1 0 1 1 Sex differences in immune functions and responses contribute to health-and life-span disparities between 1 2 men and women. However, the role of sex on immune system aging is not well understood. To fill this 1 3 gap, we studied peripheral blood mononuclear cells (PBMCs) from 194 healthy adults (100 women, 94 1 4 men) ranging from 22-93 years old using ATAC-seq, RNA-seq, and flow cytometry technologies. These 1 5data revealed a shared epigenomic signature of aging between sexes composed of declines in naïve T cell 1 6 functions and increases in monocyte and cytotoxic cell functions. These changes were greater in 1 7 magnitude in men. Additionally, we uncovered male-specific decreases in expression/accessibility of B-1 8 cell associated loci. Age-related epigenomic changes were more abrupt at two timepoints in the human 1 9 3 1 compositional changes (i.e., cell frequencies) with age, where certain immune functions are impaired and 3 2 others are remodeled 1 . Analyses of human blood samples have uncovered significant aging-related 3 3 changes in gene expression 2 and DNA methylation levels 3 . More recent studies revealed that chromatin 3 4 accessibility of purified immune cells, especially CD8 + T cells, also change significantly with aging, 3 5impacting the activity of important receptor molecules, signaling pathways, and transcription factors 3 6 (TF) 4,5 . Together, these changes likely contribute to aging-related immunodeficiency and ultimately to 3 7 increased frequency of morbidity and mortality among older adults. However, it is not clear to what 3 8 extent these aging-associated changes are shared between men and women.
9 4 0It is well established that immune systems of men and women function and respond to infections and 4 1 vaccination differently 6 . For example, 80% of autoimmune diseases occur in women, who typically show 4 2 stronger immune responses than males 7 . Stronger responses in women produce faster clearance of 4 3 pathogens and better vaccine responsiveness, but also contribute to women's increased susceptibility to 4 4 inflammatory and autoimmune diseases. Although not systematically described, these differences likely 4 5 stem from differences in both cell frequencies and cell-intrinsic programs. For example, a study 4 6 conducted in a small cohort of young individuals showed that women have more B cells (both percentage 4 7 and absolute cell counts) in their blood compared to men 8 . In addition, hundreds of genes are 4 8 differentially expressed between young men and young women in sorted B cells 9 . A recent study more 4 9comprehensively described sex-biased transcripts in purified immune cells (n=1,800), the majority of 7 1Aging is the main driver of variation in PBMC ATAC-seq and RNA-seq data 7 2To identify the major sources of variation in the genomics data, we, first, conducted principal component 7 3 analyses (PCA) using open chromatin regions (OCRs; n=78,167) and expressed genes (n=12,350) using 7 43 all samples that pass quality control (100 ATAC-seq and 74 RNA-seq samp...