维生素D对呼吸系统疾病的影响:COVID-19的前瞻性自然疗法

D. Martirosyan, C. Giordano
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引用次数: 0

摘要

背景:在2019冠状病毒病期间,世界各地的医疗保健专家和研究人员一直在积极研究这种新疾病的治疗方法。截至2020年7月3日,全球共有188多个国家和地区确诊病例11048509例,且每天都有新增病例。虽然有一些药物被FDA认定为EUA,如氯喹和羟氯喹、瑞德西韦和费森尤斯普罗文,但其中一些药物被发现存在重大的健康风险。例如,在临床试验中,氯喹和羟氯喹被发现会导致心律异常,并提高患者的死亡率。出于这个原因,维生素D等更自然的选择在治疗SARS-CoV-2症状方面可能更安全、更有效。目的:在这项研究中,我调查了在先前涉及呼吸系统疾病的临床试验中显示的补充维生素D的好处,并讨论了哪些食物最富含维生素D。最终,我的目标是提供维生素D获得机制的理解,以及人们应该经常摄入的最有效量,以增强他们的免疫系统。方法:本综述中引用的所有案例研究都是通过谷歌Scholar或NCBI通过“补充维生素D治疗呼吸系统疾病”等搜索查询找到的。有关疫苗接种和药物的其他信息来自FDA,有关食品营养价值的信息来自美国农业部。结果:维生素D已被证明对患有呼吸系统和非呼吸系统疾病的患者有许多有益的作用。这些益处包括,但不限于,降低对感染的易感性和降低细菌数量,减轻疾病症状,增加血清25(OH)D,并纠正维生素D缺乏症。结论:考虑到SARS-CoV-2感染与流感等其他呼吸道疾病在症状、分子和病理上的惊人相似性,补充维生素D的阳性结果表明,维生素D可能是治疗SARS-CoV-2症状的可行选择。通过食用富含维生素D的食物,如受紫外线照射的蘑菇、鲑鱼和鳟鱼,可以纠正低血清25(OH)D水平,从而自然地促进症状的减轻。通过诱导抗菌肽和防御素,调节细胞因子,增加抗微生物肽的产生,维生素D有可能作为一种天然的治疗选择,而不会像氯喹和其他拟议药物那样产生不良副作用。关键词:维生素D;缺乏;呼吸系统疾病;COVID-19;流感;抗菌肽;Defensin;SARS-CoV-2;ACE2;ANG II。
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The effects of vitamin D on respiratory illnesses: a prospective natural treatment for COVID-19
Background: In the midst of COVID-19, healthcare specialists and researchers worldwide have been actively investigating treatments for this new disease. As of July 3rd, 2020, there have been a total of 11,048,509 confirmed cases in more than 188 countries and regions with more and more cases being identified every day. Though there have been a couple of medications given EUA status by the FDA such as chloroquine and hydroxychloroquine, remdesivir, and Fresenius Propoven, some of these treatments have been found to carry substantial health risks. Chloroquine and hydroxychloroquine, for example, were found to cause abnormal heart rhythms and facilitated higher rates of death among patients in clinical trials. For this reason, a more natural option such as vitamin D has the potential to be safer and more effective in the treatment of SARS-CoV-2 symptoms.Objective: In this study, I investigate the benefits of vitamin D supplementation as shown in previous clinical trials involving respiratory illnesses and discussed which foods are most rich in vitamin D. Ultimately, I aim to provide an understanding of the mechanisms by which vitamin D is acquired and the most effective amounts that people should regularly consume in order to strengthen their immune system.Methods: All of the case studies cited in this review were found through Google Scholar or NCBI by search queries such as “Vitamin D supplementation to treat respiratory illness.” Additional information regarding vaccinations and medications was sourced from the FDA and information about the nutritional value of foods was obtained from the USDA.Results: Vitamin D has been shown to have many beneficial effects on patients suffering from both respiratory and non-respiratory illnesses. These benefits include, but are not limited to, lowered susceptibility to infection and lower bacterial counts, reduced symptoms of illness, increased serum 25(OH)D, and corrected vitamin D deficiency.Conclusions: Given the striking symptomatic, molecular, and pathological similarities between infection from SARS-CoV-2 and other respiratory illnesses such as influenza, the positive results from vitamin D supplementation suggest that vitamin D may be a viable treatment option for SARS-CoV-2 symptoms. Through the consumption of vitamin D-rich foods like UV-exposed mushrooms, salmon, and trout, low serum 25(OH)D levels could be corrected and the reduction of symptoms could be naturally facilitated. Through the induction of cathelicidin and defensin, the regulation of cytokines, and the increased production of anti-microbial peptides, vitamin D has the potential to act as a natural treatment option without adverse side-effects like those caused by chloroquine and other proposed drugs.Keywords: Vitamin D; Deficiency; Respiratory Illness; COVID-19; Influenza; Cathelicidin; Defensin; SARS-CoV-2; ACE2; ANG II.
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