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10.3389/fendo.2021.638621

http://scihub22266oqcxt.onion/10.3389/fendo.2021.638621
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suck abstract from ncbi


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pmid33716989      Front+Endocrinol+(Lausanne) 2021 ; 12 (ä): 638621
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  • Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection? #MMPMID33716989
  • Moin ASM; Sathyapalan T; Butler AE; Atkin SL
  • Front Endocrinol (Lausanne) 2021[]; 12 (ä): 638621 PMID33716989show ga
  • BACKGROUND: Women with polycystic ovary syndrome (PCOS) often have vitamin D deficiency, a known risk factor for severe COVID-19 disease. Alveolar macrophage-derived cytokines contribute to the inflammation underlying pulmonary disease in COVID-19. We sought to determine if basal macrophage activation, as a risk factor for COVID-19 infection, was present in PCOS and, if so, was further enhanced by vitamin D deficiency. METHODS: A cross-sectional study in 99 PCOS and 68 control women who presented sequentially. Plasma levels of a macrophage-derived cytokine panel were determined by Slow Off-rate Modified Aptamer (SOMA)-scan plasma protein measurement. Vitamin D was measured by tandem mass spectroscopy. RESULTS: Vitamin D was lower in PCOS women (p<0.0001) and correlated negatively with body mass index (BMI) in PCOS (r=0.28, p=0.0046). Basal macrophage activation markers CXCL5, CD163 and MMP9 were elevated, whilst protective CD200 was decreased (p<0.05); changes in these variables were related to, and fully accounted for, by BMI. PCOS and control women were then stratified according to vitamin D concentration. Vitamin D deficiency was associated with decreased CD80 and IFN-gamma in PCOS and IL-12 in both groups (p<0.05). These factors, important in initiating and maintaining the immune response, were again accounted for by BMI. CONCLUSION: Basal macrophage activation was higher in PCOS with macrophage changes related with increased infection risk associating with vitamin D; all changes were BMI dependent, suggesting that obese PCOS with vitamin D deficiency may be at greater risk of more severe COVID-19 infection, but that it is obesity-related rather than an independent PCOS factor.
  • |Adult[MESH]
  • |Biomarkers/analysis[MESH]
  • |Blood Proteins/analysis[MESH]
  • |Body Mass Index[MESH]
  • |COVID-19/complications/*epidemiology/immunology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Cytokines/*metabolism[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Macrophage Activation[MESH]
  • |Macrophages/chemistry/*metabolism[MESH]
  • |Polycystic Ovary Syndrome/complications/*epidemiology/immunology[MESH]
  • |Risk Assessment[MESH]
  • |Tandem Mass Spectrometry[MESH]
  • |Vitamin D Deficiency/complications/*epidemiology[MESH]


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