Publication date: Jul 01, 2025
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.

Open Access PDF
Semantics
| Type | Source | Name |
|---|---|---|
| disease | MESH | COVID19 |
| drug | DRUGBANK | Prasterone sulfate |
| disease | MESH | hypertension |
| disease | MESH | heart disease |
| disease | MESH | diabetes mellitus |
| disease | IDO | role |
| disease | MESH | Long Covid |
| disease | MESH | Comorbidity |
| disease | IDO | infectivity |
| disease | MESH | cardiovascular diseases |
| pathway | REACTOME | Immune System |
| disease | MESH | inflammation |
| disease | MESH | oxidative stress |
| drug | DRUGBANK | Prasterone |
| disease | MESH | Communicable Diseases |
| drug | DRUGBANK | Coenzyme M |
| drug | DRUGBANK | Cholesterol |
| disease | MESH | coronary heart disease |
| disease | MESH | heart failure |
| disease | MESH | pulmonary arterial hypertension |
| disease | MESH | viral infections |
| disease | IDO | immune response |
| disease | MESH | cytokine storms |