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Dermatological Reviews
Article . 2020 . Peer-reviewed
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COVID‐19, androgens, and androgenic alopecia

Authors: Wambier, Carlos Gustavo; Mehta, Nina; Goren, Andy; Cadegiani, Flavio A.;

COVID‐19, androgens, and androgenic alopecia

Abstract

AbstractThe severity of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) in males may be due to the higher androgen expression. It is also known that androgen sensitivity is correlated with androgenic alopecia. The “Gabrin sign” identifies those with severe androgen alopecia (Hamilton Norwood scale = 3–7) who are at a higher risk for developing severe coronavirus disease 2019 (COVID‐19) symptoms. The aim of this review article is to examine the current scientific evidence of the link between androgenic alopecia, androgens, and the severity of COVID‐19 and also, to review possible therapeutic targets to impact COVID‐19 outcomes.The activation of the androgen receptor results in an increase in tissular expression of TMPRSS2 a protease that primes the spikes of SARS‐CoV‐2 for infectivity, resulting in the potential increase of viral load and dissemination through organs.Therapies directed at suppressing the androgen expression have demonstrated clinical applicability to modify the host's vulnerability to COVID‐19. This brings new insight to interventional virology research, particularly in respiratory viruses, such as coronavirus and influenza, which depend on TMPRSS2 surface antigen priming for infectivity.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Top 10%
Top 10%
Top 10%
hybrid