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维生素C在预防新型冠状病毒肺炎感染、进展及严重程度方面的作用。

Role of vitamin C in preventing of COVID-19 infection, progression and severity.

作者信息

Shahbaz Umar, Fatima Nazira, Basharat Samra, Bibi Asma, Yu Xiaobin, Hussain Muhammad Iftikhar, Nasrullah Maryam

机构信息

Key Laboratory of Carbohydrate Chemistry & Biotechnology, Ministry of Education, School of Biotechnology, Jiangnan University, Wuxi, Jiangsu, China.

Key Laboratory of Industrial Biotechnology, Ministry of Education, School of Biotechnology, Jiangnan University, Wuxi, Jiangsu, China.

出版信息

AIMS Microbiol. 2022 Mar 30;8(1):108-124. doi: 10.3934/microbiol.2022010. eCollection 2022.

Abstract

Vitamin C stands as an essential water-soluble vitamin, antioxidant and has been shown to enhance immunity. SARS-CoV-2 has been spreading rapidly across the worldwide, several cellular processes of innate and adaptive immunity are aided by vitamin C, which strengthens the immune system overall. Multiple lines of evidence in the literature associate vitamin C with antioxidant, anti-inflammatory, anticoagulant and immunomodulatory actions. Pneumonia and sepsis patients had poor ascorbic acid status and high oxidative stress, according to many studies. Pneumonia patients who get vitamin C may have less severe symptoms and a longer course of the illness if they do. To standardize plasma levels in sepsis patients, gram measurements of the vitamin must be administered intravenously (IV). This intervention has been shown in a few trials to reduce mortality. COVID-19 management in China and the United States has exhibited remarkable results when using a high percentage of intravenous vitamins C. It's acceptable to include vitamin C in the COVID-19 treatment protocol as a secondary measure based on the current active clinical studies looking at the impact of vitamin C on the management of COVID-19. Patients with hypovitaminosis C or severe respiratory illnesses, such as COVID-19, may benefit from taking vitamin C, due to its good safety profile, simplicity of use, and potential for rapid production scaling. The study's goal was to see whether high dosage intravenous vitamin C had any impact on individuals with severe COVID-19 (HDIVC). Finally we discuss recent research that has been published on the efficacy of vitamin C administration in the treatment of viral infection and life-threatening conditions. The purpose of this manuscript is to summarise existing research on the efficacy of vitamin C as a treatment for COVID-19 and to discuss possible explanations for why it may work in some individuals but not in others.

摘要

维生素C是一种必需的水溶性维生素、抗氧化剂,已被证明能增强免疫力。严重急性呼吸综合征冠状病毒2(SARS-CoV-2)在全球迅速传播,维生素C有助于先天和适应性免疫的多个细胞过程,从而整体增强免疫系统。文献中的多条证据将维生素C与抗氧化、抗炎、抗凝和免疫调节作用联系起来。许多研究表明,肺炎和脓毒症患者的抗坏血酸水平较低且氧化应激较高。肺炎患者补充维生素C后,症状可能不那么严重,病程可能更长。为了使脓毒症患者的血浆水平标准化,必须静脉注射维生素C的克数。一些试验表明,这种干预措施可降低死亡率。在中国和美国,使用高比例静脉注射维生素C治疗新型冠状病毒肺炎(COVID-19)已取得显著效果。根据目前关于维生素C对COVID-19治疗影响的积极临床研究,将维生素C作为次要措施纳入COVID-19治疗方案是可以接受的。维生素C安全性良好、使用简单且有快速扩大生产规模的潜力,维生素C缺乏症患者或患有严重呼吸道疾病(如COVID-19)的患者可能会从中受益。该研究的目的是观察高剂量静脉注射维生素C对重症COVID-19患者(HDIVC)是否有影响。最后,我们讨论了最近发表的关于维生素C给药治疗病毒感染和危及生命状况疗效的研究。本文的目的是总结维生素C治疗COVID-19疗效的现有研究,并讨论为什么它可能对某些人有效而对另一些人无效的可能原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70be/8995185/45c49acccbc0/microbiol-08-01-010-g001.jpg

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