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Comparative Study on the Effect of Vitamin D Deficiency on Platelet Indices in COVID-19 and Hepatitis C Patients; an
Mohammad Motaghi1, Kazem Ghaffari2,3,4, Mahroo Mansori1
1Department of Biochemistry and Hematology Semnan University of Medical Sciences Semnan Iran.
Insights
COVID-19 patients exhibit lower vitamin D levels and altered platelet parameters compared to Hepatitis C Virus patients. These findings suggest vitamin D deficiency may exacerbate inflammation and thrombosis risk in COVID-19.
Area of Science:
- Infectious Diseases
- Hematology
- Endocrinology
Background:
- Limited evidence links vitamin D to platelet parameters in COVID-19 and Hepatitis C Virus (HCV) infections.
- Investigating this association is crucial given vitamin D's role in immunity and potential impact on thrombotic complications.
Purpose of the Study:
- To assess the relationship between serum vitamin D levels and platelet indices in patients with COVID-19 and chronic HCV.
- To compare platelet parameters and inflammatory markers between COVID-19 and HCV patients with varying vitamin D statuses.
Main Methods:
- A comparative study involving 113 COVID-19 patients and 97 chronic HCV patients.
- Participants were categorized into vitamin D deficient and non-deficient subgroups.
- Statistical analysis included chi-square or Fisher exact tests.
Main Results:
- COVID-19 patients had significantly lower vitamin D levels than HCV patients (p < 0.001).
- COVID-19 patients showed lower platelet counts and higher MPV, PDW, and inflammatory markers (PLR, MPR, MLR).
- A negative correlation between vitamin D and MPV was observed in both groups (p < 0.001), with more pronounced changes in vitamin D-deficient COVID-19 patients.
Conclusions:
- COVID-19 is associated with lower vitamin D, reduced platelet counts, and increased platelet activation compared to HCV.
- These alterations may contribute to the heightened inflammatory response and thrombotic complications observed in COVID-19.
- Vitamin D status appears to influence the severity of platelet and inflammatory changes in infectious diseases.
Background And Aims:
Despite growing interest in the role of vitamin D in various infectious diseases, limited evidence exists regarding its association with platelet (PLT) parameters in patients with COVID-19 and Hepatitis C Virus (HCV) infection. This study aims to assess the relationship between serum vitamin D levels and PLT indices in patients with COVID-19 and chronic HCV.
Methods:
The study included 113 patients with confirmed COVID-19 and 97 patients with chronic HCV infection. All participants were classified into two subgroups based on their vitamin D status (deficient vs. non-deficient). The chi-square test (χ2) or Fisher exact test was used to compare the results between the two groups.
Results:
Patients with COVID-19 had significantly lower levels of vitamin D compared with HCV patients (p < 0.001). PLT counts were lower in the COVID-19 group, and MPV, PDW, and inflammatory markers (PLR, MPR, and MLR) were significantly higher. Also, a significant negative correlation was observed between vitamin D levels and MPV in both groups (p < 0.001). In patients with vitamin D deficiency, PLT and inflammatory changes were more pronounced in COVID-19 than in HCV.
Conclusion:
The results of this study showed that COVID-19 patients had lower vitamin D levels, lower PLT counts, and higher indices of platelet activation compared with HCV patients. These changes are associated with the severity of the inflammatory response in COVID-19 and could be part of the mechanisms that cause thrombotic complications in this disease.
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