Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.
Neuroscience & Pharmacology, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.
Nutrients. 2022 Feb 27;14(5):1004. doi: 10.3390/nu14051004.
Immunomodulation is influenced by the consumption of nutrients, and healthy immunity is pivotal to defending an individual from a variety of pathogens. The immune system is a network of intricately regulated biological processes that is comprised of many organs, cellular structures, and signaling molecules. A balanced diet, rich in vitamins, minerals, and antioxidants, is key to a strengthened immune system and, thus, crucial to proper functioning of various physiological activities. Conversely, deficiencies of these micronutrients, involving impaired immunity, are linked to numerous health complications, along with a host of pathologies. Coronavirus disease 2019 (COVID-19) is a dangerous infectious disease caused by a β-form of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its genomic variants, which enter host cells upon binding to the angiotensin converting enzyme 2 receptors, and is associated with substantial morbidities and mortalities globally. Patients afflicted with COVID-19 display asymptomatic to severe symptoms, occurrences of which are multifactorial and include diverse immune responses, sex and gender differences, aging, and underlying medical conditions. Geriatric populations, especially men in comparison to women, regardless of their states, are most vulnerable to severe COVID-19-associated infections and complications, with fatal outcomes. Advances in genomic and proteomic technologies help one understand molecular events, including host-pathogen interactions and pathogenesis of COVID-19 and, subsequently, have developed a variety of preventive measures urgently, ranging from mask wearing to vaccination to medication. Despite these approaches, no unique strategy is available today that can effectively prevent and/or treat this hostile disease. As a consequence, the maintenance of a boosted immune system could be considered a high priority of preventive medicine for combating COVID-19. Herein, we discuss the current level of understanding underlining the contribution of healthy immunity and its relevance to COVID-19 molecular pathogenesis, and potential therapeutic strategies, in the management of this devastating disease.
免疫调节受营养素摄入的影响,健康的免疫对于抵御各种病原体至关重要。免疫系统是一个由许多器官、细胞结构和信号分子组成的复杂调节的生物网络。均衡的饮食,富含维生素、矿物质和抗氧化剂,是增强免疫系统的关键,因此对各种生理活动的正常功能至关重要。相反,这些微量营养素的缺乏,包括免疫功能受损,与许多健康并发症以及许多病理学有关。2019 年冠状病毒病(COVID-19)是一种由β形式的严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)及其基因组变体引起的危险传染病,这些变体通过与血管紧张素转换酶 2 受体结合进入宿主细胞,并且与全球大量的发病率和死亡率相关。感染 COVID-19 的患者表现出无症状到严重症状,这些症状的发生是多因素的,包括不同的免疫反应、性别差异、衰老和潜在的医疗条件。老年人群体,尤其是男性,与女性相比,无论其状态如何,都极易受到严重 COVID-19 相关感染和并发症的影响,导致死亡。基因组和蛋白质组学技术的进步有助于人们了解分子事件,包括宿主-病原体相互作用和 COVID-19 的发病机制,随后紧急开发了各种预防措施,从戴口罩到接种疫苗再到用药。尽管采取了这些方法,但目前尚无有效的单一策略可用于预防和/或治疗这种恶劣的疾病。因此,维持增强的免疫系统可以被视为预防医学对抗 COVID-19 的重中之重。在这里,我们讨论了当前对健康免疫的贡献及其与 COVID-19 分子发病机制的相关性的理解水平,以及在管理这种破坏性疾病方面的潜在治疗策略。