Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?

<h3>Background</h3><p dir="ltr">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...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Abu Saleh Md Moin (6189512) (author)
مؤلفون آخرون: Thozhukat Sathyapalan (704787) (author), Alexandra E. Butler (6189536) (author), Stephen L. Atkin (6684368) (author)
منشور في: 2021
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author Abu Saleh Md Moin (6189512)
author2 Thozhukat Sathyapalan (704787)
Alexandra E. Butler (6189536)
Stephen L. Atkin (6684368)
author2_role author
author
author
author_facet Abu Saleh Md Moin (6189512)
Thozhukat Sathyapalan (704787)
Alexandra E. Butler (6189536)
Stephen L. Atkin (6684368)
author_role author
dc.creator.none.fl_str_mv Abu Saleh Md Moin (6189512)
Thozhukat Sathyapalan (704787)
Alexandra E. Butler (6189536)
Stephen L. Atkin (6684368)
dc.date.none.fl_str_mv 2021-02-25T03:00:00Z
dc.identifier.none.fl_str_mv 10.3389/fendo.2021.638621
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Vitamin_D_Association_With_Macrophage-Derived_Cytokines_in_Polycystic_Ovary_Syndrome_An_Enhanced_Risk_of_COVID-19_Infection_/25867675
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Immunology
COVID-19 risk factors
polycystic ovary disease
vitamin D
macrophage
cytokines
dc.title.none.fl_str_mv Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">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.</p><h3>Methods</h3><p dir="ltr">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.</p><h3>Results</h3><p dir="ltr">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-γ 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.</p><h3>Conclusion</h3><p dir="ltr">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.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Endocrinology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fendo.2021.638621" target="_blank">https://dx.doi.org/10.3389/fendo.2021.638621</a></p>
eu_rights_str_mv openAccess
id Manara2_4dae41530c23e91614f20eec16c9a7ea
identifier_str_mv 10.3389/fendo.2021.638621
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/25867675
publishDate 2021
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spelling Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?Abu Saleh Md Moin (6189512)Thozhukat Sathyapalan (704787)Alexandra E. Butler (6189536)Stephen L. Atkin (6684368)Biomedical and clinical sciencesClinical sciencesImmunologyCOVID-19 risk factorspolycystic ovary diseasevitamin Dmacrophagecytokines<h3>Background</h3><p dir="ltr">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.</p><h3>Methods</h3><p dir="ltr">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.</p><h3>Results</h3><p dir="ltr">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-γ 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.</p><h3>Conclusion</h3><p dir="ltr">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.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Endocrinology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fendo.2021.638621" target="_blank">https://dx.doi.org/10.3389/fendo.2021.638621</a></p>2021-02-25T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3389/fendo.2021.638621https://figshare.com/articles/journal_contribution/Vitamin_D_Association_With_Macrophage-Derived_Cytokines_in_Polycystic_Ovary_Syndrome_An_Enhanced_Risk_of_COVID-19_Infection_/25867675CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/258676752021-02-25T03:00:00Z
spellingShingle Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?
Abu Saleh Md Moin (6189512)
Biomedical and clinical sciences
Clinical sciences
Immunology
COVID-19 risk factors
polycystic ovary disease
vitamin D
macrophage
cytokines
status_str publishedVersion
title Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?
title_full Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?
title_fullStr Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?
title_full_unstemmed Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?
title_short Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?
title_sort Vitamin D Association With Macrophage-Derived Cytokines in Polycystic Ovary Syndrome: An Enhanced Risk of COVID-19 Infection?
topic Biomedical and clinical sciences
Clinical sciences
Immunology
COVID-19 risk factors
polycystic ovary disease
vitamin D
macrophage
cytokines