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The Morrón de Mateo bentonite deposit has been studied as a natural analogue of the thermal effect on the bentonite barrier of a geological radioactive waste repository. This deposit was intruded by a volcanic dome that induced hydrothermal activity affecting the smectite clay minerals close to the dome. Previous studies of proximal bentonites indicated that Al-montmorillonites were transformed into Fe-rich smectites with intermediate composition between beidellite and saponite through gradual steps formed by smectites increasingly rich in Mg and Fe. In order to confirm the suggested transformation and the Fe distribution into the smectites, infrared and Mössbauer spectroscopy studies were performed. Infrared spectra of samples away from the dome show typical bands for montmorillonite type with prevailing Al in octahedral positions, while proximal samples also show bands of Fe-rich smectites. Mössbauer data confirm that Fe present in the fine fraction of bentonites is fundamentally located in the smectites structure, mainly as octahedrally coordinated Fe(III). Proximal smectites have a considerably more distorted octahedral environment for Fe(III) which probably stemmed from a significant degree of substitution of Al by Fe(III). These results confirm that an alteration process occurred related to the volcanic intrusion which produced an increase in temperature and Fe-rich solutions responsible for the transformation of Al-montmorillonites. [ABSTRACT FROM AUTHOR]

The Morrón de Mateo bentonite deposit (Cabo de Gata region, Spain) has been studied as a natural analogue of the thermal and geochemical effects on the clayey barrier in a deep geological repository of high level radioactive wastes. This deposit was intruded by a volcanic dome inducing an increase of temperature and supplying Fe–Mg-rich solutions, which were responsible for the alteration of the previously bentonitised pyroclastic materials (white tuff formation). The textural, mineralogical and crystallochemical features of the smectites located within the vicinity and away from the dome have been studied in order to elucidate the intrusion effects on these smectites. The results obtained show that distal smectites are Al-montmorillonites, similar to those from other bentonite deposits in the Cabo de Gata region; whereas proximal smectites are a mixture of Al-montmorillonites, Fe-rich montmorillonites and beidellites, and intermediate smectites between beidellite and Fe-rich-saponite. The textural relationships between these smectites indicate that smectites with intermediate composition come from the transformation of Al-montmorillonite, through gradual steps, consisting of increasingly Mg and Fe-rich smectites. This transformation process is confirmed when the structural formulae of proximal smectites are plotted on the Mg VI vs (Al + Fe 3 + ) VI diagram. Thus, a gradual transition from dioctahedral smectites to smectites with an intermediate chemical composition is observed, which tend toward trioctahedral smectites. These observations suggest that the transformation of dioctahedral smectites into an intermediate term between di- and trioctahedral Fe-rich smectites could be originated under natural conditions. This transformation can be considered as an analogue process to that expected in the bentonite barrier from a deep geological repository of radioactive wastes whether the two following conditions would occur: i) an increase of temperature due to the radioactive decay of the fission products, and ii) a supply of Fe as result of the canister corrosion under intermediate redox conditions. Furthermore, similar results were obtained in laboratory experiments focused on the Fe/Al-smectite interaction processes, related to the durability of the clayey engineered barrier. [ABSTRACT FROM AUTHOR]

Boosting BCG using heterologous prime-boost represents a promising strategy for improved tuberculosis (TB) vaccines, and adenovirus (Ad) delivery is established as an efficacious boosting vehicle. Although studies demonstrate that intranasal administration of Ad boost to BCG offers optimal protection, this is not currently possible in cattle. Using Ad vaccine expressing the mycobacterial antigen TB10.4 (BCG/Ad-TB10.4), we demonstrate, parenteral boost of BCG immunised mice to induce specific CD8 + IFN-γ producing T cells via synergistic priming of new epitopes. This induces significant improvement in pulmonary protection against Mycobacterium bovis over that provided by BCG when assessed in a standard 4 week challenge model. However, in a stringent, year-long survival study, BCG/Ad-TB10.4 did not improve outcome over BCG, which we suggest may be due to the lack of additional memory cells (IL-2 + ) induced by boosting. These data indicate BCG-prime/parenteral-Ad-TB10.4-boost to be a promising candidate, but also highlight the need for further understanding of the mechanisms of T cell priming and associated memory using Ad delivery systems. That we were able to generate significant improvement in pulmonary protection above BCG with parenteral, rather than mucosal administration of boost vaccine is critical; suggesting that the generation of effective mucosal immunity is possible, without the risks and challenges of mucosal administration, but that further work to specifically enhance sustained protective immunity is required. [ABSTRACT FROM AUTHOR]

