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褪黑素能减轻 COVID-19 大流行的严重程度吗?

Can melatonin reduce the severity of COVID-19 pandemic?

机构信息

CureLab Oncology, Inc, Dedham, Massachusetts, USA.

Department of Molecular Biology, Ariel University, Ariel, Israel.

出版信息

Int Rev Immunol. 2020;39(4):153-162. doi: 10.1080/08830185.2020.1756284. Epub 2020 Apr 29.

DOI:10.1080/08830185.2020.1756284
PMID:32347747
Abstract

The current COVID-19 pandemic is one of the most devastating events in recent history. The virus causes relatively minor damage to young, healthy populations, imposing life-threatening danger to the elderly and people with diseases of chronic inflammation. Therefore, if we could reduce the risk for vulnerable populations, it would make the COVID-19 pandemic more similar to other typical outbreaks. Children don't suffer from COVID-19 as much as their grandparents and have a much higher melatonin level. Bats are nocturnal animals possessing high levels of melatonin, which may contribute to their high anti-viral resistance. Viruses induce an explosion of inflammatory cytokines and reactive oxygen species, and melatonin is the best natural antioxidant that is lost with age. The programmed cell death coronaviruses cause, which can result in significant lung damage, is also inhibited by melatonin. Coronavirus causes inflammation in the lungs which requires inflammasome activity. Melatonin blocks these inflammasomes. General immunity is impaired by anxiety and sleep deprivation. Melatonin improves sleep habits, reduces anxiety and stimulates immunity. Fibrosis may be the most dangerous complication after COVID-19. Melatonin is known to prevent fibrosis. Mechanical ventilation may be necessary but yet imposes risks due to oxidative stress, which can be reduced by melatonin. Thus, by using the safe over-the-counter drug melatonin, we may be immediately able to prevent the development of severe disease symptoms in coronavirus patients, reduce the severity of their symptoms, and/or reduce the immuno-pathology of coronavirus infection on patients' health after the active phase of the infection is over.

摘要

当前的 COVID-19 大流行是近代史上最具破坏性的事件之一。该病毒对年轻、健康的人群造成的损害相对较小,但对老年人和患有慢性炎症疾病的人群构成生命威胁。因此,如果我们能够降低弱势群体的风险,那么 COVID-19 大流行就会变得更类似于其他典型的疫情爆发。儿童感染 COVID-19 的程度不如他们的祖父母严重,而且他们的褪黑素水平更高。蝙蝠是夜行性动物,具有较高水平的褪黑素,这可能有助于它们具有较高的抗病毒能力。病毒会引发炎症细胞因子和活性氧物质的爆发,而褪黑素是随着年龄增长而丧失的最佳天然抗氧化剂。冠状病毒引起的程序性细胞死亡会导致严重的肺部损伤,褪黑素也能抑制这种损伤。冠状病毒会引起肺部炎症,需要炎症小体的活动。褪黑素会阻断这些炎症小体。焦虑和睡眠剥夺会损害整体免疫力。褪黑素可以改善睡眠习惯、减轻焦虑并刺激免疫力。纤维化可能是 COVID-19 后的最危险的并发症。褪黑素已知可预防纤维化。可能需要进行机械通气,但由于氧化应激,这会带来风险,而褪黑素可以降低这种风险。因此,通过使用安全的非处方药物褪黑素,我们可能能够立即预防冠状病毒患者出现严重的疾病症状,减轻其症状的严重程度,和/或减轻感染冠状病毒后患者健康的免疫病理变化。

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