I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia.
Cytokine. 2024 Dec;184:156761. doi: 10.1016/j.cyto.2024.156761. Epub 2024 Sep 21.
The problem of correcting immune system function and compensating for co-morbidities becomes particularly clinically significant in the post-COVID period. There is evidence that certain trace elements in the human body, particularly zinc ions, play a critical role in restoring the function of the immune system and internal organs.
To analyze the mechanisms of zinc action maintaining the body homeostasis in order to justify pathogenetically the inclusion of zinc drugs in the therapy of patients in the post-COVID period.
Data from Elsevier, Global Health, PubMed-NCBI, Embase, MEDLINE, Scopus, Research gate, RSCI Scopus, Cochrane Library, Google Academy, e-LIBRARY.RU and CyberLeninka were used.
This review showed that the importance of zinc in maintaining body homeostasis in the post-COVID period is determined by its multifaceted effect on all parts of the immune system, its anti-inflammatory activity, antimicrobial properties and participation in the restoration of internal organ function. Elimination of zinc deficiency in the post-COVID period is essential to support immunity, compensate for comorbidities and reduce the risk of complications. The impossibility of synthesizing zinc in the body requires its constant intake in sufficient quantities. Zinc levels are significantly reduced after infectious diseases, as this element is specifically distributed to organs and tissues to maintain immunological and metabolic functions. The degree of zinc deficiency is associated with the severity of COVID-19 and the post-COVID period. It is pathogenetically justified to prescribe zinc drugs in the post-COVID period, the choice of which should take into account comorbidities and severity of hypozincemia.
Regularly administered therapy with zinc drugs in the post-COVID period will help correct the population immunity and restore public health.
在新冠疫情后时期,纠正免疫系统功能和补偿合并症的问题在临床上变得尤为重要。有证据表明,人体中的某些微量元素,特别是锌离子,在恢复免疫系统和内脏器官功能方面起着关键作用。
分析锌作用的机制以维持体内平衡,从而从发病机制上证明在新冠疫情后时期将锌药物纳入患者治疗的合理性。
使用了来自 Elsevier、Global Health、PubMed-NCBI、Embase、MEDLINE、Scopus、Research gate、RSCI Scopus、Cochrane Library、Google Academy、e-LIBRARY.RU 和 CyberLeninka 的数据。
本综述表明,锌在新冠疫情后时期维持体内平衡的重要性取决于其对免疫系统各个部分的多方面影响、其抗炎活性、抗菌特性以及参与恢复内脏器官功能。消除新冠疫情后时期的锌缺乏对于支持免疫力、补偿合并症和降低并发症风险至关重要。由于身体无法合成锌,因此需要常量摄入锌。传染病后锌水平显著降低,因为这种元素专门分配到器官和组织以维持免疫和代谢功能。锌缺乏的程度与 COVID-19 的严重程度和新冠疫情后时期相关。从发病机制上证明在新冠疫情后时期开处锌药物是合理的,选择应考虑合并症和低锌血症的严重程度。
在新冠疫情后时期定期给予锌药物治疗将有助于纠正人群免疫力并恢复公共健康。