Evidence map›Paper›PMID 34768939›Full record

ArticleInternational journal of molecular sciences2021

Structural and Functional Analysis of Female Sex Hormones against SARS-CoV-2 Cell Entry.

Jorge Alberto Aguilar-Pineda, Mazen Albaghdadi, Wanlin Jiang, Karin J Vera-Lopez, Rita Nieto-Montesinos, Karla Lucia F Alvarez, Gonzalo Davila Del-Carpio, Badhin Gómez, Mark E Lindsay, Rajeev Malhotra and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Sex Differences in Lung Immunity.Immunological reviews · 2026
    Review
  2. Estrogen and viral infection.Frontiers in immunology · 2025
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. COVID-19 complications in males and females: recent developments.Journal of comparative effectiveness research · 2022
    Review
  10. The SARS-CoV-2 spike protein binds and modulates estrogen receptors.bioRxiv : the preprint server for biology · 2022
    Article
  11. Article
  12. Article
  13. Why are COVID-19 fatality rates among medical doctors higher than those among medical nurses?International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Jorge Alberto Aguilar-PinedaLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, Peru.ORCID 0000-0003-2921-5681
Mazen AlbaghdadiCardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Wanlin JiangCardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.ORCID 0000-0001-9631-2540
Karin J Vera-LopezLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, Peru.
Rita Nieto-MontesinosLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, Peru.
Karla Lucia F AlvarezLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, Peru.
Gonzalo Davila Del-CarpioLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, Peru.
Badhin GómezLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, Peru.ORCID 0000-0001-6539-1207
Mark E LindsayCardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Rajeev MalhotraCardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.ORCID 0000-0003-0120-4630
Christian L Lino CardenasCardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.ORCID 0000-0001-5491-4375
Catholic University of Santa María · PEHarvard University · US

Funding

MULTIDISCIPLINARY RESEARCH TRAINING IN CARDIOLOGYT32HL007208 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Patrick Thomas Ellinor, David E Sosnovik · 1985 to 2026
$16.1M
The Role of Histone Deacetylase 9 in Vascular CalcificationR01HL142809 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MALHOTRA, RAJEEV · 2018 to 2022
$4.0M
NHLBI NIH HHS R01 HL142809NHLBI NIH HHS T32 HL007208
6 · The paper itself

Abstract

Emerging evidence suggests that males are more susceptible to severe infection by the SARS-CoV-2 virus than females. A variety of mechanisms may underlie the observed gender-related disparities including differences in sex hormones. However, the precise mechanisms by which female sex hormones may provide protection against SARS-CoV-2 infectivity remains unknown. Here we report new insights into the molecular basis of the interactions between the SARS-CoV-2 spike (S) protein and the human ACE2 receptor. We further report that glycosylation of the ACE2 receptor enhances SARS-CoV-2 infectivity. Importantly, estrogens can disrupt glycan-glycan interactions and glycan-protein interactions between the human ACE2 and the SARS-CoV-2 thereby blocking its entry into cells. In a mouse model of COVID-19, estrogens reduced ACE2 glycosylation and thereby alveolar uptake of the SARS-CoV-2 spike protein. These results shed light on a putative mechanism whereby female sex hormones may provide protection from developing severe infection and could inform the development of future therapies against COVID-19.

Indexed as

Angiotensin-Converting Enzyme 2AnimalsBiological TransportCOVID-19COVID-19 Drug TreatmentDisease Models, AnimalEstrogensGlycosylationHumansHuman Umbilical Vein Endothelial CellsMaleMiceMice, Inbred C57BLModels, MolecularMolecular Docking SimulationMolecular Dynamics SimulationACE2 protein, humanAngiotensin-Converting Enzyme 2EstrogensPolysaccharidesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2TunicamycinACE2COVID-19estrogenessex hormones

Identifiers

PMID34768939
PMCPMC8584232
OpenAlexW3210264061

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.