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维生素 D 的免疫调节功能,特别针对 SARS-CoV-2。

The Immunomodulatory Function of Vitamin D, with Particular Reference to SARS-CoV-2.

机构信息

Department of Anatomy and Radiology, Health Sciences Faculty, GIR of Physical Exercise and Aging, Campus Universitario "Los Pajaritos", 42004 Soria, Spain.

Spine Department, Valladolid University Hospital, University of Valladolid, 47005 Valladolid, Spain.

出版信息

Medicina (Kaunas). 2021 Dec 2;57(12):1321. doi: 10.3390/medicina57121321.

DOI:10.3390/medicina57121321
PMID:34946266
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8706376/
Abstract

Vaccines are the only way to reduce the morbidity associated to SARS-CoV-2 infection. The appearance of new mutations urges us to increase the effectiveness of vaccines as a complementary alternative. In this context, the use of adjuvant strategies has improved the effectiveness of different vaccines against virus infections such as dengue, influenza, and common cold. Recent reports on patients infected by COVID-19 reveal that low levels of circulating vitamin D correlate with a severe respiratory insufficiency. The immunomodulatory activity of this micronutrient attenuates the synthesis of pro-inflammatory cytokines and at the same time, increases antibody production. Therefore, the present review proposes the use of vitamin D as adjuvant micronutrient to increase the efficacy of vaccines against SARS-CoV-2 infection.

摘要

疫苗是降低 SARS-CoV-2 感染相关发病率的唯一途径。新突变的出现促使我们提高疫苗的有效性,作为一种补充手段。在这种情况下,佐剂策略的使用提高了针对登革热、流感和普通感冒等病毒感染的不同疫苗的有效性。最近关于 COVID-19 感染者的报告显示,循环维生素 D 水平低与严重呼吸功能不全相关。这种微量营养素的免疫调节活性可减弱促炎细胞因子的合成,同时增加抗体产生。因此,本综述提出将维生素 D 用作佐剂微量营养素,以提高针对 SARS-CoV-2 感染的疫苗的功效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f12/8706376/297a327de117/medicina-57-01321-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f12/8706376/00901caefda5/medicina-57-01321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f12/8706376/297a327de117/medicina-57-01321-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f12/8706376/00901caefda5/medicina-57-01321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f12/8706376/297a327de117/medicina-57-01321-g002.jpg

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本文引用的文献

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Rev Clin Esp. 2021 Feb;221(2):109-117. doi: 10.1016/j.rce.2020.08.005. Epub 2020 Oct 1.
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Erythema Multiforme and COVID-19: What Do We Know?多形红斑与 COVID-19:我们了解多少?
Medicina (Kaunas). 2021 Aug 16;57(8):828. doi: 10.3390/medicina57080828.
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Adaptive immunity to SARS-CoV-2.对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的适应性免疫
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The relationship between 25(OH) vitamin D levels and COVID-19 onset and disease course in Spanish patients.维生素 D25(OH)水平与西班牙患者 COVID-19 发病和病程的关系。
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The COVID-19 puzzle: deciphering pathophysiology and phenotypes of a new disease entity.新冠病毒谜题:解析新疾病实体的病理生理学和表型。
Lancet Respir Med. 2021 Jun;9(6):622-642. doi: 10.1016/S2213-2600(21)00218-6. Epub 2021 May 6.
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Circulating Vitamin D levels status and clinical prognostic indices in COVID-19 patients.新型冠状病毒肺炎患者循环维生素 D 水平状况与临床预后指标。
Respir Res. 2021 Mar 3;22(1):76. doi: 10.1186/s12931-021-01666-3.
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COVID-19: Understanding Inter-Individual Variability and Implications for Precision Medicine.COVID-19:理解个体间变异性及其对精准医学的影响。
Mayo Clin Proc. 2021 Feb;96(2):446-463. doi: 10.1016/j.mayocp.2020.11.024. Epub 2020 Dec 3.
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High-dose vitamin D versus placebo to prevent complications in COVID-19 patients: A structured summary of a study protocol for a randomised controlled trial (CARED-TRIAL).高剂量维生素 D 与安慰剂预防 COVID-19 患者并发症:一项随机对照试验(CARED-TRIAL)研究方案的结构化总结。
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