Evidence map›Paper›PMID 40558589›Full record

ReviewDiseases (Basel, Switzerland)2025

Sex Differences in Immune Responses to Infectious Diseases: The Role of Genetics, Hormones, and Aging.

Pierluigi Rio, Mario Caldarelli, Edoardo Miccoli, Giulia Guazzarotti, Antonio Gasbarrini, Giovanni Gambassi, Rossella Cianci

Abstract readReview
In one paragraph

Review in Diseases (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Pierluigi RioDepartment of Medical and Surgical Sciences, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0002-8659-3091
Mario CaldarelliDepartment of Medical and Surgical Sciences, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0001-5308-7072
Edoardo MiccoliDepartment of Medical and Surgical Sciences, Catholic University of Sacred Heart, 00168 Rome, Italy.
Giulia GuazzarottiDepartment of Medical and Surgical Sciences, Catholic University of Sacred Heart, 00168 Rome, Italy.
Antonio GasbarriniDepartment of Medical and Surgical Sciences, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0002-6230-1779
Giovanni GambassiDepartment of Medical and Surgical Sciences, Catholic University of Sacred Heart, 00168 Rome, Italy.
Rossella CianciDepartment of Medical and Surgical Sciences, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0001-5378-8442

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, gender medicine has emerged as a field of research analyzing sex-related differences in health and disease. Biological sex, depending on sex chromosome complement, sex steroid hormones, and reproductive organs, has been demonstrated to influence human susceptibility to infections, immune responses against pathogens, the clinical severity of infectious diseases, and responses to the available treatments. Men and women differ in their chromosome set, with men having one X chromosome (XY) and women two (XX). This different genetic composition results in a sex-dimorphic expression of genes and pathways involved in immune regulation, as well as in shaping immune responses to infectious agents. Moreover, estrogen, progesterone, and testosterone, impacting cells and pathways involved in both innate and adaptive immunity, have been shown to drive sex dimorphism in infectious diseases. This narrative review aims to explore the sex-related differences in responses to infections, specifically focusing on the underlying genetic and hormonal mechanisms. Hence, aging-related changes in the immune system and their potential impact on immune responses against pathogens will be discussed. Understanding sex differences and stratifying the population according to them will open the door to precision medicine and personalized patient care.

Indexed as

gender medicinegeneticshormonesimmune systeminfectious diseases

Identifiers

PMID40558589
PMCPMC12191887

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.