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J Med Virol . Immunological aspects and gender bias during respiratory viral infections including novel Coronavirus disease-19 (COVID-19): a scoping

tetano

Editor, Senior Moderator
J Med Virol


. 2021 May 15.
doi: 10.1002/jmv.27081. Online ahead of print.
Immunological aspects and gender bias during respiratory viral infections including novel Coronavirus disease-19 (COVID-19): a scoping review


Sabitha Vadakedath[SUP] 1 [/SUP], Venkataramana Kandi[SUP] 2 [/SUP], Ranjan K Mohapatra[SUP] 3 [/SUP], Venkata Bharat Kumar Pinnelli[SUP] 4 [/SUP], Richa Ramya Yegurla[SUP] 5 [/SUP], Praveen R Shahapur[SUP] 6 [/SUP], Vikram Godishala[SUP] 7 [/SUP], Senthilkumar Natesan[SUP] 8 [/SUP], Kranti Suresh Vora[SUP] 8 [/SUP], Khan Sharun[SUP] 9 [/SUP], Ruchi Tiwari[SUP] 10 [/SUP], Muhammad Bilal[SUP] 11 [/SUP], Kuldeep Dhama[SUP] 12 [/SUP]



Affiliations

Abstract

The human immune system is not adequately equipped to eliminate new microbes, and could result in serious damage on first exposure. This is primarily attributed to the exaggerated immune response (inflammatory disease), which may prove detrimental to the host, as evidenced by SARS-CoV-2 infection. From the experiences of COVID-19 to date, male patients are likely to suffer from high-intensity inflammation and disease severity than the female population. Hormones are considered the significant pillars of sex differences responsible for the discrepancy in immune response exhibited by males and females. Females appear to be better equipped to counter invading respiratory viral pathogens, including the novel SARS-CoV-2, than males. It can be hypothesized that females are more shielded from disease severity, probably owing to the diverse action/influence of estrogen and other sex hormones on both cellular (thymus-derived T lymphocytes) and humoral immunity (antibodies). This article is protected by copyright. All rights reserved.

Keywords: COVID-19; Estrogen; SARS-CoV-2; gender biasness; immune system; inflammation; sex hormones.
 
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