Tuberculosis (TB) remains one of the most important infectious diseases of man and animals, and the only available vaccine (BCG) requires urgent replacement or improvement. To facilitate this, the protective mechanisms induced by BCG require further understanding. As a live attenuated vaccine, persistence of BCG bacilli in the host may be a crucial mechanism. We have investigated the long term persistence of BCG following vaccination and the influence on the induced immune response and protection, using an established murine model. We sought to establish whether previously identified BCG-specific CD4 T EM cells represent genuine long-lived memory cells of a relatively high frequency, or are a consequence of continual priming by chronically persistent BCG vaccine bacilli. By clearing persistent bacilli, we have compared immune responses (spleen and lung CD4: cytokine producing T effector/T EM ; TCR-specific) and BCG-induced protection, in the presence and absence of these persisting vaccine bacilli. Viable BCG bacilli persisted for at least 16 months post-vaccination, associated with specific CD4 T effector/T EM and tetramer-specific responses. Clearing these bacilli abrogated all BCG-specific CD4 T cells whilst only reducing protection by 1 log 10 . BCG may induce two additive mechanisms of immunity: (i) dependant on the presence of viable bacilli and T EM ; and (ii) independent of these factors. These data have crucial implications on the rational generation of replacement TB vaccines, and the interpretation of BCG induced immunity in animal models. [ABSTRACT FROM AUTHOR]

Abstract: The Morrón de Mateo bentonite deposit is being studied as a natural analogue of the thermal and geochemical effects on a bentonite barrier in a deep geological repository of high level radioactive wastes. This bentonite deposit and its host rocks were intruded by a rhyodacitic volcanic dome that induced a hydrothermal metasomatic process affecting the biocalcarenite beds close to the dome. In this work, the mineralogical and chemical features of the clay minerals of the hydrothermally altered pyroclastic (white tuffs) and epiclastic rocks (mass flow), located in the NE sector of the Morrón de Mateo deposit are described. White tuffs have a high content of phyllosilicates, mainly composed of dioctahedral smectites, while mass flow have a higher proportion of inherited minerals, the neoformed phyllosilicates are dioctahedral smectites and an interlayer chlorite/smectite mineral of corrensite type. The chemical composition of smectites reflects the different nature of the parent rocks, in such a way that smectites from white tuffs have a quite homogeneous chemical composition and their structural formulae correspond to montmorillonite type, while smectites from mass flow show more chemical variability, higher Fe and Mg contents and a mean structural formulae corresponding to Fe–Mg-rich beidellite and/or to an intermediate smectite member between beidellite and saponite. In addition, chemical composition and textural features of corrensite-like clay minerals in relation to Fe–Mg-rich smectites in the samples have also been studied, suggesting that the former seems to be formed from Fe–Mg-rich smectites. The presence of corrensite in the epiclastic rocks suggests that in the Morrón de Mateo area a hydrothermal alteration process occurred after bentonite formation, which transformed Fe–Mg-rich smectites into corrensite. This transformation was probably favoured by the intrusion of the Morrón de Mateo volcanic dome, which produced a temperature increase in the geological media and a supply of Fe–Mg-rich solutions. These physicochemical conditions were also responsible for the metasomatic transformations observed in the biocalcarenite beds located on the top of the bentonite deposit. All these data suggest that the Morrón de Mateo natural system could be a good natural analogue of both thermal and chemical effects on a bentonite barrier related to the radioactive decay of fission products and the interaction between the corrosion products of steel over-packs and the bentonite. These circumstances would favour the transformation of the candidate Al-rich smectites into Fe–Mg-rich smectites and corrensite, as steps prior to formation of chlorite. In this case, all the physicochemical and mechanical properties of Al-rich smectites would disappear and the clayey barrier would fail. [Copyright &y& Elsevier]

