Role of Sex and Age in Fatal Outcomes of COVID-19: Women and Older Centenarians Are More Resilient

被引:15
作者
Caruso, Calogero [1 ]
Marcon, Gabriella [2 ,3 ]
Accardi, Giulia [1 ]
Aiello, Anna [1 ]
Calabro, Anna [1 ]
Ligotti, Mattia Emanuela [1 ]
Tettamanti, Mauro [4 ]
Franceschi, Claudio [5 ]
Candore, Giuseppina [1 ]
机构
[1] Univ Palermo, Dipartimento Biomed Neurosci & Diagnost Avanzata, Lab Immunopatol & Immunosenescenza, I-90134 Palermo, Italy
[2] Univ Trieste, Dipartimento Sci Med Chirurg & Salute, I-34149 Trieste, Italy
[3] Univ Udine, Dipartinento Area Med, I-33100 Udine, Italy
[4] Ist Ric Farmacol Mario Negri IRCCS, Lab Epidemiol Geriatr, I-20156 Milan, Italy
[5] Univ Bologna, Dipartimento Sci Med & Chirurg, Alma Mater Studiorum, I-40126 Bologna, Italy
关键词
age; COVID-19; immune responses; longevity; mortality; narrative review; sex; Spanish flu; INFLUENZA; GENDER;
D O I
10.3390/ijms24032638
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
In the present paper, we have analysed the role of age and sex in the fatal outcome of COVID-19, as there are conflicting results in the literature. As such, we have answered three controversial questions regarding this aspect of the COVID-19 pandemic: (1) Have women been more resilient than men? (2) Did centenarians die less than the remaining older people? (3) Were older centenarians more resistant to SARS-CoV-2 than younger centenarians? The literature review demonstrated that: (1) it is women who are more resilient, in agreement with data showing that women live longer than men even during severe famines and epidemics; however, there are conflicting data regarding centenarian men; (2) centenarians overall did not die less than remaining older people, likely linked to their frailty; (3) in the first pandemic wave of 2020, centenarians > 101 years old (i.e., born before 1919), but not "younger centenarians", have been more resilient to COVID-19 and this may be related to the 1918 Spanish flu epidemic, although it is unclear what the mechanisms might be involved.
引用
收藏
页数:12
相关论文
共 62 条
[1]   COVID-19 Spiraling of Frailty in Older Italian Patients [J].
Abbatecola, A. M. ;
Antonelli-Incalzi, R. .
JOURNAL OF NUTRITION HEALTH & AGING, 2020, 24 (05) :453-455
[2]   How Can We Improve Vaccination Response in Old People? Part I: Targeting Immunosenescence of Innate Immunity Cells [J].
Aiello, Anna ;
Ligotti, Mattia Emanuela ;
Garnica, Maider ;
Accardi, Giulia ;
Calabro, Anna ;
Pojero, Fanny ;
Arasanz, Hugo ;
Bocanegra, Ana ;
Blanco, Ester ;
Chocarro, Luisa ;
Echaide, Miriam ;
Fernandez-Rubio, Leticia ;
Ramos, Pablo ;
Pineiro-Hermida, Sergio ;
Kochan, Grazyna ;
Zareian, Nahid ;
Farzaneh, Farzin ;
Escors, David ;
Caruso, Calogero ;
Candore, Giuseppina .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2022, 23 (17)
[3]   Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention [J].
Aiello, Anna ;
Farzaneh, Farzin ;
Candore, Giuseppina ;
Caruso, Calogero ;
Davinelli, Sergio ;
Gambino, Caterina Maria ;
Ligotti, Mattia Emanuela ;
Zareian, Nahid ;
Accardi, Giulia .
FRONTIERS IN IMMUNOLOGY, 2019, 10
[4]  
Albertsg S.C., 2014, SOCIALITY HIERARCHY, P15
[6]   The COVID-19 pandemic appears to have increased longevity in Japanese centenarians [J].
Aoki, Yuji ;
Mehmet, Sean Collin .
AGE AND AGEING, 2021, 50 (04) :1052-1053
[7]   Androgen regulation of pulmonary AR, TMPRSS2 and ACE2 with implications for sex-discordant COVID-19 outcomes [J].
Baratchian, Mehdi ;
McManus, Jeffrey M. ;
Berk, Mike P. ;
Nakamura, Fumihiko ;
Mukhopadhyay, Sanjay ;
Xu, Weiling ;
Erzurum, Serpil ;
Drazba, Judy ;
Peterson, John ;
Klein, Eric A. ;
Gaston, Benjamin ;
Sharifi, Nima .
SCIENTIFIC REPORTS, 2021, 11 (01)
[8]   A public health perspective of aging: do hyper-inflammatory syndromes such as COVID-19, SARS, ARDS, cytokine storm syndrome, and post-ICU syndrome accelerate short- and long-term inflammaging? [J].
Bektas, Arsun ;
Schurman, Shepherd H. ;
Franceschi, Claudio ;
Ferrucci, Luigi .
IMMUNITY & AGEING, 2020, 17 (01)
[9]   TLR7 Ligands induce higher IFN-α production in females [J].
Berghofer, Beate ;
Frommer, Ture ;
Haley, Gabriela ;
Fink, Ludger ;
Bein, Gregor ;
Hackstein, Holger .
JOURNAL OF IMMUNOLOGY, 2006, 177 (04) :2088-2096
[10]   Gut Microbiota and Extreme Longevity [J].
Biagi, Elena ;
Franceschi, Claudio ;
Rampelli, Simone ;
Severgnini, Marco ;
Ostan, Rita ;
Turroni, Silvia ;
Consolandi, Clarissa ;
Quercia, Sara ;
Scurti, Maria ;
Monti, Daniela ;
Capri, Miriam ;
Brigidi, Patrizia ;
Candela, Marco .
CURRENT BIOLOGY, 2016, 26 (11) :1480-1485