Current Perspective on Vitamins and SARS-CoV-2 Disease (COVID-19)

Himanshi Goyal, Diksha Rana, Renuka Sharma, Dikshit Lamba, J. Kaur
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Abstract

Abstract Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a highly pathogenic and transmissible coronavirus, has resulted in a pandemic named coronavirus disease 2019 (COVID-19). It has taken over the world in no time causing nearly 5 million deaths and almost 500 million people being affected as of June 2022 causing an extensive burden on healthcare facilities globally. Though the disease onset is via respiratory tract, but it affects almost all organs of the body and due to induction of mutations in the virus, combating with the disease is extremely difficult. The major damage associated with disease is driven through inflammatory pathways in tissues with accompanying cytokine storm mediated mainly by macrophages. Building a strong immune system requires maintenance of a healthy diet along with keeping vitamin and coenzyme deficiencies away. The review focuses on the importance of the vitamins for maintaining a good immune system to reduce the susceptibility to SARS-CoV-2 infection, to fight the infection efficiently, and to reduce the impact of the disease. Vitamins play an essential role in modulating the immune responses to infection via altering the signaling pathways, which can act as potential weapons against the disease. Various water- and fat-soluble vitamins like vitamin B, C, D, and E have crucial roles in mediating primary interferon response, improving innate as well as adaptive functions of immunity and antioxidant properties. The current understanding about the supplementation of various vitamins as an adjunct therapeutic strategy to fight COVID-19 disease has also been discussed.
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维生素与 SARS-CoV-2 疾病的当前视角 (COVID-19)
摘要 严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)是一种高致病性、高传播性的冠状病毒,它导致了一场名为 "冠状病毒病 2019"(COVID-19)的大流行。截至 2022 年 6 月,它已迅速席卷全球,造成近 500 万人死亡,近 5 亿人受到影响,给全球医疗机构造成了沉重负担。虽然该病通过呼吸道发病,但几乎会影响人体的所有器官,而且由于病毒会诱发变异,因此抗击该病极为困难。与疾病相关的主要损害是通过组织中的炎症途径驱动的,并伴随着主要由巨噬细胞介导的细胞因子风暴。建立强大的免疫系统需要保持健康的饮食习惯,同时避免维生素和辅酶的缺乏。这篇综述的重点是维生素对保持良好免疫系统的重要性,以降低对 SARS-CoV-2 感染的易感性,有效抵抗感染,并减少疾病的影响。维生素通过改变信号传导途径,在调节免疫系统对感染的反应方面发挥着重要作用,可作为抗击疾病的潜在武器。维生素 B、C、D 和 E 等各种水溶性和脂溶性维生素在调解初级干扰素反应、改善先天性和适应性免疫功能以及抗氧化特性方面发挥着至关重要的作用。此外,还讨论了目前对补充各种维生素作为抗击 COVID-19 疾病的辅助治疗策略的认识。
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