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维生素 D 介导的 COVID-19 和骨质疏松症的共同机制和串扰。

Shared mechanisms and crosstalk of COVID-19 and osteoporosis via vitamin D.

机构信息

Department of Orthopedics, The Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University, Luzhou, 646000, Sichuan, China.

Center for Phenomics of Traditional Chinese Medicine, and the Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University, Luzhou, 646000, Sichuan, China.

出版信息

Sci Rep. 2022 Oct 28;12(1):18147. doi: 10.1038/s41598-022-23143-7.

Abstract

Recently accumulated evidence implicates a close association of vitamin D (VitD) insufficiency to the incidence and clinical manifestations of the COVID-19 caused by severe acute respiratory syndrome coronavirus-2 (SARS-COV-2). Populations with insufficient VitD including patients with osteoporosis are more susceptible to SARS-COV-2 infection and patients with COVID-19 worsened or developed osteoporosis. It is currently unknown, however, whether osteoporosis and COVID-19 are linked by VitD insufficiency. In this study, 42 common targets for VitD on both COVID-19 and osteoporosis were identified among a total of 243 VitD targets. Further bioinformatic analysis revealed 8 core targets (EGFR, AR, ESR1, MAPK8, MDM2, EZH2, ERBB2 and MAPT) in the VitD-COVID-19-osteoporosis network. These targets are involved in the ErbB and MAPK signaling pathways critical for lung fibrosis, bone structural integrity, and cytokines through a crosstalk between COVID-19 and osteoporosis via the VitD-mediated conventional immune and osteoimmune mechanisms. Molecular docking confirmed that VitD binds tightly to the predicted targets. These findings support that VitD may target common signaling pathways in the integrated network of lung fibrosis and bone structural integrity as well as the immune systems. Therefore, VitD may serve as a preventive and therapeutic agent for both COVID-19 and osteoporosis.

摘要

最近积累的证据表明,维生素 D(VitD)不足与由严重急性呼吸系统综合征冠状病毒 2(SARS-COV-2)引起的 COVID-19 的发病率和临床表现密切相关。包括骨质疏松症患者在内的 VitD 不足的人群更容易感染 SARS-COV-2,COVID-19 患者的病情恶化或发展为骨质疏松症。然而,目前尚不清楚骨质疏松症和 COVID-19 是否与 VitD 不足有关。在这项研究中,在总共 243 个 VitD 靶点中,确定了 COVID-19 和骨质疏松症中 VitD 的 42 个共同靶点。进一步的生物信息学分析显示,VitD-COVID-19-骨质疏松症网络中有 8 个核心靶点(EGFR、AR、ESR1、MAPK8、MDM2、EZH2、ERBB2 和 MAPT)。这些靶点通过 COVID-19 和骨质疏松症之间的 VitD 介导的传统免疫和骨免疫机制的串扰,参与肺纤维化、骨结构完整性和细胞因子的 ErbB 和 MAPK 信号通路。分子对接证实 VitD 与预测靶点紧密结合。这些发现支持 VitD 可能针对肺纤维化和骨结构完整性以及免疫系统综合网络中的共同信号通路。因此,VitD 可能是 COVID-19 和骨质疏松症的预防和治疗药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b51/9616864/cbab01225248/41598_2022_23143_Fig1_HTML.jpg

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