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Lungs as target of COVID-19 infection: Protective common molecular mechanisms of vitamin D and melatonin as a new potential synergistic treatment.

Life sciences
January 1, 1970
Virna Margarita Martín Giménez et al. (7 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the potential of melatonin, in combination with vitamin D, to modulate immune and oxidative responses in COVID-19 infection, particularly in mitigating severe pulmonary complications.

Results Summary

The study suggests melatonin and vitamin D may synergistically modulate immune and oxidative responses, potentially attenuating COVID-19 severity by down-regulating the renin-angiotensin system and inflammatory reactions. However, specific clinical outcomes or statistical results are not detailed in the abstract.

Population

Older adults, particularly those at high risk for severe COVID-19 complications.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Vitamin D
increase
immune and oxidative response
COVID-19 infection
-
modulate and control the immune adequately and oxidative response
#1
melatonin
increase
immune and oxidative response
COVID-19 infection
-
modulate and control the immune adequately and oxidative response
#2
Vitamin D
decrease
renin-angiotensin system exaltation with consequent inflammatory response
COVID-19 infection
-
down-regulated
#3
melatonin
decrease
renin-angiotensin system exaltation with consequent inflammatory response
COVID-19 infection
-
down-regulated
#4
Abstract

COVID-19 pandemic has a high mortality rate and is affecting practically the entire world population. The leading cause of death is severe acute respiratory syndrome as a consequence of exacerbated inflammatory response accompanied by uncontrolled oxidative stress as well as the inflammatory reaction at the lung level. Until now, there is not a specific and definitive treatment for this pathology that worries the world population, especially the older adults who constitute the main risk group. In this context, it results in a particular interest in the evaluation of the efficacy of existing pharmacological agents that may be used for overcoming or attenuating the severity of this pulmonary complication that has ended the lives of many people worldwide. Vitamin D and melatonin could be good options for achieving this aim, taking into account that they have many shared underlying mechanisms that are able to modulate and control the immune adequately and oxidative response against COVID-19 infection, possibly even through a synergistic interaction. The renin-angiotensin system exaltation with consequent inflammatory response has a leading role in the physiopathology of COVID-19 infection; and it may be down-regulated by vitamin D and melatonin in many organs. Therefore, it is also essential to analyze this potential therapeutic association and their relation with RAS as part of this new approach.

Medical Subject Headings (MeSH)
AntioxidantsBetacoronavirusCOVID-19Coronavirus InfectionsHumansInflammationLungMelatoninPandemicsPneumonia, ViralRenin-Angiotensin SystemSARS-CoV-2Vitamin DCOVID-19 Drug Treatment
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality65/10
Citation Metrics
Total Citations75
Citations/Year15.0
Relative Citation Ratio5.34
NIH Percentile93.7%
Research Impact Scores
APT Score0.75
Weight Score0.85
Normalized Score0.63
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Lungs as target of COVID-19 infection: Protective common mol... | Panacea Index