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2022, Number 2

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Dermatología Cosmética, Médica y Quirúrgica 2022; 20 (2)

Anti-androgens: possible new treatment against covid-19 infection?

Ocampo-Garza SS, Vastarella M, Donnarumma M, Nappa P, Cantelli M, Villani A, Fabbrocini G, Ocampo-Candiani J
Full text How to cite this article

Language: English
References: 9
Page: 263-264
PDF size: 101.54 Kb.


Key words:

androgenetic alopecia, COVID-19, anti-androgens, finasteride, dutasteride, spironolactone.

ABSTRACT

Recent studies suggest men are more affected by coronavirus disease than women. Coronavirus infectivity depends on the entry via; it binds its viral spike (S) protein to the angiotensinconverting enzyme 2 (ACE2) receptor, and on S protein priming by transmembrane serine protease type ll (TMPRSS2). The androgen receptor activity is required for the TMPRSS2 transcription. ACE2 is also affected by androgenic hormones. This androgen-dependent regulation in the lungs may explain the increased susceptibility of men to COVID-19 infection. Androgen deprivation therapies may represent a promising treatment against SARS-COV-2 infection.


REFERENCES

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  2. Mjaess G, Karam A, Aoun F, Albisinni S, Roumeguere T. covid-19 andthe male susceptibility: the role of ace2, tmprss2 and the androgenreceptor, Prog en Urol 2020; 30:484-7.

  3. Cadegiani FA, Goren A y Wambier CG, Spironolactone may provideprotection from sars-cov-2: targeting androgens, angiotensin convertingenzyme 2, and renin-angiotensin-aldosterone system, MedHypotheses 2020; 143:110112.

  4. Wambier CG, Goren A, Vaño-Galván S et al., Androgen sensitivity gatewayto covid-19 disease severity, Drug Dev Res 2020; 81:771-6.

  5. Wambier CG, Vaño-Galván S, McCoy J et al., Androgenetic alopeciapresent in the majority of patients hospitalized with covid-19: the“Gabrin sign”, J Am Acad Dermatol 2020; 83:680-82.

  6. Patel VG, Zhong X, Liaw B et al., Does androgen deprivation therapyprotect against severe complications from covid-19?, Ann Oncol 2020;31:1419-20.

  7. McCoy J, Id O, Wambier C et al., 5-Alpha-reductase inhibitors are associatedwith reduced frequency of covid-19 symptoms in males withandrogenetic alopecia, J Eur Acad Dermatol Venereol 2021; 35:e243-6.

  8. Goren A, Wambier CG, Herrera S et al., Anti-androgens may protectagainst severe covid-19 outcomes: results from a prospective cohortstudy of 77 hospitalized men, J Eur Acad Dermatol Venereol 2021; 35:e13-5.

  9. Cadegiani F, McCoy J, Wambier CG et al., Proxalutamide significantlyaccelerates viral clearance and reduces time to clinical remission inpatients with mild to moderate covid-19: results from a randomized,double-blinded, placebo-controlled trial, Cureus 2021; 13(2):e13492.




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C?MO CITAR (Vancouver)

Dermatología Cosmética, Médica y Quirúrgica. 2022;20