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维生素D对新型冠状病毒肺炎及其他病毒性疾病的影响。

Impact of vitamin D on COVID-19 and other viral diseases.

作者信息

Nagoba Basavraj S, Gavkare Ajay M, Rayate Abhijit S, Nanaware Neeta, Bhavthankar Sachin

机构信息

Department of Microbiology, Maharashtra Institute of Medical Sciences and Research, Latur 413531, India.

Department of Physiology, Maharashtra Institute of Medical Sciences and Research, Latur 413531, India.

出版信息

World J Virol. 2024 Dec 25;13(4):100356. doi: 10.5501/wjv.v13.i4.100356.

Abstract

This editorial aims to elucidate the intricate relationship between vitamin D and viral pathogenesis. It explores the anticipated role of vitamin D as a modulator in the immune response against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and other viral pathogens. The editorial comments are based on the review article by Engin . The potential role of vitamin D in modulating immune responses has been highlighted by several studies, suggesting that it may influence both the risk and severity of infections. Vitamin D receptors are present in immunocompetent cells, which indicates that vitamin D can potentially modulate innate and adaptive immune responses. This context is relevant in the pathophysiology of coronavirus disease 2019 (COVID-19), where the immune response to the virus can significantly impact the disease progression and outcome. The immunomodulatory effects of vitamin D can protect against SARS-CoV-2 infection by enhancing innate and adaptive immune responses. It also maintains the integrity of the body's physical barriers and modulates inflammatory responses, thereby preventing entry and replication of the virus. Many studies have suggested that adequate vitamin D levels help alleviate morbidity and mortality associated with COVID-19. Furthermore, vitamin D supplementation has been linked with a lower risk of severe disease and mortality in COVID-19 patients, particularly in those with a deficiency during seasons with less sunlight exposure.

摘要

这篇社论旨在阐明维生素D与病毒发病机制之间的复杂关系。它探讨了维生素D作为一种调节剂在针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)和其他病毒病原体的免疫反应中所预期发挥的作用。这些社论评论基于恩金的综述文章。多项研究强调了维生素D在调节免疫反应中的潜在作用,表明它可能会影响感染的风险和严重程度。免疫活性细胞中存在维生素D受体,这表明维生素D可能会调节先天性和适应性免疫反应。这一背景在2019冠状病毒病(COVID-19)的病理生理学中具有相关性,在这种疾病中,对病毒的免疫反应会显著影响疾病的进展和结果。维生素D的免疫调节作用可以通过增强先天性和适应性免疫反应来预防SARS-CoV-2感染。它还能维持身体物理屏障的完整性并调节炎症反应,从而阻止病毒的进入和复制。许多研究表明,充足的维生素D水平有助于减轻与COVID-19相关的发病率和死亡率。此外,补充维生素D与降低COVID-19患者发生严重疾病和死亡的风险有关,尤其是在阳光照射较少季节存在维生素D缺乏的患者中。

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