Evidence map›Paper›PMID 34054557›Full record

ArticleFrontiers in pharmacology2021

Synergy Between Vitamin D and Sex Hormones in Respiratory Functionality of Patients Affected by COVID-19.

Daniela Peruzzu, Maria Teresa Pagano, Marina Pierdominici, Anna Ruggieri, Andrea Antinori, Gianpiero D'Offizi, Nicola Petrosillo, Fabrizio Palmieri, Pierluca Piselli, Evangelo Boumis and 8 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Influence of Sex and 1,25α Dihydroxyvitamin DPathogens (Basel, Switzerland) · 2025
    Article
  4. Review
  5. Could SARS-CoV-2 infection affect male fertility and sexuality?APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 1 country.

Daniela PeruzzuCenter for Gender Specific Medicine, Istituto Superiore di Sanità, Rome, Italy.
Maria Teresa PaganoCenter for Gender Specific Medicine, Istituto Superiore di Sanità, Rome, Italy.
Marina PierdominiciCenter for Gender Specific Medicine, Istituto Superiore di Sanità, Rome, Italy.
Anna RuggieriCenter for Gender Specific Medicine, Istituto Superiore di Sanità, Rome, Italy.
Andrea AntinoriNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Gianpiero D'OffiziNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Nicola PetrosilloNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Fabrizio PalmieriNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Pierluca PiselliNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Evangelo BoumisNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Stefania NotariNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Emanuele NicastriNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Chiara AgratiNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Giuseppe IppolitoNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Maria Cristina GagliardiCenter for Gender Specific Medicine, Istituto Superiore di Sanità, Rome, Italy.
Maria Rosaria CapobianchiNational Institute for Infectious Diseases, Lazzaro Spallanzani, IRCCS, Rome, Italy.
Elena OrtonaCenter for Gender Specific Medicine, Istituto Superiore di Sanità, Rome, Italy.
INMI-ISS COVID-19 Team
Istituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Superiore di Sanità · ITIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The outcome of COVID-19 appears to be influenced by vitamin D status of population. Although epidemiological data indicate that COVID-19 produces more severe symptoms and higher mortality in elderly in comparison to young patients and in men in comparison to women to date sex and age differences in vitamin D status in infected patients have not been evaluated yet. In this study we evaluated the levels of circulating 25(OH)D in patients hospitalized for COVID-19 divided accordingly to their sex and age. We also correlated 25(OH)D levels with patient's respiratory status (i.e., PaO2/FiO2 ratio) and with sex hormones plasma levels to analyze the potential relationship of these parameters. We found no significant differences in plasma levels of 25(OH)D between pre- and post-menopausal female patients and age matched male patients. Interestingly, the 25(OH)D plasma levels positively correlated to PaO2/FiO2 ratio only in young patients, regardless of their sex. We also found a significantly positive correlation between 17β-estradiol and 25(OH)D in elderly women and between testosterone and 25(OH)D in elderly men, supporting the role of sex hormones in maintaining 25(OH)D levels. In conclusion, we suggest that a synergy between vitamin D and sex hormones could contribute to the age-related outcome of COVID-19.

Indexed as

genderSARS-CoV-2sex differencessex hormonesvitamin D

Identifiers

PMID34054557
PMCPMC8155348
OpenAlexW3160809780

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.