维生素 D:COVID-19 大流行地方性阶段的潜在缓解工具?
Vitamin D: A Potential Mitigation Tool for the Endemic Stage of the COVID-19 Pandemic?
机构信息
Cell Biology and Immunology Group, Wageningen University & Research, Wageningen, Netherlands.
出版信息
Front Public Health. 2022 Jun 10;10:888168. doi: 10.3389/fpubh.2022.888168. eCollection 2022.
The impact of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and associated development of clinical symptoms of COVID-19 have presented an enormous global impact on our health care systems, public health and economy. To date several observational epidemiological studies consistently found that vitamin D deficiency, measured as low levels of circulating 25-hydroxyvitamin D, is associated with cardiovascular diseases, diabetes, certain cancers, autoimmune diseases and many infectious diseases, including acute respiratory infections. Since vitamin D is not merely immunosuppressive but also acts as an immunomodulator in tolerance and homeostasis, many experts have considered a role of vitamin D in the prevalence and severity of immune mediated inflammatory diseases, such as SARS-CoV-2, adding to the evidence of the importance of vitamin D in the immune response against viral respiratory infections and reinforcing the need for targeted vitamin D supplementation, with a focus on high-risk populations and a high-dose supplementation treatment for COVID-19 hospitalized patients. The expected transition to endemicity of SARS-CoV-2 even further corroborates as a potential of vitamin D as an potential mitigation tool for the prevention of COVID-19. The aim of this paper is to analyse the current evidence regarding vitamin D and present a hypothesis of its potential role in the current COVID-19 pandemic and in the future as a potential preventive measurement in public health.
严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)大流行及其相关的 COVID-19 临床症状的发展对我们的医疗保健系统、公共卫生和经济造成了巨大的全球影响。迄今为止,几项观察性流行病学研究一致发现,维生素 D 缺乏症(表现为循环 25-羟维生素 D 水平低)与心血管疾病、糖尿病、某些癌症、自身免疫性疾病和许多传染病有关,包括急性呼吸道感染。由于维生素 D 不仅具有免疫抑制作用,而且在耐受和体内平衡中作为免疫调节剂发挥作用,许多专家认为维生素 D 在 SARS-CoV-2 等免疫介导的炎症性疾病的流行和严重程度中发挥作用,这增加了维生素 D 在针对病毒呼吸道感染的免疫反应中的重要性的证据,并强调需要针对高危人群和 COVID-19 住院患者进行高剂量补充治疗。预计 SARS-CoV-2 将过渡为地方病,这进一步证明了维生素 D 作为预防 COVID-19 的潜在缓解工具的潜力。本文旨在分析目前关于维生素 D 的证据,并提出一个假设,即它在当前的 COVID-19 大流行中的潜在作用,以及未来作为公共卫生中一种潜在的预防措施。