Considering how biological sex impacts immune responses and COVID-19 outcomes.


Journal

Nature reviews. Immunology
ISSN: 1474-1741
Titre abrégé: Nat Rev Immunol
Pays: England
ID NLM: 101124169

Informations de publication

Date de publication:
07 2020
Historique:
accepted: 20 05 2020
pubmed: 13 6 2020
medline: 10 7 2020
entrez: 13 6 2020
Statut: ppublish

Résumé

A male bias in mortality has emerged in the COVID-19 pandemic, which is consistent with the pathogenesis of other viral infections. Biological sex differences may manifest themselves in susceptibility to infection, early pathogenesis, innate viral control, adaptive immune responses or the balance of inflammation and tissue repair in the resolution of infection. We discuss available sex-disaggregated epidemiological data from the COVID-19 pandemic, introduce sex-differential features of immunity and highlight potential sex differences underlying COVID-19 severity. We propose that sex differences in immunopathogenesis will inform mechanisms of COVID-19, identify points for therapeutic intervention and improve vaccine design and increase vaccine efficacy.

Identifiants

pubmed: 32528136
doi: 10.1038/s41577-020-0348-8
pii: 10.1038/s41577-020-0348-8
pmc: PMC7288618
doi:

Substances chimiques

Interferons 9008-11-1

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

442-447

Subventions

Organisme : NIAID NIH HHS
ID : T32 AI007417
Pays : United States
Organisme : NCI NIH HHS
ID : T32 CA009110
Pays : United States
Organisme : NIA NIH HHS
ID : U54 AG062333
Pays : United States

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Auteurs

Eileen P Scully (EP)

Division of Infectious Diseases, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Jenna Haverfield (J)

Institute of Gender and Health, Canadian Institutes of Health Research, Montréal, Québec, Canada.

Rebecca L Ursin (RL)

Department of Biochemistry and Molecular Biology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Cara Tannenbaum (C)

Institute of Gender and Health, Canadian Institutes of Health Research, Montréal, Québec, Canada.
Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Faculté de Médecine, Université de Montréal, Montréal, Québec, Canada.

Sabra L Klein (SL)

Department of Biochemistry and Molecular Biology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. sklein2@jhu.edu.
W. Harry Feinstone Department of Molecular Microbiology and Immunology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. sklein2@jhu.edu.

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Classifications MeSH