Sex differences in innate anti-viral immune responses to respiratory viruses and in their clinical outcomes in a birth cohort study.

Eteri Regis, Sara Fontanella, Lijing Lin, Rebecca Howard, Sadia Haider, John A Curtin, Michael R Edwards, Magnus Rattray, Angela Simpson, Adnan Custovic, Sebastian L Johnston

Scientific reports 2021 Dec 09

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The mechanisms explaining excess morbidity and mortality in respiratory infections among males are poorly understood. Innate immune responses are critical in protection against respiratory virus infections. We hypothesised that innate immune responses to respiratory viruses may be deficient in males. We stimulated peripheral blood mononuclear cells from 345 participants at age 16 years in a population-based birth cohort with three live respiratory viruses (rhinoviruses A16 and A1, and respiratory syncytial virus) and two viral mimics (R848 and CpG-A, to mimic responses to SARS-CoV-2) and investigated sex differences in interferon (IFN) responses. IFN-α responses to all viruses and stimuli were 1.34-2.06-fold lower in males than females (P = 0.018 - < 0.001). IFN-β, IFN-γ and IFN-induced chemokines were also deficient in males across all stimuli/viruses. Healthcare records revealed 12.1% of males and 6.6% of females were hospitalized with respiratory infections in infancy (P = 0.017). In conclusion, impaired innate anti-viral immunity in males likely results in high male morbidity and mortality from respiratory virus infections. © 2021. The Author(s).

Citation

Eteri Regis, Sara Fontanella, Lijing Lin, Rebecca Howard, Sadia Haider, John A Curtin, Michael R Edwards, Magnus Rattray, Angela Simpson, Adnan Custovic, Sebastian L Johnston. Sex differences in innate anti-viral immune responses to respiratory viruses and in their clinical outcomes in a birth cohort study. Scientific reports. 2021 Dec 09;11(1):23741