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Molecular mechanisms of sex bias differences in COVID-19 mortality.


ABSTRACT: More men than women have died from COVID-19. Genes encoded on X chromosomes, and sex hormones may explain the decreased fatality of COVID-19 in women. The angiotensin-converting enzyme 2 gene is located on X chromosomes. Men, with a single X chromosome, may lack the alternative mechanism for cellular protection after exposure to SARS-CoV-2. Some Toll-like receptors encoded on the X chromosomes can sense SARS-CoV-2 nucleic acids, leading to a stronger innate immunity response in women. Both estrogen and estrogen receptor-? contribute to T cell activation. Interventional approaches including estrogen-related compounds and androgen receptor antagonists may be considered in patients with COVID-19.

SUBMITTER: Li Y 

PROVIDER: S-EPMC7347256 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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Molecular mechanisms of sex bias differences in COVID-19 mortality.

Li Yuchong Y   Jerkic Mirjana M   Slutsky Arthur S AS   Zhang Haibo H  

Critical care (London, England) 20200709 1


More men than women have died from COVID-19. Genes encoded on X chromosomes, and sex hormones may explain the decreased fatality of COVID-19 in women. The angiotensin-converting enzyme 2 gene is located on X chromosomes. Men, with a single X chromosome, may lack the alternative mechanism for cellular protection after exposure to SARS-CoV-2. Some Toll-like receptors encoded on the X chromosomes can sense SARS-CoV-2 nucleic acids, leading to a stronger innate immunity response in women. Both estro  ...[more]

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