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Int J Infect Dis . Could SARS-CoV-2-induced lung injury be attenuated by vitamin D?

tetano

Editor, Senior Moderator
Int J Infect Dis


. 2020 Oct 28;S1201-9712(20)32263-3.
doi: 10.1016/j.ijid.2020.10.059. Online ahead of print.
Could SARS-CoV-2-induced lung injury be attenuated by vitamin D?


Dongqiong Xiao[SUP] 1 [/SUP], Xihong Li[SUP] 2 [/SUP], Xiaojuan Su[SUP] 3 [/SUP], Dezhi Mu[SUP] 4 [/SUP], Yi Qu[SUP] 5 [/SUP]



Affiliations

Abstract

A novel coronavirus (severe acute respiratory syndrome coronavirus 2, SARS-CoV-2) has been confirmed to have the capacity to transmit from humans to humans, causing acute respiratory distress syndrome (ARDS) and acute lung injury. Angiotensin converting enzyme-2 (ACE2) has been found to be expressed on type II pneumocytes. As a counterregulatory arm of the renin-angiotensin system (RAS), ACE2 plays critical roles in the pathogenesis of ARDS and acute lung injury. The affinity of the spike protein receptor binding domain (RBD) of SARS-CoV-2 with human ACE2 (hACE2) largely determines the degree of clinical symptoms after infection by SARS-CoV-2. Previous studies have revealed that regulating the ACE2/RAS system was effective in the treatment of severe acute respiratory syndrome coronavirus (SARS-CoV)-induced ARDS and acute lung injury. Since ACE2 is the host cell receptor of both SARS-CoV-2 and SARS-CoV, regulating the ACE2/RAS system may alleviate ARDS and acute lung injury caused by SARS-CoV-2 as well as SARS-CoV. Vitamin D was found to affect ACE2, the target of SARS-CoV-2; therefore, we propose that vitamin D might alleviate ARDS and acute lung injury induced by SARS-CoV-2 by modulating ACE2.

Keywords: ARDS; SARS-CoV-2; acute lung injury; coronavirus; vitamin D.
 
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