families (CT-X and GAGE). These sequences will be integrated into future human reference genome releases. In addition, the complete chromosome X, combined with the ultra-long nanopore data, allowed us to map methylation patterns across complex tandem repeats and satellite arrays. Our results demonstrate that finishing the entire human genome is now within reach, and the data presented here will facilitate ongoing efforts to complete the other human chromosomes.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32663838 · DOI · PMC7484160

The complete sequence and comparative analysis of ape sex chromosomes [2]

Research article Makova KD, Pickett BD, Harris RS, Hartley GA, Cechova M, Pal K, et al. · · 2024 · cited 142 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Apes possess two sex chromosomes-the male-specific Y chromosome and the X chromosome, which is present in both males and females.
Closing excerpt
These reference assemblies are expected to inform human evolution and conservation genetics of non-human apes, all of which are endangered species.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (245 words)

Apes possess two sex chromosomes-the male-specific Y chromosome and the X chromosome, which is present in both males and females. The Y chromosome is crucial for male reproduction, with deletions being linked to infertility1. The X chromosome is vital for reproduction and cognition2. Variation in mating patterns and brain function among apes suggests corresponding differences in their sex chromosomes. However, owing to their repetitive nature and incomplete reference assemblies, ape sex chromosomes have been challenging to study. Here, using the methodology developed for the telomere-to-telomere (T2T) human genome, we produced gapless assemblies of the X and Y chromosomes for five great apes (bonobo (Pan paniscus), chimpanzee (Pan troglodytes), western lowland gorilla (Gorilla gorilla gorilla), Bornean orangutan (Pongo pygmaeus) and Sumatran orangutan (Pongo abelii)) and a lesser ape (the siamang gibbon (Symphalangus syndactylus)), and untangled the intricacies of their evolution. Compared with the X chromosomes, the ape Y chromosomes vary greatly in size and have low alignability and high levels of structural rearrangements-owing to the accumulation of lineage-specific ampliconic regions, palindromes, transposable elements and satellites. Many Y chromosome genes expand in multi-copy families and some evolve under purifying selection. Thus, the Y chromosome exhibits dynamic evolution, whereas the X chromosome is more stable. Mapping short-read sequencing data to these assemblies revealed diversity and selection patterns on sex chromosomes of more than 100 individual great apes. These reference assemblies are expected to inform human evolution and conservation genetics of non-human apes, all of which are endangered species.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38811727 · DOI · PMC11168930

Chromosome-Scale Genome Assemblies of Aphids Reveal Extensively Rearranged Autosomes and Long-Term Conservation of the X Chromosome [3]

Research article Mathers TC, Wouters RHM, Mugford ST, Swarbreck D, van Oosterhout C, Hogenhout SA · · 2021 · cited 100 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Chromosome rearrangements are arguably the most dramatic type of mutations, often leading to rapid evolution and speciation.
Closing excerpt
The exceptional rate of structural evolution of aphid autosomes renders them an important emerging model system for studying the role of large-scale genome rearrangements in evolution.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (242 words)

Chromosome rearrangements are arguably the most dramatic type of mutations, often leading to rapid evolution and speciation. However, chromosome dynamics have only been studied at the sequence level in a small number of model systems. In insects, Diptera and Lepidoptera have conserved genome structure at the scale of whole chromosomes or chromosome arms. Whether this reflects the diversity of insect genome evolution is questionable given that many species exhibit rapid karyotype evolution. Here, we investigate chromosome evolution in aphids-an important group of hemipteran plant pests-using newly generated chromosome-scale genome assemblies of the green peach aphid (Myzus persicae) and the pea aphid (Acyrthosiphon pisum), and a previously published assembly of the corn-leaf aphid (Rhopalosiphum maidis). We find that aphid autosomes have undergone dramatic reorganization over the last 30 My, to the extent that chromosome homology cannot be determined between aphids from the tribes Macrosiphini (Myzus persicae and Acyrthosiphon pisum) and Aphidini (Rhopalosiphum maidis). In contrast, gene content of the aphid sex (X) chromosome remained unchanged despite rapid sequence evolution, low gene expression, and high transposable element load. To test whether rapid evolution of genome structure is a hallmark of Hemiptera, we compared our aphid assemblies with chromosome-scale assemblies of two blood-feeding Hemiptera (Rhodnius prolixus and Triatoma rubrofasciata). Despite being more diverged, the blood-feeding hemipterans have conserved synteny. The exceptional rate of structural evolution of aphid autosomes renders them an important emerging model system for studying the role of large-scale genome rearrangements in evolution.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32966576 · DOI · PMC7947777

The X Factor in Immunity: Sex Differences Shaped by the X Chromosome [4]

