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Relationship between Lymphocyte Subpopulations and Vitamin D Levels in COVID-19 Pneumonia Patients
Carla Caffarelli1, Paolo Cameli2, Miriana D'Alessandro2
1Department of Internal Medicine University of Siena, Italy.
Insights
Vitamin D deficiency is common in COVID-19 pneumonia patients and linked to lower lymphocyte counts. This suggests vitamin D impacts immune responses in severe COVID-19.
Area of Science:
- Immunology
- Nutritional Science
- Infectious Diseases
Background:
- Severe COVID-19 patients often exhibit low vitamin D levels.
- Vitamin D plays a role in infection prevention and immune regulation.
Purpose of the Study:
- To examine the relationship between vitamin D status and lymphocyte populations in hospitalized COVID-19 pneumonia patients.
Main Methods:
- Evaluated vitamin D levels and lymphocyte subpopulations in 33 COVID-19 pneumonia patients and 16 healthy controls.
- Matched controls for age, sex, and seasonality.
Main Results:
- 70.8% of COVID-19 pneumonia patients had vitamin D deficiency.
- Vitamin D levels correlated positively with lymphocytes (CD3+, CD4+, CD8+, CD19+) and negatively with neutrophils.
- Vitamin D deficiency associated with reduced lymphocyte subsets.
Conclusions:
- High prevalence of vitamin D deficiency in COVID-19 pneumonia confirmed.
- Vitamin D deficiency is linked to decreased lymphocyte subsets and altered T-cell activation.
- Findings may elucidate vitamin D's role in COVID-19 course and outcomes.
Background:
Some studies have shown that patients who are hospitalized with severe COVID-19 also have low levels of vitamin D. It is known that vitamin D can reduce the risk of infections and down regulate the immune/inflammatory reaction.
Objectives:
To investigate the association between vitamin D status and lymphocyte subpopulations in hospitalized pneumonia COVID-19 patients.
Methods:
In 33 positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patients with radiologic evidence of interstitial pneumonia and in 16 healthy control subjects matched for age, sex, and seasonality lymphocyte subpopulations and vitamin D levels were evaluated.
Results:
The majority of patients with COVID-19 pneumonia (70.8%) presented vitamin D deficiency. The percentages of neutrophils presented a negative correlation (r = -0.74; P < 0.001), whereas the percentages of lymphocytes presented a positive correlation (r = 0.43; P < 0.01) with 25(OH)D. Moreover, vitamin D levels were positively correlated with CD3+ (r = 0.37, P < 0.05), CD4+ (r = 0.41, P < 0.05), CD8+ (r = 0.32, P < 0.07), and CD19+ (r = 0.38, P < 0.05).
Conclusions:
This preliminary study confirms the high prevalence of vitamin D deficiency in patients with COVID-19 pneumonia and that vitamin D deficiency is associated with a reduction of lymphocyte subsets and altered T-lymphocyte activation. This finding may contribute to clarify the mechanisms by which vitamin D influences the course and outcome of COVID-19 pneumonia.
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