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

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.

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Concepts Keywords
Competitive Adult
Covid19 Age Factors
Dehydroepiandrosterone Aged
Diabetes Comorbidity
Hospitalization Comorbidity diseases
COVID-19
COVID-19
Dehydroepiandrosterone Sulfate
Dehydroepiandrosterone Sulfate
DHEAS
Female
Humans
Hypertension
Inpatients
Male
Middle Aged
Outpatients
SARS-CoV-2
Sex Factors

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

Original Article

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