Review article Radovanovic KB, Wynalda M, Anguera MC, Anguera MC · · 2026 · cited 10 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
There are sex differences with immune responses where females exhibit stronger immune responses compared to males.
Closing excerpt
We also highlight some dosage-sensitive X-linked genes involved in female-biased autoimmune disease, discuss sex differences with immune signaling pathways, and sex differences with viral infections and vaccine responses with the ultimate goal to leverage these insights for the development of sex-specific therapeutic interventions for immune-related diseases.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (154 words)

There are sex differences with immune responses where females exhibit stronger immune responses compared to males. Both sex hormones and sex chromosome differences between males and females contribute to the observed sex differences with innate and adaptive immune cell composition and function. Here, we present recent findings investigating sex differences with immune cells and responses, highlighting contributions from sex hormones or X-linked genes. We also review the epigenetic gene regulatory mechanisms that form the inactive X chromosome (Xi), known as X-Chromosome Inactivation (XCI), the heterochromatic nature of the Xi that allows for selective gene reactivation, and recent work investigating the mechanisms of XCI maintenance in female immune cells. We also highlight some dosage-sensitive X-linked genes involved in female-biased autoimmune disease, discuss sex differences with immune signaling pathways, and sex differences with viral infections and vaccine responses with the ultimate goal to leverage these insights for the development of sex-specific therapeutic interventions for immune-related diseases.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41574968 · DOI · PMC12829307

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article The X-files in immunity: sex-based differences predispose immune responses [5]
    Fish EN · Nat Rev Immunol · 2008 · cited 874 times (Europe PMC)
  • Research article The X chromosome in immune functions: when a chromosome makes the difference [6]
    Libert C, Dejager L, Pinheiro I · Nat Rev Immunol · 2010 · cited 605 times (Europe PMC)
  • Research article Meiotic sex chromosome inactivation [7]
    Turner JM · Development · 2007 · cited 550 times (Europe PMC)
  • Research article The fragile-X premutation: a maturing perspective [8]
    Hagerman PJ, Hagerman RJ · Am J Hum Genet · 2004 · cited 340 times (Europe PMC)
  • Research article Regulation of X-chromosome inactivation by the X-inactivation centre [9]
    Augui S, Nora EP, Heard E · Nat Rev Genet · 2011 · cited 297 times (Europe PMC)
  • Research article The X chromosome and sex-specific effects in infectious disease susceptibility [10]
    Schurz H, Salie M, Tromp G, Hoal EG, Kinnear CJ, Möller M · Hum Genomics · 2019 · cited 290 times (Europe PMC)

References

  1. Miga KH, Koren S, Rhie A, Vollger MR, Gershman A, Bzikadze A, et al.. Telomere-to-telomere assembly of a complete human X chromosome. . 2020. PMID 32663838 · DOI · PMC7484160
  2. Makova KD, Pickett BD, Harris RS, Hartley GA, Cechova M, Pal K, et al.. The complete sequence and comparative analysis of ape sex chromosomes. . 2024. PMID 38811727 · DOI · PMC11168930
  3. Mathers TC, Wouters RHM, Mugford ST, Swarbreck D, van Oosterhout C, Hogenhout SA. Chromosome-Scale Genome Assemblies of Aphids Reveal Extensively Rearranged Autosomes and Long-Term Conservation of the X Chromosome. . 2021. PMID 32966576 · DOI · PMC7947777
  4. Radovanovic KB, Wynalda M, Anguera MC, Anguera MC. The X Factor in Immunity: Sex Differences Shaped by the X Chromosome. . 2026. PMID 41574968 · DOI · PMC12829307
  5. Fish EN. The X-files in immunity: sex-based differences predispose immune responses. Nat Rev Immunol. 2008. PMID 18728636 · DOI · PMC7097214
  6. Libert C, Dejager L, Pinheiro I. The X chromosome in immune functions: when a chromosome makes the difference. Nat Rev Immunol. 2010. PMID 20651746 · DOI
  7. Turner JM. Meiotic sex chromosome inactivation. Development. 2007. PMID 17329371 · DOI
  8. Hagerman PJ, Hagerman RJ. The fragile-X premutation: a maturing perspective. Am J Hum Genet. 2004. PMID 15052536 · DOI · PMC1181976
  9. Augui S, Nora EP, Heard E. Regulation of X-chromosome inactivation by the X-inactivation centre. Nat Rev Genet. 2011. PMID 21587299 · DOI
  10. Schurz H, Salie M, Tromp G, Hoal EG, Kinnear CJ, Möller M. The X chromosome and sex-specific effects in infectious disease susceptibility. Hum Genomics. 2019. PMID 30621780 · DOI · PMC6325731

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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All 95 articles in Genetics and Genomics →

At a glance

24,488
PubMed records on this heading
6%
published since 2020
2,810
review articles
14
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • ChromosomesGenetics and Genomics
  • Y ChromosomeGenetics and Genomics
  • Sex ChromosomesGenetics and Genomics
  • Philadelphia ChromosomeGenetics and Genomics
  • KaryotypeGenetics and Genomics

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