Sex hormones as an emerging weapon to combat COVID-19
Coronavirus disease 2019 (COVID-19) started as an epidemic in Wuhan in 2019 and was declared pandemic by WHO in March 2020. The virus has been identified and named as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This novel coronavirus strain is the causative agent of COVID-19, and continues to rapidly spread worldwide. SARS-CoV-2 is a highly pathogenic and transmissible coronavirus that spreads through respiratory droplets and unprotected close contact.(1)“COVID‑19 outbreak, which has caused >95 millions confirmed infections and >2 million coronavirus related deaths, is one of the most disastrous worldwide crises in recent years. Several methods have been used to examine SARS-CoV-2 infections.” i.e. RT-qPCR for viral RNA detection, and rapid screening procedures for antibody or virus detection. COVID-19 shows an incubation period of 3–7 days globally. Approximately 80% of the cases remain mild or asymptomatic, 15% are severe and 5% infectious cases turn to critical, requiring ventilation.(2) Several clinical trials have been proposed for its treatment and management with supportive aim of mortality reduction.(1). By glancing a view on fig 1, it can be evidently seen that COVID-19 cases have started to rise significantly since last few months. Furthermore, as per World Health Organization (WHO), there have been 131,020,967 confirmed cases of COVID-19 at a global level recently. COVID-19 shows a clear gender disparity in clinical outcome. Globally, infection rates between men and women are similar; yet epidemiological data revealed that men are more likely to have enhanced severity and mortality. “In the current corona pandemic, as well as in both the 2003 SARS-CoV and the 2012 Middle East respiratory syndrome epidemics, females have substantially lower fatality rates than males as most of the immune regulatory genes are encoded by X chromosomes, resulting in women’s generally stronger inflammatory response(2). This sex disparity in immune response is postulated to be largely driven by sex hormones.(3)”