We have identified a clonal complex of Mycobacterium bovis isolated at high frequency from cattle in Uganda, Burundi, Tanzania, and Ethiopia. We have named this related group of M. bovis strains the African 2 (Af2) clonal complex of M. bovis. At2 strains are defined by a specific chromosomal deletion (RDAf2) and can be identified by the absence of spacers 3 to 7 in their spoligotype patterns. Deletion analysis of M. bovis isolates from Algeria, Mali, Chad, Nigeria, Cameroon, South Africa, and Mozambique did not identify any strains of the Af2 clonal complex, suggesting that this clonal complex of M. bovis is localized in East Africa. The specific spoligotype pattern of the Af2 clonal complex was rarely identified among isolates from outside Africa, and the few isolates that were found and tested were intact at the RD.M2 locus. We conclude that the Af2 clonal complex is localized to cattle in East Africa. We found that strains of the Af2 clonal complex of M. bovis have, in general, four or more copies of the insertion sequence IS6110, in contrast to the majority of M. bovis strains isolated from cattle, which are thought to carry only one or a few copies. [ABSTRACT FROM AUTHOR]

Abstract: Control of bovine tuberculosis (bTB) relies on regular testing of cattle with a crude preparation of mycobacterial antigens termed purified protein derivative (PPD). Worldwide production of bovine PPD uses the Mycobacterium bovis AN5, a strain that was originally isolated circa 1948 in Great Britain (GB). Despite its worldwide use, the AN5 strain is poorly characterised. AN5 was adapted to grow on glycerol in a process similar to that used for the derivation of the BCG vaccine strains; during this process, it is known that BCG deleted the genes for some potent antigens. Our previous analysis of the genome of M. bovis AN5 showed that it had not suffered extensive gene deletion events during in vitro adaptation. However, glycerol adaptation of AN5 strain may have caused differences in its global gene expression profile that could affect antigen expression. To assess this, we determined the transcriptome profile of AN5 and compared it to expression data for two endemic GB strains of M. bovis that account for ∼61% of all GB bTB cases. Genes expressed at lower levels in AN5 compared to M. bovis field isolates were then screened for antigenicity in naturally infected animals. Using this approach a number of genes were found to be expressed at lower levels in AN5, including those for known antigens. Our results show that field strains of M. bovis show some significant differences in gene expression to AN5, and that this differential gene expression may impact on the antigen profiles expressed by AN5 during in vitro culture. [Copyright &y& Elsevier]

Abstract: Tuberculosis in seals is caused by Mycobacterium pinnipedii, a member of the Mycobacterium tuberculosis complex. In this study, we evaluated the extent of genetic variability among Mycobacterium bovis and M. pinnipedii by microarray-based comparative genomics. We identified two deletions that are exclusive to M. pinnipedii: PiD1 that removes the orthologues of the M. tuberculosis genes Rv3530c and Rv3531c, and PiD2 that encompasses genes Rv1977 and Rv1978. Interestingly, a deletion overlapping the previously described RD2 region was identified in some isolates of Mycobacterium microti and further characterised. [Copyright &y& Elsevier]

Abstract: Our video-EEG monitoring (VEEG) unit is part of a typical metropolitan tertiary care center that services a diverse patient population. We aimed to determine if the specific clinical reason for inpatient VEEG was actually resolved. Our method was to retrospectively determine the stated goal of inpatient VEEG and to analyze the outcome of one hundred consecutive adult patients admitted for VEEG. The reason for admission fit into one of four categories: 1) to characterize paroxysmal events as either epileptic or nonepileptic, 2) to localize epileptic foci, 3) to characterize the epilepsy syndrome, and 4) to attempt safe antiepileptic drug adjustment. We found that VEEG was successful in accomplishing the goal of admission in 77% of cases. The remaining 23% failed primarily due to lack of typical events during monitoring. Furthermore, of the overall study cohort, VEEG outcomes altered medical management in 53% and surgery was pursued in 5%. [Copyright &y& Elsevier]

Heterologous BCG prime-boost regimens represent a promising strategy for an urgently required improved tuberculosis vaccine. Identifying the mechanisms which underpin the enhanced protection induced by such strategies is one key aim which would significantly accelerate rational vaccine development. Experimentally, airway vaccination induces greater efficacy than parenteral delivery; in both conventional vaccination and heterologous boosting of parenteral BCG immunisation. However, the effect of delivering both the component prime and boost immunisations via the airway is not well known. Here we investigate delivery of both the BCG prime and adenovirus boost vaccination via the airway in a murine model, and demonstrate this approach may be able to improve the protective outcome over parenteral prime/airway boost. Intravascular staining of T cells in the lung revealed that the airway prime regimen induced more antigen-specific multifunctional CD4 and CD8 T cells to the lung parenchyma prior to challenge and indicated the route of both prime and boost to be critical to the location of induced resident T cells in the lung. Further, in the absence of a defined phenotype of vaccine-induced protection to tuberculosis; the magnitude and phenotype of vaccine-specific T cells in the parenchyma of the lung may provide insights into potential correlates of immunity. [ABSTRACT FROM AUTHOR]

