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锌疗法在抗击新冠疫情中的意义

The Implications of Zinc Therapy in Combating the COVID-19 Global Pandemic.

作者信息

Samad Nandeeta, Sodunke Temitayo Eniola, Abubakar Abdullahi Rabiu, Jahan Iffat, Sharma Paras, Islam Salequl, Dutta Siddhartha, Haque Mainul

机构信息

Department of Public Health, North South University, Dhaka, 1229, Bangladesh.

Department of Anatomy, University of Ilorin, Ilorin, Kwara State, Nigeria.

出版信息

J Inflamm Res. 2021 Feb 26;14:527-550. doi: 10.2147/JIR.S295377. eCollection 2021.

Abstract

The global pandemic from COVID-19 infection has generated significant public health concerns, both health-wise and economically. There is no specific pharmacological antiviral therapeutic option to date available for COVID-19 management. Also, there is an urgent need to discover effective medicines, prevention, and control methods because of the harsh death toll from this novel coronavirus infection. Acute respiratory tract infections, significantly lower respiratory tract infections, and pneumonia are the primary cause of millions of deaths worldwide. The role of micronutrients, including trace elements, boosted the human immune system and was well established. Several vitamins such as vitamin A, B6, B12, C, D, E, and folate; microelement including zinc, iron, selenium, magnesium, and copper; omega-3 fatty acids as eicosapentaenoic acid and docosahexaenoic acid plays essential physiological roles in promoting the immune system. Furthermore, zinc is an indispensable microelement essential for a thorough enzymatic physiological process. It also helps regulate gene-transcription such as DNA replication, RNA transcription, cell division, and cell activation in the human biological system. Subsequently, zinc, together with natural scavenger cells and neutrophils, are also involved in developing cells responsible for regulating nonspecific immunity. The modern food habit often promotes zinc deficiency; as such, quite a few COVID-19 patients presented to hospitals were frequently diagnosed as zinc deficient. Earlier studies documented that zinc deficiency predisposes patients to a viral infection such as herpes simplex, common cold, hepatitis C, severe acute respiratory syndrome coronavirus (SARS-CoV-1), the human immunodeficiency virus (HIV) because of reducing antiviral immunity. This manuscript aimed to discuss the various roles played by zinc in the management of COVID-19 infection.

摘要

新型冠状病毒肺炎(COVID-19)感染引发的全球大流行在健康和经济方面都引起了重大的公共卫生关注。迄今为止,尚无用于COVID-19治疗的特异性抗病毒药物。此外,由于这种新型冠状病毒感染导致的惨重死亡人数,迫切需要发现有效的药物、预防和控制方法。急性呼吸道感染,尤其是下呼吸道感染和肺炎是全球数百万人死亡的主要原因。包括微量元素在内的微量营养素在增强人体免疫系统方面的作用已得到充分证实。几种维生素,如维生素A、B6、B12、C、D、E和叶酸;微量元素包括锌、铁、硒、镁和铜;ω-3脂肪酸如二十碳五烯酸和二十二碳六烯酸在促进免疫系统方面发挥着重要的生理作用。此外,锌是一种不可或缺的微量元素,对于完整的酶促生理过程至关重要。它还有助于调节基因转录,如人类生物系统中的DNA复制、RNA转录、细胞分裂和细胞活化。随后,锌与天然清除细胞和中性粒细胞一起,也参与了负责调节非特异性免疫的细胞的发育。现代饮食习惯常常导致锌缺乏;因此,不少到医院就诊的COVID-19患者经常被诊断为锌缺乏。早期研究记录表明,锌缺乏会使患者因抗病毒免疫力下降而易患病毒感染,如单纯疱疹、普通感冒、丙型肝炎、严重急性呼吸综合征冠状病毒(SARS-CoV-1)、人类免疫缺陷病毒(HIV)。本手稿旨在讨论锌在COVID-19感染管理中的各种作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c238/7930604/bf3e4dce52e3/JIR-14-527-g0001.jpg

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