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有证据表明维生素 D 可能在 COVID-19 中发挥作用:缺失的环节。

Evidences suggesting a possible role of Vitamin D in COVID 19: The missing link.

机构信息

Department of Pharmacology, All India Institute of Medical Sciences, Patna, Bihar, India.

Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.

出版信息

Indian J Pharmacol. 2021 Sep-Oct;53(5):394-402. doi: 10.4103/ijp.IJP_654_20.


DOI:10.4103/ijp.IJP_654_20
PMID:34854410
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8641745/
Abstract

The severe acute respiratory syndrome coronavirus 2 is spreading like wildfire with no specific recommended treatment in sight. While some risk factors such as the presence of comorbidities, old age, and ethnicity have been recognized, not a lot is known about who the virus will strike first or impact more. In this hopeless scenario, exploration of time-tested facts about viral infections, in general, seems to be a sound basis to prop further research upon. The fact that immunity and its various determinants (e.g., micronutrients, sleep, and hygiene) have a crucial role to play in the defense against invading organisms, may be a good starting point for commencing research into these as yet undisclosed territories. Herein, the excellent immunomodulatory, antiviral, and anti-inflammatory roles of Vitamin D necessitate thorough investigation, particularly in COVID-19 perspective. This article reviews mechanisms and evidence suggesting the role Vitamin D plays in people infected by the newly identified COVID-19 virus. For this review, we searched the databases of Medline, PubMed, and Embase. We studied several meta-analyses and randomized controlled trials evaluating the role of Vitamin D in influenza and other contagious viral infections. We also reviewed the circumstantial and anecdotal evidence connecting Vitamin D with COVID-19 emerging recently. Consequently, it seems logical to conclude that the immune-enhancing, antiviral, anti-inflammatory, and lung-protective role of Vitamin D can be potentially lifesaving. Hence, Vitamin D deserves exhaustive exploration through rigorously designed and controlled scientific trials. Using Vitamin D as prophylaxis and/or chemotherapeutic treatment of COVID-19 infection is an approach worth considering. In this regard, mass assessment and subsequent supplementation can be tried, especially considering the mechanistic evidence in respiratory infections, low potential for toxicity, and widespread prevalence of the deficiency of Vitamin D affecting many people worldwide.

摘要

严重急性呼吸综合征冠状病毒 2 正在迅速传播,目前尚无特定的推荐治疗方法。虽然已经认识到一些风险因素,如合并症、年龄和种族的存在,但对于病毒首先会袭击谁或影响谁更大,还知之甚少。在这种无望的情况下,探索一般病毒感染的经过时间考验的事实似乎是进一步研究的合理基础。事实上,免疫力及其各种决定因素(例如,微量营养素、睡眠和卫生)在抵御入侵生物体方面起着至关重要的作用,这可能是开始研究这些尚未公开的领域的一个很好的起点。在此,维生素 D 具有出色的免疫调节、抗病毒和抗炎作用,这需要进行彻底的研究,特别是在 COVID-19 方面。本文综述了维生素 D 在新发现的 COVID-19 病毒感染者中发挥作用的机制和证据。为了进行这项综述,我们检索了 Medline、PubMed 和 Embase 数据库。我们研究了几项评估维生素 D 在流感和其他传染性病毒感染中的作用的荟萃分析和随机对照试验。我们还回顾了最近与 COVID-19 相关的维生素 D 与 COVID-19 之间的偶然和传闻证据。因此,似乎可以合理地得出结论,维生素 D 的免疫增强、抗病毒、抗炎和肺保护作用可能具有救命的作用。因此,维生素 D 需要通过精心设计和控制的科学试验进行彻底的探索。使用维生素 D 作为 COVID-19 感染的预防和/或化学治疗是一种值得考虑的方法。在这方面,可以尝试进行大规模评估和随后的补充,特别是考虑到呼吸道感染的机制证据、低毒性潜力以及影响全球许多人的维生素 D 缺乏症的广泛流行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af4/8641745/90539122e3d8/IJPharm-53-394-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af4/8641745/90a6c8c53805/IJPharm-53-394-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af4/8641745/90539122e3d8/IJPharm-53-394-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af4/8641745/90a6c8c53805/IJPharm-53-394-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af4/8641745/90539122e3d8/IJPharm-53-394-g002.jpg

相似文献

[1]
Evidences suggesting a possible role of Vitamin D in COVID 19: The missing link.

Indian J Pharmacol. 2021

[2]
COVID-19 Infection and Vitamin D: Current Scenario and Future Prospects.

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[3]
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J Med Virol. 2021-3

[4]
Vitamin D and COVID-19: An Overview of Recent Evidence.

Int J Mol Sci. 2021-9-29

[5]
Immune Modulatory Effects of Vitamin D on Viral Infections.

Nutrients. 2020-9-21

[6]
Putative roles of vitamin D in modulating immune response and immunopathology associated with COVID-19.

Virus Res. 2021-1-15

[7]
Immune interventions in COVID-19: a matter of time?

Mucosal Immunol. 2022-2

[8]
The interplay between vitamin D and COVID-19: protective or bystander?

Eur Rev Med Pharmacol Sci. 2021-2

[9]
The Roles of Vitamin D in Increasing the Body's Immunity and Reducing Injuries due to Viral Infections: With an Emphasis on its Possible Role in SARS-CoV-2 (COVID-19).

Curr Pharm Des. 2021

[10]
Vitamin D in SARS-CoV-2 infection.

Rocz Panstw Zakl Hig. 2022

引用本文的文献

[1]
Vitamin D supplementation trials: Navigating the maze of unpredictable results.

Perspect Clin Res. 2025

[2]
Vitamin D Status and Incidence of SARS-CoV-2 Reinfections in the Borriana COVID-19 Cohort: A Population-Based Prospective Cohort Study.

Trop Med Infect Dis. 2025-4-6

[3]
Are Nutraceuticals Effective in COVID-19 and Post-COVID Prevention and Treatment?

Foods. 2022-9-17

[4]
Role of Vitamin D in COVID-19: Correspondence.

Indian J Pharmacol. 2022

本文引用的文献

[1]
Tackling COVID-19 with neutralizing monoclonal antibodies.

Cell. 2021-8-19

[2]
Improved Survival Among Hospitalized Patients With Coronavirus Disease 2019 (COVID-19) Treated With Remdesivir and Dexamethasone. A Nationwide Population-Based Cohort Study.

Clin Infect Dis. 2021-12-6

[3]
COVID-19 vaccines: where we stand and challenges ahead.

Cell Death Differ. 2021-2

[4]
Vitamin D Levels and COVID-19 Susceptibility: Is there any Correlation?

Med Drug Discov. 2020-9

[5]
Remdesivir for the Treatment of Covid-19 - Preliminary Report. Reply.

N Engl J Med. 2020-9-3

[6]
Vitamin D and Inflammation: Potential Implications for Severity of Covid-19.

Ir Med J. 2020-5-7

[7]
Temperature, Humidity, and Latitude Analysis to Estimate Potential Spread and Seasonality of Coronavirus Disease 2019 (COVID-19).

JAMA Netw Open. 2020-6-1

[8]
Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: prospective cohort study.

BMJ. 2020-5-22

[9]
25-Hydroxyvitamin D Concentrations Are Lower in Patients with Positive PCR for SARS-CoV-2.

Nutrients. 2020-5-9

[10]
Chilblains is a common cutaneous finding during the COVID-19 pandemic: A retrospective nationwide study from France.

J Am Acad Dermatol. 2020-8

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