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:: Volume 11, Issue 2 (Int J Mol Cell Med 2022) ::
Int J Mol Cell Med 2022, 11(2): 168-179 Back to browse issues page
Special Considerations on Insulin Resistance Induced Hyperandrogenemia in Women with Polycystic Ovary Syndrome: A Prominent COVID-19 Risk Factor
Jamshid Roozbeh1 , Sahar Janfeshan1 , Afsoon Afshari1 , Aida Doostkam1 , Ramin Yaghobi 2
1- Shiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
2- Shiraz Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. , rayaviro@yahoo.com
Abstract:   (1358 Views)
Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2) infecting mechanism depends on hosting angiotensin-converting enzyme 2 (ACE2) and transmembrane protease serine 2 (TMPRSS2) as essential components and androgens as regulators for inducing the expression of these components. Therefore, hyperandrogenism-related disease such as polycystic ovary syndrome (PCOS) in insulin resistant women in reproductive-age is a high-risk factor for SARS-CoV-2 infection. Here, we describe the signaling pathways that might increase the susceptibility and severity of this new pandemic in PCOS women with insulin resistance (IR). Luteinizing hormone and insulin increase the risk of SARS-CoV-2 infection in these patients via induction of steroidogenic enzymes expression through cAMP-response element binding protein and Forkhead box protein O1 (FOXO1), respectively. TMPRSS2 expression is activated through phosphorylation of FOXO1 in ovaries. In other words, SARS-CoV-2 infection is associated with temporary IR by affecting ACE2 and disturbing β-pancreatic function. Therefore, PCOS, IR, and SARS-CoV-2 infection are three corners of the triangle that have complicated relations, and their association might increase the risk of SARS-CoV-2 infection and severity.
 
Keywords: Androgens, Covid 19, SARS-CoV-2, PCOS, Insulin resistance, TMPRSS2
Full-Text [PDF 563 kb]   (1059 Downloads)    
Type of Study: Review | Subject: Infectious disease (Molecular and Cellular aspects)
Received: 2022/04/5 | Accepted: 2022/11/9 | Published: 2022/11/9
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Roozbeh J, Janfeshan S, Afshari A, Doostkam A, Yaghobi R. Special Considerations on Insulin Resistance Induced Hyperandrogenemia in Women with Polycystic Ovary Syndrome: A Prominent COVID-19 Risk Factor. Int J Mol Cell Med 2022; 11 (2) :168-179
URL: http://ijmcmed.org/article-1-1901-en.html


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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 11, Issue 2 (Int J Mol Cell Med 2022) Back to browse issues page
International Journal of Molecular and Cellular Medicine (IJMCM) International Journal of Molecular and Cellular Medicine (IJMCM)
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