Table 3.
Summarization of the potential role of ERMs including estrogen in COVID-19.
Function | Potential Effect of ERM | Dependence on ERM Binding to ER | Potential Clinical/Therapeutic Effect |
---|---|---|---|
Pulmonary function | Stimulated | Yes [21,29] | Yes |
ACE2 expression in airways | Reduced | Yes [9] | Yes |
Cardiovascular function | Stimulated | Yes [21] | Yes |
Vascular endothelium injury | Reduced | No [21] | Yes |
Increased vascular permeability | Reduced | Yes/No [21] | Yes |
Immune response against SARS−CoV−2 | Stimulated | Yes [16] | Yes |
Sensitivity to vaccination | Stimulated | Yes [16] | Yes |
Hypersecretion of cytokines including IL-6 | Reduced | Yes [16,68] | Yes |
IL-6 binding to receptor | Reduced | No [96,99] | Yes |
Virus replication (virus entry) | Reduced | Yes/No (see Table 1) | Yes |
Virus replication (release of RNA from endosome) | Reduced | No (see Table 1) | Yes |
Virus replication (inhibition of proteases) | Reduced | No (see Table 1, [77]) | Yes |