TLDR Men have more severe COVID-19 outcomes than women.
The review found that while males and females had similar susceptibility to COVID-19 infection, males experienced higher severity and fatality rates. This was potentially due to biological factors such as higher expression of ACE2 and TMPRSS2 in males, influenced by sex hormones, and behavioral factors like higher smoking rates and delayed healthcare-seeking behavior. Data from countries like China, the USA, and European nations consistently showed higher hospitalization and mortality rates among males. Understanding these gender differences was essential for developing effective treatments, with potential strategies including modulating ACE2 and TMPRSS2 levels and considering estrogen treatment, though further research was needed.
91 citations
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May 2020 in “Monaldi Archives for Chest Disease” Understanding gender differences in COVID-19 is crucial for effective health strategies.
123 citations
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May 2020 in “Drug Development Research” Men's sensitivity to male hormones might affect how severe COVID-19 gets for them.
47 citations
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April 2020 in “Dermatologic Therapy” Androgenetic alopecia linked to COVID-19 severity; drugs reducing androgen receptor activation may help.
42 citations
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June 2020 in “Seminars in Oncology” Sex hormones may affect COVID-19 severity, with men often faring worse, and targeting related pathways could offer treatment options.
59 citations
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October 2020 in “Stem Cell Reviews and Reports” Men have higher COVID-19 mortality rates than women due to biological and lifestyle factors.
19 citations
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November 2021 in “Reviews in endocrine and metabolic disorders” Sex hormones like estrogen and testosterone may affect COVID-19 severity differently in men and women, potentially influencing prevention and treatment strategies.
9 citations
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March 2021 in “Hormones” COVID-19 may affect male fertility and women might have better outcomes due to hormonal and immune differences.
5 citations
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December 2021 in “Scientific Reports” Age affects how certain proteins involved in COVID-19 infection are expressed in mice, but sex hormones and heart injury do not.