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维生素 D - 预防 COVID-19 感染的主要免疫调节剂。

Vitamin D-A prominent immunomodulator to prevent COVID-19 infection.

机构信息

Department of Pharmaceutics, Bharat Institute of Technology (BIT), School of Pharmacy, Meerut, India.

Department of Pharmacology, MM College of Pharmacy, Maharishi Markandeshwar (Deemed to be) University, Ambala, India.

出版信息

Int J Rheum Dis. 2023 Jan;26(1):13-30. doi: 10.1111/1756-185X.14477. Epub 2022 Oct 29.

Abstract

COVID-19 remains a life-threatening infectious disease worldwide. Several bio-active agents have been tested and evaluated in an effort to contain this disease. Unfortunately, none of the therapies have been successful, owing to their safety concerns and the presence of various adverse effects. Various countries have developed vaccines as a preventive measure; however, they have not been widely accepted as effective strategies. The virus has proven to be exceedingly contagious and lethal, so finding an effective treatment strategy has been a top priority in medical research. The significance of vitamin D in influencing many components of the innate and adaptive immune systems is examined in this study. This review aims to summarize the research on the use of vitamin D for COVID-19 treatment and prevention. Vitamin D supplementation has now become an efficient option to boost the immune response for all ages in preventing the spread of infection. Vitamin D is an immunomodulator that treats infected lung tissue by improving innate and adaptive immune responses and downregulating the inflammatory cascades. The preventive action exerted by vitamin D supplementation (at a specific dose) has been accepted by several observational research investigations and clinical trials on the avoidance of viral and acute respiratory dysfunctions. To assess the existing consensus about vitamin D supplementation as a strategy to treat and prevent the development and progression of COVID-19 disease, this review intends to synthesize the evidence around vitamin D in relation to COVID-19 infection.

摘要

COVID-19 仍然是一种全球范围内危及生命的传染病。为了控制这种疾病,已经测试和评估了几种生物活性药物。不幸的是,由于安全性问题和存在各种不良反应,这些治疗方法都没有成功。为了作为预防措施,各国都开发了疫苗;然而,它们并没有被广泛认为是有效的策略。事实证明,这种病毒具有极强的传染性和致命性,因此寻找有效的治疗策略一直是医学研究的重中之重。本研究检查了维生素 D 对先天和适应性免疫系统许多成分的影响。本综述旨在总结维生素 D 治疗和预防 COVID-19 的研究。维生素 D 补充剂已成为一种有效的选择,可通过增强免疫反应,为所有年龄段的人提供预防感染的保护。维生素 D 是一种免疫调节剂,通过改善先天和适应性免疫反应并下调炎症级联反应来治疗感染的肺部组织。几项观察性研究调查和临床试验已经证实了维生素 D 补充(特定剂量)在预防病毒和急性呼吸功能障碍方面的预防作用。为了评估维生素 D 补充作为治疗和预防 COVID-19 疾病发展和进展的策略的现有共识,本综述旨在综合与 COVID-19 感染相关的维生素 D 证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23fd/9874620/fdc7c506dae9/APL-26-13-g003.jpg

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