Does dehydroepiandrosterone sulfate have a role in COVID-19 prognosis and treatment?

The pathophysiology of COVID comprises an exaggerated pro-inflammatory response. Hypothalamic-pituitary-adrenal (HPA) axis has a crucial role in various inflammatory conditions and modulated immunological response. Limited evidence is available regarding the incidence and the effect of HPA dysfuncti...

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Autores principales: Tomo Sojit, Banerjee Mithu, Sharma Praveen, Garg Mahendra
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Lenguaje:EN
Publicado: Sciendo 2021
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Acceso en línea:https://doaj.org/article/1a5e720786f94662aada43f4fc6c2328
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spelling oai:doaj.org-article:1a5e720786f94662aada43f4fc6c23282021-12-02T19:03:59ZDoes dehydroepiandrosterone sulfate have a role in COVID-19 prognosis and treatment?1336-032910.2478/enr-2021-0019https://doaj.org/article/1a5e720786f94662aada43f4fc6c23282021-07-01T00:00:00Zhttps://doi.org/10.2478/enr-2021-0019https://doaj.org/toc/1336-0329The pathophysiology of COVID comprises an exaggerated pro-inflammatory response. Hypothalamic-pituitary-adrenal (HPA) axis has a crucial role in various inflammatory conditions and modulated immunological response. Limited evidence is available regarding the incidence and the effect of HPA dysfunction in COVID-19. Although the cortisol levels have only been estimated in a few studies, the dehydroepiandrosterone sulfate (DHEAS) release from the adrenal gland has not been explored yet. In this mini review, the authors discuss the role of dehydroepiandrosterone (DHEA) and DHEAS in the acute stress response and immunological modulation. Various effects of DHEAS have been demonstrated in different diseases. The specific inhibitory effect of DHEA on interleukin 6 (IL-6) could be of paramount importance in COVID-19. Further, DHEA supplementation has already been proposed in inflammatory conditions, like rheumatoid arthritis. DHEAS levels in COVID-19 may help to understand the HPA axis dysfunction as well as the possibility of repurposing DHEA as a drug for mitigating the pro-inflammatory COVID-19.Tomo SojitBanerjee MithuSharma PraveenGarg MahendraSciendoarticlecovid-19hypothalamic-pituitary-adrenal axisdheadheascortisolDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENEndocrine Regulations, Vol 55, Iss 3, Pp 174-181 (2021)
institution DOAJ
collection DOAJ
language EN
topic covid-19
hypothalamic-pituitary-adrenal axis
dhea
dheas
cortisol
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle covid-19
hypothalamic-pituitary-adrenal axis
dhea
dheas
cortisol
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Tomo Sojit
Banerjee Mithu
Sharma Praveen
Garg Mahendra
Does dehydroepiandrosterone sulfate have a role in COVID-19 prognosis and treatment?
description The pathophysiology of COVID comprises an exaggerated pro-inflammatory response. Hypothalamic-pituitary-adrenal (HPA) axis has a crucial role in various inflammatory conditions and modulated immunological response. Limited evidence is available regarding the incidence and the effect of HPA dysfunction in COVID-19. Although the cortisol levels have only been estimated in a few studies, the dehydroepiandrosterone sulfate (DHEAS) release from the adrenal gland has not been explored yet. In this mini review, the authors discuss the role of dehydroepiandrosterone (DHEA) and DHEAS in the acute stress response and immunological modulation. Various effects of DHEAS have been demonstrated in different diseases. The specific inhibitory effect of DHEA on interleukin 6 (IL-6) could be of paramount importance in COVID-19. Further, DHEA supplementation has already been proposed in inflammatory conditions, like rheumatoid arthritis. DHEAS levels in COVID-19 may help to understand the HPA axis dysfunction as well as the possibility of repurposing DHEA as a drug for mitigating the pro-inflammatory COVID-19.
format article
author Tomo Sojit
Banerjee Mithu
Sharma Praveen
Garg Mahendra
author_facet Tomo Sojit
Banerjee Mithu
Sharma Praveen
Garg Mahendra
author_sort Tomo Sojit
title Does dehydroepiandrosterone sulfate have a role in COVID-19 prognosis and treatment?
title_short Does dehydroepiandrosterone sulfate have a role in COVID-19 prognosis and treatment?
title_full Does dehydroepiandrosterone sulfate have a role in COVID-19 prognosis and treatment?
title_fullStr Does dehydroepiandrosterone sulfate have a role in COVID-19 prognosis and treatment?
title_full_unstemmed Does dehydroepiandrosterone sulfate have a role in COVID-19 prognosis and treatment?
title_sort does dehydroepiandrosterone sulfate have a role in covid-19 prognosis and treatment?
publisher Sciendo
publishDate 2021
url https://doaj.org/article/1a5e720786f94662aada43f4fc6c2328
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AT banerjeemithu doesdehydroepiandrosteronesulfatehavearoleincovid19prognosisandtreatment
AT sharmapraveen doesdehydroepiandrosteronesulfatehavearoleincovid19prognosisandtreatment
AT gargmahendra doesdehydroepiandrosteronesulfatehavearoleincovid19prognosisandtreatment
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