Nutrition and Health Research Group, Population Health Department, Luxembourg Institute of Health, 1A-B, rue Thomas Edison, L-1445 Strassen, Luxembourg.
Laboratory of Pharmacokinetics and Metabolomic Analysis, Institute of Translational Medicine and Biotechnology. I.M. Sechenov First Moscow Medical University, Trubetskay Str. 8, 119991 Moscow, Russia.
Nutrients. 2020 May 27;12(6):1562. doi: 10.3390/nu12061562.
The coronavirus-disease 2019 (COVID-19) was announced as a global pandemic by the World Health Organization. Challenges arise concerning how to optimally support the immune system in the general population, especially under self-confinement. An optimal immune response depends on an adequate diet and nutrition in order to keep infection at bay. For example, sufficient protein intake is crucial for optimal antibody production. Low micronutrient status, such as of vitamin A or zinc, has been associated with increased infection risk. Frequently, poor nutrient status is associated with inflammation and oxidative stress, which in turn can impact the immune system. Dietary constituents with especially high anti-inflammatory and antioxidant capacity include vitamin C, vitamin E, and phytochemicals such as carotenoids and polyphenols. Several of these can interact with transcription factors such as NF-kB and Nrf-2, related to anti-inflammatory and antioxidant effects, respectively. Vitamin D in particular may perturb viral cellular infection via interacting with cell entry receptors (angiotensin converting enzyme 2), ACE2. Dietary fiber, fermented by the gut microbiota into short-chain fatty acids, has also been shown to produce anti-inflammatory effects. In this review, we highlight the importance of an optimal status of relevant nutrients to effectively reduce inflammation and oxidative stress, thereby strengthening the immune system during the COVID-19 crisis.
2019 年冠状病毒病(COVID-19)被世界卫生组织宣布为全球大流行。如何在人群中优化支持免疫系统,尤其是在自我隔离的情况下,这带来了挑战。最佳免疫反应取决于充足的饮食和营养,以抵御感染。例如,充足的蛋白质摄入对于最佳抗体产生至关重要。维生素 A 或锌等微量营养素不足与感染风险增加有关。通常,营养状况不佳与炎症和氧化应激有关,而这反过来又会影响免疫系统。具有特别高的抗炎和抗氧化能力的膳食成分包括维生素 C、维生素 E 和类胡萝卜素、多酚等植物化学物质。其中一些可以与转录因子相互作用,例如 NF-kB 和 Nrf-2,分别与抗炎和抗氧化作用有关。维生素 D 尤其可能通过与细胞进入受体(血管紧张素转换酶 2,ACE2)相互作用来干扰病毒细胞感染。膳食纤维可被肠道微生物群发酵成短链脂肪酸,也具有抗炎作用。在这篇综述中,我们强调了相关营养素最佳状态的重要性,以在 COVID-19 危机期间有效减轻炎症和氧化应激,从而增强免疫系统。
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