health First Ever

Young cancer survivors are losing the Y chromosome in their sperm—a glitch you usually only see in the blood of the very old.

March 24, 2026

Original Paper

High prevalence of loss of Y chromosome in the spermatozoa of young cancer survivors

Axelsson, J.; Bruhn-Olszewska, B.; Sarkysian, D.; Markljung, E.; Horbacz, M.; Pla, I.; Sanchez, A.; Nenonen, H.; Elenkov, A.; Dumanski, J. P.; Giwercman, A.

medRxiv · 10.64898/2026.03.20.26348822

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The Takeaway

Loss of the Y chromosome is a classic hallmark of aging, but finding it in the reproductive cells of young men is a major first. It reveals that cancer treatments can trigger specific 'aging' signatures in the male germline, potentially impacting the health of future children.

From the abstract

Cancer-related genomic instability (GI) may cause genetic alterations in spermatozoa, implying health issues not only in cancer survivors, but also in their children [1, 2]. We therefore studied Loss of Y chromosome (LOY), considered as hallmark of GI [3-15], in spermatozoa and blood from survivors of childhood and testicular cancer (CC, TC), and controls (CTRL). We found that LOY was statistically significantly more frequent in spermatozoa from cancer survivors than in controls (Odds Ratio [OR]