Department of Basic and Clinical Sciences, University of Nicosia Medical School, 21 Ilia Papakyriakou, 2414 Engomi, P.O. Box 24005, CY-1700, Nicosia, Cyprus.
Curr Nutr Rep. 2021 Sep;10(3):200-210. doi: 10.1007/s13668-021-00356-2. Epub 2021 May 5.
The SARS-CoV-2 (COVID-19) outbreak has manifested into a major public health concern across the globe, affecting particularly the most vulnerable population groups. Currently, there are various clinical trials being conducted to develop effective treatments. It is estimated that it could take one or more years before these drugs pass all safety tests and concrete results with regard to their effectiveness become available. In addition, despite the recent development of vaccines (licensed for use under conditional licenses) and the commencement of COVID-19 vaccination programs in several countries, there is still a need for safe and novel strategies that may reduce the symptomatology and/or prevent the severe complications associated with COVID-19. Natural compounds previously shown to have antiviral potential should be thoroughly considered and investigated for use in prophylactic treatment of COVID-19 due to their availability and safety.
The current narrative review investigates whether there is evidence in the literature that supplementation with dietary minerals and vitamins may have a role in preventing infection with SARS-CoV-2 or in reducing COVID-19 symptomatology and disease progression. The current evidence from the literature supports that zinc and vitamin C have a potential in reducing the inflammatory response associated with SARS-CoV-2 while folate and vitamin D may have a role in antagonizing the entry of SARs-CoV-2 virus in host calls. Thus, further research should be conducted that could lead to the development of nutritional supplements involving natural and widely available compounds such as zinc, folate, vitamin C, and vitamin D. The latter could be an effective, safe, and inexpensive way to either prevent infection with SARS-CoV-2 and/or lessen the burden of COVID-19 disease.
SARS-CoV-2(COVID-19)的爆发已成为全球主要的公共卫生关注点,尤其对最脆弱的人群群体造成影响。目前,正在进行各种临床试验以开发有效的治疗方法。据估计,这些药物需要经过一到两年的时间才能通过所有安全性测试,并获得关于其疗效的具体结果。此外,尽管最近开发了疫苗(根据有条件许可获得许可)并在多个国家启动了 COVID-19 疫苗接种计划,但仍需要安全且新颖的策略来减轻 COVID-19 的症状和/或预防其相关的严重并发症。由于其可用性和安全性,先前显示出具有抗病毒潜力的天然化合物应被充分考虑并用于 COVID-19 的预防性治疗。
本综述调查了文献中是否有证据表明补充膳食矿物质和维生素可能在预防 SARS-CoV-2 感染或减轻 COVID-19 症状和疾病进展方面发挥作用。目前来自文献的证据表明,锌和维生素 C 具有减轻与 SARS-CoV-2 相关的炎症反应的潜力,而叶酸和维生素 D 可能在拮抗 SARS-CoV-2 病毒进入宿主细胞方面发挥作用。因此,应进行进一步的研究,以开发涉及锌、叶酸、维生素 C 和维生素 D 等天然且广泛可用的化合物的营养补充剂。后者可能是预防 SARS-CoV-2 感染和/或减轻 COVID-19 疾病负担的有效、安全且廉价的方法。