Association of DHEAS levels with COVID19 severity, gender, age, comorbidities, and management strategies

Abstract COVID-19 has globally impacted millions. This study investigates DHEAS (dehydroepiandrosterone sulfate) as a factor for COVID-19 progression, analyzing its relationship with disease status, temporal patterns, age, gender, and comorbidities to improve outcomes. DHEAS was quantified with a co...

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Main Authors: Tahereh Jamali, Sussan Kaboudanian Ardestani, Mohammad-Reza Vaez-Mahdavi, Arezou Rezaei, Mohammad Mehdi Naghizadeh, Fatemeh Tuserkani, HosseinAli Khazaei, Ali Khodadadi, Bahman Khazaei, Keivan Latifi, Tooba Ghazanfari
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-05919-9
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author Tahereh Jamali
Sussan Kaboudanian Ardestani
Mohammad-Reza Vaez-Mahdavi
Arezou Rezaei
Mohammad Mehdi Naghizadeh
Fatemeh Tuserkani
HosseinAli Khazaei
Ali Khodadadi
Bahman Khazaei
Keivan Latifi
Tooba Ghazanfari
author_facet Tahereh Jamali
Sussan Kaboudanian Ardestani
Mohammad-Reza Vaez-Mahdavi
Arezou Rezaei
Mohammad Mehdi Naghizadeh
Fatemeh Tuserkani
HosseinAli Khazaei
Ali Khodadadi
Bahman Khazaei
Keivan Latifi
Tooba Ghazanfari
author_sort Tahereh Jamali
collection DOAJ
description Abstract COVID-19 has globally impacted millions. This study investigates DHEAS (dehydroepiandrosterone sulfate) as a factor for COVID-19 progression, analyzing its relationship with disease status, temporal patterns, age, gender, and comorbidities to improve outcomes. DHEAS was quantified with a competitive chemiluminescent immunoassay. We conducted DHEAS analysis across different days. COVID-19 patients, particularly inpatients, have lower DHEAS levels compared to controls. DHEAS levels in COVID-19 patients showed a dynamic pattern, with an initial decline followed by recovery. The scatter plot analysis suggested COVID-19 could increase the age-related decline in DHEAS among males. Comorbidities, including hypertension, heart disease, and diabetes mellitus, were prevalent among COVID-19 patients and correlated with disease severity. Hypertension moderated the relationship between hospitalization and DHEAS, especially in females. Our findings showed a significant association between lower DHEAS and COVID-19 severity, along with temporal dynamics. COVID-19’s potential to increase the age-related decline in DHEAS, especially in males, underscores its intricate relationship with age. Hypertension’s influence on DHEAS suggests a gender-specific effect, emphasizing tailored management approaches. These findings offer valuable insights into the interaction between COVID-19, hormonal dynamics, and demographic factors, suggesting that DHEAS levels may play a role in the pathophysiology of the disease and could be considered alongside other markers.
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spelling doaj-art-3f4f13e645734d70837fe2caabdcd17c2025-08-20T03:03:40ZengNature PortfolioScientific Reports2045-23222025-07-0115111410.1038/s41598-025-05919-9Association of DHEAS levels with COVID19 severity, gender, age, comorbidities, and management strategiesTahereh Jamali0Sussan Kaboudanian Ardestani1Mohammad-Reza Vaez-Mahdavi2Arezou Rezaei3Mohammad Mehdi Naghizadeh4Fatemeh Tuserkani5HosseinAli Khazaei6Ali Khodadadi7Bahman Khazaei8Keivan Latifi9Tooba Ghazanfari10Immunoregulation Research Center, Shahed UniversityInstitute of Biochemistry and Biophysics, University of TehranDepartment of Health Equity, Immunoregulation Research Center, Shahed UniversitySchool of Biological Science, Damghan UniversityNon Communicable Diseases Research Center, Fasa University of Medical ScienceImmunoregulation Research Center, Shahed UniversityClinical Immunology Research Center (CIRC) of Zahedan, University of Medical SciencesDepartment of Immunology, School of Medicine, Ahvaz Jundishapur University of Medical SciencesClinical Immunology Research Center (CIRC) of Zahedan, University of Medical Sciences10- Critical Care Medicine, Department of Anesthesiology, School of Allied Medical Sciences, Mazandaran University of Medical ScienceImmunoregulation Research Center, Shahed UniversityAbstract COVID-19 has globally impacted millions. This study investigates DHEAS (dehydroepiandrosterone sulfate) as a factor for COVID-19 progression, analyzing its relationship with disease status, temporal patterns, age, gender, and comorbidities to improve outcomes. DHEAS was quantified with a competitive chemiluminescent immunoassay. We conducted DHEAS analysis across different days. COVID-19 patients, particularly inpatients, have lower DHEAS levels compared to controls. DHEAS levels in COVID-19 patients showed a dynamic pattern, with an initial decline followed by recovery. The scatter plot analysis suggested COVID-19 could increase the age-related decline in DHEAS among males. Comorbidities, including hypertension, heart disease, and diabetes mellitus, were prevalent among COVID-19 patients and correlated with disease severity. Hypertension moderated the relationship between hospitalization and DHEAS, especially in females. Our findings showed a significant association between lower DHEAS and COVID-19 severity, along with temporal dynamics. COVID-19’s potential to increase the age-related decline in DHEAS, especially in males, underscores its intricate relationship with age. Hypertension’s influence on DHEAS suggests a gender-specific effect, emphasizing tailored management approaches. These findings offer valuable insights into the interaction between COVID-19, hormonal dynamics, and demographic factors, suggesting that DHEAS levels may play a role in the pathophysiology of the disease and could be considered alongside other markers.https://doi.org/10.1038/s41598-025-05919-9COVID-19DHEASInpatientsOutpatientsComorbidity diseases
spellingShingle Tahereh Jamali
Sussan Kaboudanian Ardestani
Mohammad-Reza Vaez-Mahdavi
Arezou Rezaei
Mohammad Mehdi Naghizadeh
Fatemeh Tuserkani
HosseinAli Khazaei
Ali Khodadadi
Bahman Khazaei
Keivan Latifi
Tooba Ghazanfari
Association of DHEAS levels with COVID19 severity, gender, age, comorbidities, and management strategies
Scientific Reports
COVID-19
DHEAS
Inpatients
Outpatients
Comorbidity diseases
title Association of DHEAS levels with COVID19 severity, gender, age, comorbidities, and management strategies
title_full Association of DHEAS levels with COVID19 severity, gender, age, comorbidities, and management strategies
title_fullStr Association of DHEAS levels with COVID19 severity, gender, age, comorbidities, and management strategies
title_full_unstemmed Association of DHEAS levels with COVID19 severity, gender, age, comorbidities, and management strategies
title_short Association of DHEAS levels with COVID19 severity, gender, age, comorbidities, and management strategies
title_sort association of dheas levels with covid19 severity gender age comorbidities and management strategies
topic COVID-19
DHEAS
Inpatients
Outpatients
Comorbidity diseases
url https://doi.org/10.1038/s41598-025-05919-9
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