Welcome, Andrew!
In both cases I would use commas between all of the adjectives preceding
volunteers. For clarity, I would hyphenate
gene-expression; the changes are not gene changes or expression changes, but gene-expression changes. Also,
nonsmoking is not hyphenated.
-...will lead to gene
-expression changes in the blood lymphocytes of healthy,
nonsmoking, Caucasian
, male volunteers.
-...twenty healthy, nonsmoking
, male volunteers between the ages of ....
The author may have thought that
male volunteer is a semantic unit. But I think that, in this context,
male is the same sort of adjective as the others.
A comma is not placed after
twenty because it applies to the whole phrase [healthy, nonsmoking
, male volunteers between the ages of ....]
If your befuddlement concerns commas between adjectives in a series, that is normal punctuation. From
Webster's Third New International Dictionary:
Modifying words in an open series preceding a noun are often separated and distinguished in speech by pauses and in writing by commas <a rural, agricultural, idyllic life> <journalistic, literary, popular publications>.