id author title date pages extension mime words sentences flesch summary cache txt cord-352744-dd2rbsla Pagano, Maria Teresa Vitamin D and Sex Differences in COVID-19 2020-09-30 .txt text/plain 1507 68 35 In particular, it plays a key role in the control of the cytokine storm, i.e., the sudden acute increase in circulating levels of different pro-inflammatory cytokines, induced in several inflammatory conditions and also in COVID-19 (7) . ACE2 plays a protective role in acute respiratory distress syndrome and higher levels of ACE2 seem to be associated with better outcomes for lung diseases and, in particular, for COVID-19 (11) (12) (13) . To note, epidemiological data indicate that COVID-19 has a significantly higher lethality in men than in women (ratios up to 3:1), suggesting the presence of sex-dependent biological factors underlying these differences in disease outcome (16, 17) . Interestingly, sex differences have been observed in the immunomodulatory and anti-inflammatory effects of Vitamin D3 in some autoimmune diseases. In particular, it is tempting to hypothesize that the synergy between Vitamin D3 and estrogen could affect the sex differences in the outcome of patients with COVID-19. ./cache/cord-352744-dd2rbsla.txt ./txt/cord-352744-dd2rbsla.txt