补充维生素D在新型冠状病毒肺炎辅助治疗中的作用研究进展

Research progress on the role of vitamin D supplementation in adjuvant therapy for COVID-19

  • 摘要: 新型冠状病毒肺炎(COVID-19)引起的大流行给全球公共卫生健康带来了严峻的挑战。维生素D作为免疫调节剂,在增强免疫、抗呼吸道病毒感染方面具有重要作用。研究表明维生素D可通过影响血管紧张素转换酶2/血管紧张素(1~7)/Mas受体轴信号通路,抑制肾素-血管紧张素系统信号的过度激活而抗严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染和抑制炎症因子风暴产生,从而减少COVID-19患者ARDS、心源性梗阻的发生和血栓的形成。该文对维生素D在SARS-CoV-2感染及临床表现中的作用机制进行综述,推测维生素D在预防或辅助治疗COVID-19、减轻COVID-19患者临床症状方面发挥重要作用。

     

    Abstract: The pandemic caused by coronavirus disease of 2019 (COVID-19) has brought severe challenges to public health all over the world. Vitamin D plays an important role in immune regulation and anti-respiratory virus infection as an immune enhancer. Several studies have demonstrated that vitamin D can regulate the angiotensin-converting enzyme 2/angiotensin (1-7)/Mas receptor axis signaling pathway, inhibit the over-activation of renin-angiotensin system signal, fight against SARS-CoV-2 infection and suppress the production of inflammatory cytokine storm, thereby reducing the risk of pneumonia infection and improving acute respiratory distress syndrome, cardiogenic obstruction and thrombosis in COVID-19 patients. In this article, the mechanism of vitamin D in reducing the risk of SARS-CoV-2 infection and mitigating clinical symptoms was reviewed. It is hypothesized that vitamin D plays a critical role in the prevention or adjuvant therapy for novel coronavirus pneumonia and alleviating clinical manifestations in COVID-19 patients.

     

/

返回文章
返回