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Interaction between vitamin D deficiency and COVID-19

Borba, Vânia and Carrera-Bastos, Pedro LU (2022) p.685-709
Abstract

Coronavirus Disease 2019 (COVID-19) poses an enormous challenge to health care systems throughout the world, but it doesn’t affect every individual to the same extent. There is great variability in disease outcomes. Therefore, identifying the main prognostic risk factors is of paramount importance. These include increased age, skin pigmentation, obesity, pre-existing illness, and vitamin D deficiency. Vitamin D is a molecule with established effectiveness against various upper respiratory infections. This is due to its pivotal role as modulator of the innate and adaptative immune system through different mechanisms. Moreover, vitamin D can regulate the renin-angiotensin system that is exploited by SARS-CoV-2 for entry into the host... (More)

Coronavirus Disease 2019 (COVID-19) poses an enormous challenge to health care systems throughout the world, but it doesn’t affect every individual to the same extent. There is great variability in disease outcomes. Therefore, identifying the main prognostic risk factors is of paramount importance. These include increased age, skin pigmentation, obesity, pre-existing illness, and vitamin D deficiency. Vitamin D is a molecule with established effectiveness against various upper respiratory infections. This is due to its pivotal role as modulator of the innate and adaptative immune system through different mechanisms. Moreover, vitamin D can regulate the renin-angiotensin system that is exploited by SARS-CoV-2 for entry into the host cells. Vitamin D supplementation is thus a therapeutic option to consider, especially since it has low toxicity, and there are few currently available drugs for COVID-19 treatment. In this review chapter, we engage an immunological lens to discuss potential mechanisms by which vitamin D signaling might regulate COVID-19 disease susceptibility, severity, and by consequence, mortality. Hence, a critical analysis of the clinical trials published to date has been undertaken to address the value of vitamin D supplementation. We also discuss, based on plausible immunological mechanisms, the relationship between vitamin D and Long-COVID, as well as its effect on SARS-CoV-2 vaccination responsiveness.

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Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
Cholecalciferol, COVID-19, Immune system, Post-COVID-19 syndrome, Respiratory tract infection, SARS-CoV-2, Vitamin D
host publication
Autoimmunity, COVID-19, Post-COVID19 Syndrome and COVID-19 Vaccination
pages
25 pages
publisher
ScienceDirect, Elsevier
external identifiers
  • scopus:85151197772
ISBN
9780443185663
9780443185670
DOI
10.1016/B978-0-443-18566-3.00025-6
language
English
LU publication?
yes
id
f5402a34-2eae-4326-8117-b605bd0012d3
date added to LUP
2023-05-30 08:55:46
date last changed
2024-04-19 22:24:25
@inbook{f5402a34-2eae-4326-8117-b605bd0012d3,
  abstract     = {{<p>Coronavirus Disease 2019 (COVID-19) poses an enormous challenge to health care systems throughout the world, but it doesn’t affect every individual to the same extent. There is great variability in disease outcomes. Therefore, identifying the main prognostic risk factors is of paramount importance. These include increased age, skin pigmentation, obesity, pre-existing illness, and vitamin D deficiency. Vitamin D is a molecule with established effectiveness against various upper respiratory infections. This is due to its pivotal role as modulator of the innate and adaptative immune system through different mechanisms. Moreover, vitamin D can regulate the renin-angiotensin system that is exploited by SARS-CoV-2 for entry into the host cells. Vitamin D supplementation is thus a therapeutic option to consider, especially since it has low toxicity, and there are few currently available drugs for COVID-19 treatment. In this review chapter, we engage an immunological lens to discuss potential mechanisms by which vitamin D signaling might regulate COVID-19 disease susceptibility, severity, and by consequence, mortality. Hence, a critical analysis of the clinical trials published to date has been undertaken to address the value of vitamin D supplementation. We also discuss, based on plausible immunological mechanisms, the relationship between vitamin D and Long-COVID, as well as its effect on SARS-CoV-2 vaccination responsiveness.</p>}},
  author       = {{Borba, Vânia and Carrera-Bastos, Pedro}},
  booktitle    = {{Autoimmunity, COVID-19, Post-COVID19 Syndrome and COVID-19 Vaccination}},
  isbn         = {{9780443185663}},
  keywords     = {{Cholecalciferol; COVID-19; Immune system; Post-COVID-19 syndrome; Respiratory tract infection; SARS-CoV-2; Vitamin D}},
  language     = {{eng}},
  pages        = {{685--709}},
  publisher    = {{ScienceDirect, Elsevier}},
  title        = {{Interaction between vitamin D deficiency and COVID-19}},
  url          = {{http://dx.doi.org/10.1016/B978-0-443-18566-3.00025-6}},
  doi          = {{10.1016/B978-0-443-18566-3.00025-6}},
  year         = {{2022}},
}