Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus?

Objective: Female sex hormones have a pro-inflammatory effect, which may help to minimize inflammation. Estrogen's immunoregulatory properties play a significant role in the bi-directional neuroendocrine-immune activity in females. As a result, sex hormones can play a role in men's high mo...

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Main Authors: Farideh Zafari Zangeneh, Maryam Sarmast Shoushtari
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2021-09-01
Series:Journal of Family and Reproductive Health
Subjects:
Online Access:https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1787
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author Farideh Zafari Zangeneh
Maryam Sarmast Shoushtari
author_facet Farideh Zafari Zangeneh
Maryam Sarmast Shoushtari
author_sort Farideh Zafari Zangeneh
collection DOAJ
description Objective: Female sex hormones have a pro-inflammatory effect, which may help to minimize inflammation. Estrogen's immunoregulatory properties play a significant role in the bi-directional neuroendocrine-immune activity in females. As a result, sex hormones can play a role in men's high mortality rate from coronavirus-2019 (COVID-19). It is aimed to clarify the role of 17-estradiol (E2) in the battle against COVID-19. Materials and methods: Until April 2021, a study on PubMed was performed. COVID-19, 17-estradiol (E2), immunoregulatory properties, pregnancy, menopausal symptoms, hormonal therapy, ER/ expression on immune cells, and mortality were some of the concepts used in the search. Results: Regulation of pro-inflammatory immune processes against COVID-19 appears to be associated with increased immune function (pro-inflammatory), anti-inflammatory regulation, and antiviral defense. Women with a severe coronavirus infection had higher serum IgG antibody levels than men, and their IgG production was faster in the early stages of infection. 17-estradiol (E2) levels of blood will increase by 100-fold during pregnancy. COVID-19 in pregnant women had a 15-fold lower mortality rate than other women. While menopause replacement therapy (MRT) for pre/post-menopausal women and its effectiveness in reducing COVID-19 infection is debatable. Conclusion: MRT may be considered as a viable treatment option for pre/post-menopause women with coronavirus, referring to the fact that sex hormones reduce inflammatory responses and modulate ACE2 expression. The task's difficulty and achieving the desired outcome seem to be challenging.
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spelling doaj.art-5713a00dfc084b7992d82e25209983e22022-12-21T23:09:03ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922021-09-0115310.18502/jfrh.v15i3.7132Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus?Farideh Zafari Zangeneh0Maryam Sarmast Shoushtari1Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, IranChemical and Environmental Engineering Department, Engineering Faculty, Malaysia Putra university, Selangor, MalaysiaObjective: Female sex hormones have a pro-inflammatory effect, which may help to minimize inflammation. Estrogen's immunoregulatory properties play a significant role in the bi-directional neuroendocrine-immune activity in females. As a result, sex hormones can play a role in men's high mortality rate from coronavirus-2019 (COVID-19). It is aimed to clarify the role of 17-estradiol (E2) in the battle against COVID-19. Materials and methods: Until April 2021, a study on PubMed was performed. COVID-19, 17-estradiol (E2), immunoregulatory properties, pregnancy, menopausal symptoms, hormonal therapy, ER/ expression on immune cells, and mortality were some of the concepts used in the search. Results: Regulation of pro-inflammatory immune processes against COVID-19 appears to be associated with increased immune function (pro-inflammatory), anti-inflammatory regulation, and antiviral defense. Women with a severe coronavirus infection had higher serum IgG antibody levels than men, and their IgG production was faster in the early stages of infection. 17-estradiol (E2) levels of blood will increase by 100-fold during pregnancy. COVID-19 in pregnant women had a 15-fold lower mortality rate than other women. While menopause replacement therapy (MRT) for pre/post-menopausal women and its effectiveness in reducing COVID-19 infection is debatable. Conclusion: MRT may be considered as a viable treatment option for pre/post-menopause women with coronavirus, referring to the fact that sex hormones reduce inflammatory responses and modulate ACE2 expression. The task's difficulty and achieving the desired outcome seem to be challenging.https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1787EstradiolEstrogen Receptor AlphaCoronavirusHormone Replacement Therapy
spellingShingle Farideh Zafari Zangeneh
Maryam Sarmast Shoushtari
Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus?
Journal of Family and Reproductive Health
Estradiol
Estrogen Receptor Alpha
Coronavirus
Hormone Replacement Therapy
title Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus?
title_full Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus?
title_fullStr Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus?
title_full_unstemmed Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus?
title_short Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus?
title_sort estradiol and covid 19 does 17 estradiol have an immune protective function in women against coronavirus
topic Estradiol
Estrogen Receptor Alpha
Coronavirus
Hormone Replacement Therapy
url https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1787
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AT maryamsarmastshoushtari estradiolandcovid19does17estradiolhaveanimmuneprotectivefunctioninwomenagainstcoronavirus