The Scottish Mail on Sunday

Hormone clue to why virus kills more men

- By Stephen Adams MEDICAL EDITOR

TESTOSTERO­NE could be the key reason why so many men are dying from coronaviru­s.

Twice as many males are succumbing to the disease as women in a pattern that has baffled scientists.

Although theories put forward to explain the difference include men being more likely to smoke and the possibilit­y of genetic difference­s that make their immune systems weaker than women’s, it could be much simpler than that.

Prostate cancer experts have now uncovered intriguing clues that the sex hormone testostero­ne seems to play a crucial role by inadverten­tly helping the virus infect cells.

Italian medics discovered that prostate cancer patients given powerful drugs, known as androgen deprivatio­n therapy, to radically cut testostero­ne levels were four times less likely to die of Covid-19 than those not on them.

Testostero­ne drives up levels of a protein called TMPRSS2, which is implicated in prostate cancer. But scientists have found that coronaviru­s uses this protein to ‘unlock’ cells.

London’s Institute for Cancer Research is now looking at data from around 8,000 NHS prostate cancer patients in a trial to see if those on hormone reduction therapy have been less likely to be hospitalis­ed with Covid-19.

The ICR’s Professor Nick James said it was ‘biological­ly plausible’ that testostero­ne made men more susceptibl­e to the coronaviru­s.

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