Implications of Sex Differences in Immunity for SARS-CoV-2 Pathogenesis and Design of Therapeutic Interventions

Men present more frequently with severe manifestations of coronavirus disease 2019 (COVID-19) and are at higher risk for death. The underlying mechanisms for these differences between female and male individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are insuffici...

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Veröffentlicht in:Immunity (Cambridge, Mass.) Mass.), 2020-09, Vol.53 (3), p.487-495
Hauptverfasser: Bunders, Madeleine J., Altfeld, Marcus
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container_title Immunity (Cambridge, Mass.)
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creator Bunders, Madeleine J.
Altfeld, Marcus
description Men present more frequently with severe manifestations of coronavirus disease 2019 (COVID-19) and are at higher risk for death. The underlying mechanisms for these differences between female and male individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are insufficiently understood. However, studies from other viral infections have shown that females can mount stronger immune responses against viruses than males. Emerging knowledge on the basic biological pathways that underlie differences in immune responses between women and men needs to be incorporated into research efforts on SARS-CoV-2 pathogenesis and pathology to identify targets for therapeutic interventions aimed at enhancing antiviral immune function and lung airway resilience while reducing pathogenic inflammation in COVID-19. Clinical manifestations of SARS-CoV-2 infection differ between women and men, with men presenting more frequently with severe COVID-19. We review the impact of sex differences in immunity for these differences in COVID-19 and discuss the implications for clinical interventions.
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subjects Betacoronavirus - immunology
Coronaviridae
Coronavirus Infections - immunology
Coronaviruses
COVID-19
Female
Gender aspects
Gender differences
Humans
Immune response
immune responses
Immunity, Innate - immunology
Male
Men
Mortality
Pandemics
Pathogenesis
Pneumonia, Viral - immunology
Review
SARS-CoV-2
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Sex Characteristics
Sex differences
Target recognition
Therapeutic applications
tissue regeneration
Viral diseases
Viral infections
Viruses
title Implications of Sex Differences in Immunity for SARS-CoV-2 Pathogenesis and Design of Therapeutic Interventions
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