Microorganisms play a key role in the carbon (C) cycle through soil organic matter (SOM). The rate of SOM mineralization, the influence of abiotic factors on this rate and the potential behaviour of SOM are of particular interest in the northern Antarctic Peninsula and offshore islands. This is one of the most rapidly warming regions on Earth with numerous ice-free areas, some with abundant wildlife and with the greatest known soil organic carbon (SOC) storage in Antarctica. The latter implies extended Antarctic summer conditions promote increased terrestrial plant growth and soil microbial activity (SMA). SMA, determined by respirometry, is a measure of ecosystem function, and depends on microclimatic conditions and soil environmental properties. SMA and the effect of abiotic variables have been analysed in locations with different soil types, on Cierva Point (Antarctic Peninsula), Deception Island and Fildes Peninsula (King George Island). Soil microbial biomass carbon (SMBC) ranged from 5.66 to 196.6 mg SMBC kg−1and basal respiration (BR) from 2.86 to 160.67 mg CO 2 kg−1 d−1. SMBC and BR values were higher in Cierva Point, followed by Fildes Peninsula and Deception Island, showing the same trend of SOM abundance. Except for Cierva Point, low nitrogen, phosphorus and C concentrations were observed. SMBC/total organic carbon (TOC) levels indicated that SOC was recalcitrant and SOM content was closely related to the extent of vegetation cover observed in situ. High metabolic quotient values obtained at Cierva Point and Deception Island (median values 7.27 and 6.53 mg C-CO 2 g SMBC−1 h−1) and low SMBC/TOC in Cierva Point suggest a poor efficiency of the microbial populations in the consumption of the SOC. High SMBC/TOC values obtained in Deception Island indicates that SMBC may influence SOM stabilization. Mineralization rates were very low (negligible values to 1.44%) and sites with the lowest values had the highest SOM. Unlabelled Image • Antarctic Peninsula (AP) region is one of the most rapidly warming regions on Earth • Soil organic carbon in Maritime Antarctic ice-free areas is scarce or recalcitrant. • Soil microbial biomass carbon and basal respirometry values are low. • Due to nutrient scarcity and carbon source recalcitrance q CO2 values are high. • Greatest soil organic carbon storage in Antarctica is within the AP region [ABSTRACT FROM AUTHOR]

The mutational spectrum of many genes and their contribution to the global prevalence of hereditary hearing loss is still widely unknown. In this study, we have performed the mutational screening of EYA4 gene by DHLPC and NGS in a large cohort of 531 unrelated Spanish probands and one Australian family with autosomal dominant non-syndromic hearing loss (ADNSHL). In total, 9 novel EYA4 variants have been identified, 3 in the EYA4 variable region (c.160G > T; p.Glu54*, c.781del; p.Thr261Argfs*34 and c.1078C > A; p.Pro360Thr) and 6 in the EYA-HR domain (c.1107G > T; p.Glu369Asp, c.1122G > T; p.Trp374Cys, c.1281G > A; p.Glu427Glu, c.1282-1G > A, c.1601C > G; p.S534* and an heterozygous copy number loss encompassing exons 15 to 17). The contribution of EYA4 mutations to ADNSHL in Spain is, therefore, very limited (~1.5%, 8/531). The pathophysiology of some of these novel variants has been explored. Transient expression of the c-myc-tagged EYA4 mutants in mammalian COS7 cells revealed absence of expression of the p.S534* mutant, consistent with a model of haploinsufficiency reported for all previously described EYA4 truncating mutations. However, normal expression pattern and translocation to the nucleus were observed for the p.Glu369Asp mutant in presence of SIX1. Complementary in silico analysis suggested that c.1107G > T (p.Glu369Asp), c.1281G > A (p.Glu427Glu) and c.1282-1G > A variants alter normal splicing. Minigene assays in NIH3T3 cells further confirmed that all 3 variants caused exon skipping resulting in frameshifts that lead to premature stop codons. Our study reports the first likely pathogenic synonymous variant linked to DFNA10 and provide further evidence for haploinsufficiency as the common underlying disease-causing mechanism for DFNA10-related hearing loss. [ABSTRACT FROM AUTHOR]

