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Sex, Immunity and Influenza

Identifieur interne : 001D83 ( PascalFrancis/Curation ); précédent : 001D82; suivant : 001D84

Sex, Immunity and Influenza

Auteurs : Gülsah Gabriel [Allemagne] ; Petra Clara Arck [Allemagne]

Source :

RBID : Pascal:14-0233981

Descripteurs français

English descriptors

Abstract

Sex-specific endocrine and immune responses are widely recognized to account for differential disease outcomes between females and males. Surprisingly, sex-specific risk assessments for influenza, a viral pathogen that affects human populations worldwide through seasonal epidemics and irregular occurring pandemics, are sparse and-if available-ambiguous. To date, this precludes proposing an unequivocal sex-dependent susceptibility to influenza. However, one undisputable observation recurrently confirmed during influenza seasons of the last decades is the significantly increased risk for pregnant women. This increased risk is likely attributable to the contradictory demands for the maternal immune system to adapt to pregnancy and to simultaneously mount an immune response to clear the influenza virus infection. Here, we review published evidence on the potential association between sex on influenza risk and propose that future epidemiologic studies should carefully dissect surveillance data for sex-specific effects. Moreover, we propose potential mechanisms involved in enhanced risk for severe influenza during pregnancy that could be studied to identify causal pathways.
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A08 01  1  ENG  @1 Sex, Immunity and Influenza
A09 01  1  ENG  @1 Sex Differences in the Manifestations of Infectious Diseases
A11 01  1    @1 GABRIEL (Gülsah)
A11 02  1    @1 ARCK (Petra Clara)
A12 01  1    @1 ALTFELD (Marcus) @9 ed.
A14 01      @1 Heinrich-Pette-Institute, Leibniz Institute for Experimental Virology, University Medical Center Hamburg-Eppendorf @3 DEU @Z 1 aut.
A14 02      @1 Department of Obstetrics and Fetal Medicine, Laboratory for Experimental Feto-Maternal Medicine, University Medical Center Hamburg-Eppendorf @3 DEU @Z 2 aut.
A15 01      @1 Heinrich-Pette-Institute, Leibniz Institute for Experimental Virology @2 Hamburg @3 DEU @Z 1 aut.
A15 02      @1 Massachusetts Institute of Technology and Harvard, Ragon Institute of Massachusetts General Hospital @2 Boston @3 USA @Z 1 aut.
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C01 01    ENG  @0 Sex-specific endocrine and immune responses are widely recognized to account for differential disease outcomes between females and males. Surprisingly, sex-specific risk assessments for influenza, a viral pathogen that affects human populations worldwide through seasonal epidemics and irregular occurring pandemics, are sparse and-if available-ambiguous. To date, this precludes proposing an unequivocal sex-dependent susceptibility to influenza. However, one undisputable observation recurrently confirmed during influenza seasons of the last decades is the significantly increased risk for pregnant women. This increased risk is likely attributable to the contradictory demands for the maternal immune system to adapt to pregnancy and to simultaneously mount an immune response to clear the influenza virus infection. Here, we review published evidence on the potential association between sex on influenza risk and propose that future epidemiologic studies should carefully dissect surveillance data for sex-specific effects. Moreover, we propose potential mechanisms involved in enhanced risk for severe influenza during pregnancy that could be studied to identify causal pathways.
C02 01  X    @0 002A05
C02 02  X    @0 002B05
C03 01  X  FRE  @0 Sexe @5 05
C03 01  X  ENG  @0 Sex @5 05
C03 01  X  SPA  @0 Sexo @5 05
C03 02  X  FRE  @0 Infection @5 06
C03 02  X  ENG  @0 Infection @5 06
C03 02  X  SPA  @0 Infección @5 06
C03 03  X  FRE  @0 Grippe @5 14
C03 03  X  ENG  @0 Influenza @5 14
C03 03  X  SPA  @0 Gripe @5 14
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
N21       @1 279
N44 01      @1 OTO
N82       @1 OTO

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Pascal:14-0233981

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