393417

Serum vitamin D and vitamin D receptor (VDR) polymorphisms (<i>FokI</i> and <i>TaqI</i>) as predictors of COVID19 severity. ( Prospective study in a cohort of Egyptian COVID-19 p

Article

Last updated: 04 May 2025

Subjects

-

Tags

Medical virology

Abstract

Background:  Severe forms of respiratory failure affect 20% of COVID‐19 patients with a death rate of about 65%. Vitamin D deficiency and vitamin D receptor polymorphisms, mainly Taql (rs731236) and Fokl (rs10735810), were associated with respiratory tract infections. Methods: A prospective study on 90 confirmed PCR-positive COVID-19 patients was done. Results: Statistically significant lower levels of 25OH vitamin D were found in severe to critical COVID-19 and non-survivors than in mild to moderate patients and survivors (p < 0.001) and with negative correlations with C-reactive protein, ferritin, procalcitonin, interleukin 6, D-dimer, INR, white blood cells, neutrophils count, and neutrophils/lymphocytes ratio. Serum 25(OH) D was positively correlated with oxygen saturation level, hemoglobin, lymphocyte, and monocyte counts. Mild to moderate and severe to critical patients showed significant differences in both FokI SNP (p = 0.002) and TaqI genotypes (p = 0.010). FokI recessive mode might be associated with increased severity, while TaqI dominant mode of inheritance and the mutant allele (t) might protect against severe forms of COVID-19. Conclusion: 25 OH D and FokI recessive mode of inheritance may be associated with severe forms of COVID-19; however, TaqI dominant mode of inheritance and the mutant allele (t) might protect against COVID-19 severity. It is recommended to apply similar research on different populations together with studying other VDR polymorphisms in addition to clinical trials of vitamin D supplementation in order to generalize these findings.

DOI

10.21608/mid.2024.329022.2294

Keywords

COVID-19, FokI, TaqI, vitamin D deficiency, vitamin D receptors

Authors

First Name

Mona

Last Name

Eldeeb

MiddleName

Kamal

Affiliation

Chemical Pathology Department, Medical Research Institute, Alexandria University, Egypt, Clinical Laboratory Sciences Department,, Collage of Applied Medical Sciences Al Jouf University, Saudi Arabia

Email

monamohkamal@gmail.com

City

Alexandria

Orcid

0000-0001-8831-6381

First Name

Rasha

Last Name

Daabis

MiddleName

Galal

Affiliation

Department of Chest Diseases, Faculty of Medicine , Alexandria University, Egypt

Email

n25look@newlook.com

City

-

Orcid

-

First Name

Abeer

Last Name

Mohamed

MiddleName

Ahmed

Affiliation

Chemical Pathology Department, Medical Research Institute, Alexandria University, Egypt

Email

w25look@outlook.com

City

-

Orcid

-

First Name

Eman

Last Name

Badran

MiddleName

Mahrous

Affiliation

Chemical Pathology Department, Medical Research Institute, Alexandria University, Egypt

Email

emo_badran@yahoo.com

City

-

Orcid

-

First Name

Gehan

Last Name

Magour

MiddleName

Mahmoud

Affiliation

Chemical Pathology Department, Medical Research Institute, Alexandria University, Egypt

Email

gehanmagour@yahoo.com

City

-

Orcid

-

Volume

6

Article Issue

2

Related Issue

55370

Issue Date

2025-05-01

Receive Date

2024-10-20

Publish Date

2025-05-01

Page Start

455

Page End

474

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_393417.html

Detail API

http://journals.ekb.eg?_action=service&article_code=393417

Order

5

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Serum vitamin D and vitamin D receptor (VDR) polymorphisms (<i>FokI</i> and <i>TaqI</i>) as predictors of COVID19 severity. ( Prospective study in a cohort of Egyptian COVID-19 p

Details

Type

Article

Created At

04 May 2025