Abstract: Mycobacterium bovis isolates from the Iberian Peninsula are dominated by strains with spoligotype patterns deleted for spacer 21. Whole-genome sequencing of three Spanish strains with spacer 21 missing in their spoligotype pattern revealed a series of SNPs and subsequent screening of a selection of these SNPs identified one in gene guaA that is specific to these strains. This group of strains from the Iberian Peninsula missing spoligotype spacer 21 represents a new clonal complex of M. bovis, defined by the SNP profile with a distinct spoligotype signature. We have named this clonal complex European 2 (Eu2) and found that it was present at low frequency in both France and Italy and absent from the British Isles. [Copyright &y& Elsevier]

We have identified a clonal complex of Mycobacterium bovis present at high frequency in cattle in population samples from several sub-Saharan west-central African countries. This closely related group of bacteria is defined by a specific chromosomal deletion (RDAf1) and can be identified by the absence of spacer 30 in the standard spoligotype typing scheme. We have named this group of strains the African 1 (Af1) clonal complex and have defined the spoligotype signature of this clonal complex as being the same as the M. bovis BCG vaccine strain but with the deletion of spacer 30. Strains of the Af1 clonal complex were found at high frequency in population samples of M. bovis from cattle in Mali, Cameroon, Nigeria, and Chad, and using a combination of variable-number tandem repeat typing and spoligotyping, we show that the population of M. bovis in each of these countries is distinct, suggesting that the recent mixing of strains between countries is not common in this area of Africa. Strains with the Af1-specific deletion (RDAf1) were not identified in M. bovis isolates from Algeria, Burundi, Ethiopia, Madagascar, Mozambique, South Africa, Tanzania, and Uganda. Furthermore, the spoligotype signature of the Af1 clonal complex has not been identified in population samples of bovine tuberculosis from Europe, Iran, and South America. These observations suggest that the Af1 clonal complex is geographically localized, albeit to several African countries, and we suggest that the dominance of the clonal complex in this region is the result of an original introduction into cows naïve to bovine tuberculosis. [ABSTRACT FROM AUTHOR]

Abstract: The thermal effect induced by the Morrón de Mateo volcanic dome (Cabo de Gata volcanic region, Spain) on the adjacent bentonitised tuffaceous beds has been studied as a natural analogue of the thermal behaviour of the bentonite-engineered barrier of a geological radwaste repository. These bentonites consist mainly of Fe-rich smectites and were formed in equilibrium with seawater at temperatures between 75 and 95°C, according to the δ 18O and δD values. In contrast, bentonites from other localities in the region consist mainly of Al-smectites, formed in equilibrium with meteoric water below 25°C. This investigation is focussed on the detection of the chemical differences between smectites from proximal and distal zones to the dome, as well as to test whether the temperatures calculated based on the O and H isotopic values correspond to their formation or transformation. The initial hypothesis was that the chosen smectites could be formed under marine conditions, being later transformed and isotopically re-equilibrated as a result of the intrusion. To check this hypothesis, a detailed mineralogical, chemical, geochemical and isotopic study has been performed on the smectitised tuffaceous materials and the overlaying biocalcarenites outcropping near and far from the dome. The results show that distal smectites are dioctahedral Al-smectites, similar to those from other deposits in the region, while proximal smectites are Fe- and Mg-rich smectites, showing two evolutionary trends on a Fe–Mg–Al ternary diagram. Similar features are observed when their structural formulae are plotted on the muscovite–celadonite–pyrophylite diagram. Thus, they plot in the smectite domain with interlayer charge less than 1, which is mainly due to octahedral substitution for distal smectites, while for proximal ones it is caused by both octahedral and tetrahedral substitutions. In this ternary diagram, the domains of both proximal and distal smectites are partially overlapped. The coexistence of di- and trioctahedral smectites was only detected in one proximal sample. Further, proximal biocalcarenites are enriched in Fe-rich dolomite in relation to the distal ones. The 87Sr/86Sr and δ 13C values in carbonates and δD in smectites indicate equilibrium with seawater. In contrast, δ 18O values of carbonates and smectites indicate that they were transformed and re-equilibrated between 40 and 90°C, and between 55 and 66°C, respectively, independently of their location with respect to the dome. These data suggest that the transformation of calcite into Mg–Fe-carbonates and the occurrence of Fe- and Mg-rich smectites near to the dome resulted from a chemically induced process at similar temperatures. The compositional differences among samples suggests that Fe, Mg and minor Mn were supplied by a contaminant plume originated from the dome, migrating through the sediments and becoming more diluted away from the source. The absence of a well-defined thermal gradient in the system could be due to the small size, semi-closed and shallow character of the basin, as well as to its high underlying volcanic activity. Finally, the results are discussed in terms of analogue processes that can be expected in the bentonite barrier of a radwaste geological repository. [Copyright &y& Elsevier]

