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Sex differences in viral entry protein expression and host transcript responses to SARS-CoV-2.

Mengying Sun | Rama Shankar | Meehyun Ko | Christopher Daniel Chang | Shan-Ju Yeh | Shilong Li | Ke Liu | Guoli Zhou | Jing Xing | Austin VanVelsen | Tyler VanVelsen | Shreya Paithankar | Benjamin Y Feng | Krista Young | Michael Strug | Lauren Turco | Zichen Wang | Eric Schadt | Rong Chen | Xiaohong Li | Tomiko Oskotsky | Marina Sirota | Benjamin S Glicksberg | Girish N Nadkarni | Adam J Moeser | Li Li | Seungtaek Kim | Jiayu Zhou | Bin Chen
Research square | 2020

Epidemiological studies suggest that men exhibit a higher mortality rate to COVID-19 than women, yet the underlying biology is largely unknown. Here, we seek to delineate sex differences in the gene expression of viral entry proteins ACE2 and TMPRSS2, and host transcriptional responses to SARS-CoV-2 through large-scale analysis of genomic and clinical data. We first compiled 220,000 human gene expression profiles from three databases and completed the meta-information through machine learning and manual annotation. Large scale analysis of these profiles indicated that male samples show higher expression levels of ACE2 and TMPRSS2 than female samples, especially in the older group (>60 years) and in the kidney. Subsequent analysis of 6,031 COVID-19 patients at Mount Sinai Health System revealed that men have significantly higher creatinine levels, an indicator of impaired kidney function. Further analysis of 782 COVID-19 patient gene expression profiles taken from upper airway and blood suggested men and women present distinct expression changes. Computational deconvolution analysis of these profiles revealed male COVID-19 patients have enriched kidney-specific mesangial cells in blood compared to healthy patients. Together, this study suggests biological differences in the kidney between sexes may contribute to sex disparity in COVID-19.

Pubmed ID: 33173861

Associated grants

  • Agency: NIEHS NIH HHS, United States
    Id: K01 ES028047
  • Agency: NIGMS NIH HHS, United States
    Id: R01 GM134307

Publication data is provided by the National Library of Medicine ® and PubMed ®. Data is retrieved from PubMed ® on a weekly schedule. For terms and conditions see the National Library of Medicine Terms and Conditions.

This is a list of tools and resources that we have found mentioned in this publication.


ATCC (tool)

RRID:SCR_001672

Global nonprofit biological resource center (BRC) and research organization that provides biological products, technical services and educational programs to private industry, government and academic organizations. Its mission is to acquire, authenticate, preserve, develop and distribute biological materials, information, technology, intellectual property and standards for the advancement and application of scientific knowledge. The primary purpose of ATCC is to use its resources and experience as a BRC to become the world leader in standard biological reference materials management, intellectual property resource management and translational research as applied to biomaterial development, standardization and certification. ATCC characterizes cell lines, bacteria, viruses, fungi and protozoa, as well as develops and evaluates assays and techniques for validating research resources and preserving and distributing biological materials to the public and private sector research communities.

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Ensembl (tool)

RRID:SCR_002344

Collection of genome databases for vertebrates and other eukaryotic species with DNA and protein sequence search capabilities. Used to automatically annotate genome, integrate this annotation with other available biological data and make data publicly available via web. Ensembl tools include BLAST, BLAT, BioMart and the Variant Effect Predictor (VEP) for all supported species.

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VennDiagram (tool)

RRID:SCR_002414

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RRID:SCR_003697

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RRID:SCR_005622

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RRID:SCR_012835

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RRID:SCR_013318

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RRID:SCR_015683

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STAR (tool)

RRID:SCR_015899

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STAR (tool)

RRID:SCR_004463

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RRID:CVCL_0609

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RRID:CVCL_0059

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