The El Berrocal granite/U-bearing quartz vein (UQV) system has been studied as a natural analogue of a high-level radioactive waste repository. The main objective was to understand the geochemical behaviour of natural nuclides under different physicochemical conditions. Within this framework, the argillization processes related to fracturing and formation of the uranium–quartz vein were studied from a mineralogical and isotopic standpoint in order to establish their temperatures of formation and thus complete the geothermal history of the system. For this purpose, δ18O values were determined for pure mineral from the unaltered granite and quartz from the uranium–quartz vein, as well as for mixture samples from the hydrothermally altered granite (sericitised granite) and clayey samples from fracture fillings, including the clayey walls of the uranium–quartz vein. The isotopic signature of quartz from the uranium–quartz vein and the monophasic nature of its fluid inclusions led us to conclude that the isotopic signature of water in equilibrium with quartz was approximately in the range from −8.3‰ to −5.7‰ V-SMOV, its temperature of formation being around 85–120 °C. The δ18O values of pure sericite from the hydrothermally altered granite, calculated by means of the oxygen fraction molar method, indicate that its temperature of formation, in equilibrium with the aforementioned waters, is also in the range from 70 °C to approximately 120 °C. Clays from fracture fillings and clayey walls of the uranium–quartz vein are usually mixtures, in different proportions, of illite, approximately formed between 70 and 125 °C; two generations of kaolinite formed at approximately 90–130 °C and at around 25 °C, respectively; smectite, formed at ≤25 °C; and occasionally palygorskite, formed either between 30 and 45 °C or 19 and 32 °C, depending on the fractionation equation used. These data suggest that sericite from the hydrothermally altered granite, quartz from the uranium–quartz vein, illite and the first generation of kaolinite from the fracture fillings resulted from the same hydrothermal process affecting the El Berrocal granite in relation to fracturing. Under certain physicochemical conditions (T≈100 °C, pH≈8 and log [H4SiO4] between −4 and −3), illite and kaolinite can be paragenetic. As a result of weathering processes, smectite was formed from hydrothermal illite and inherited albite under alkaline weathering, while the second generation of kaolinite was formed from smectite, under acid conditions and close to the sulphide-rich uranium–quartz vein. Palygorskite is an occasional mineral formed probably either during the thermal tail of the above-described hydrothermal process or during weathering processes. In both cases, palygorskite must have formed from alkaline Si–Mg-rich solutions. Finally, these data and processes are discussed in terms of natural analogue processes, drawing some implications for the performance assessment of a deep geological radwaste repository (DGRR). [Copyright &y& Elsevier]

Vitamin D deficiency has been related with metabolic alterations in polycystic ovary syndrome (PCOS). As well, hyperactivation of adrenal axis can be programmed early in life and could be related later with PCOS development. Our aim was to establish the relationship between vitamin D and adrenal parameters with metabolic alterations and inflammation markers in PCOS. In 73 patients and 33 controls, 25-hydroxyvitamin D (25-OH-D), total and bioavailable testosterone (TT and bioT), androstenedione (A4), SHBG, cortisol, insulin, and C-reactive protein (hs-CRP) were determined; HOMA and lipid accumulation product (LAP) index were calculated. All parameters were higher in patients than in controls, except for SHBG and 25-OH-D which were lower. Binary regression analysis showed that differences in TT, bioT, A4, insulin and HOMA were independent of body mass index and waist circumference but SHBG, hs-CRP, LAP and 25-OH-D were related to body weight and fat distribution. Binary logistic regression analysis showed that cortisol and 25-OH-D could be associated to PCOS development. Correlations found between LAP and insulin, HOMA and hs-CRP confirm it is a good indicator of metabolic complications. Vitamin D and cortisol association to PCOS development justifies future research to understand the role of vitamin D in PCOS and analyze patient's perinatal history and its possible relationship with hyperactivation of adrenal axis in adult life. [ABSTRACT FROM AUTHOR]