Rapid and Effective Vitamin D Supplementation May Present Better Clinical Outcomes in COVID-19 (SARS-CoV-2) Patients by Altering Serum INOS1, IL1B, IFNg, Cathelicidin-LL37, and ICAM1

Background: We aimed to establish an acute treatment protocol to increase serum vitamin D, evaluate the effectiveness of vitamin D3 supplementation, and reveal the potential mechanisms in COVID-19. Methods: We retrospectively analyzed the data of 867 COVID-19 cases. Then, a prospective study was con...

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Autores principales: Mustafa Sait Gönen, Merve Alaylıoğlu, Emre Durcan, Yusuf Özdemir, Serdar Şahin, Dildar Konukoğlu, Okan Kadir Nohut, Seval Ürkmez, Berna Küçükece, İlker İnanç Balkan, H. Volkan Kara, Şermin Börekçi, Hande Özkaya, Zekayi Kutlubay, Yalım Dikmen, Yılmaz Keskindemirci, Spyridon N. Karras, Cedric Annweiler, Duygu Gezen-Ak, Erdinç Dursun
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:fb5f9c30585348a2ad4b4e547856908e2021-11-25T18:36:25ZRapid and Effective Vitamin D Supplementation May Present Better Clinical Outcomes in COVID-19 (SARS-CoV-2) Patients by Altering Serum INOS1, IL1B, IFNg, Cathelicidin-LL37, and ICAM110.3390/nu131140472072-6643https://doaj.org/article/fb5f9c30585348a2ad4b4e547856908e2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4047https://doaj.org/toc/2072-6643Background: We aimed to establish an acute treatment protocol to increase serum vitamin D, evaluate the effectiveness of vitamin D3 supplementation, and reveal the potential mechanisms in COVID-19. Methods: We retrospectively analyzed the data of 867 COVID-19 cases. Then, a prospective study was conducted, including 23 healthy individuals and 210 cases. A total of 163 cases had vitamin D supplementation, and 95 were followed for 14 days. Clinical outcomes, routine blood biomarkers, serum levels of vitamin D metabolism, and action mechanism-related parameters were evaluated. Results: Our treatment protocol increased the serum 25OHD levels significantly to above 30 ng/mL within two weeks. COVID-19 cases (no comorbidities, no vitamin D treatment, 25OHD <30 ng/mL) had 1.9-fold increased risk of having hospitalization longer than 8 days compared with the cases with comorbidities and vitamin D treatment. Having vitamin D treatment decreased the mortality rate by 2.14 times. The correlation analysis of specific serum biomarkers with 25OHD indicated that the vitamin D action in COVID-19 might involve regulation of INOS1, IL1B, IFNg, cathelicidin-LL37, and ICAM1. Conclusions: Vitamin D treatment shortened hospital stay and decreased mortality in COVID-19 cases, even in the existence of comorbidities. Vitamin D supplementation is effective on various target parameters; therefore, it is essential for COVID-19 treatment.Mustafa Sait GönenMerve AlaylıoğluEmre DurcanYusuf ÖzdemirSerdar ŞahinDildar KonukoğluOkan Kadir NohutSeval ÜrkmezBerna Küçükeceİlker İnanç BalkanH. Volkan KaraŞermin BörekçiHande ÖzkayaZekayi KutlubayYalım DikmenYılmaz KeskindemirciSpyridon N. KarrasCedric AnnweilerDuygu Gezen-AkErdinç DursunMDPI AGarticleSARS-CoV-2COVID-19vitamin Dcytokinecathelicidin-LL37acute respiratory failureNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4047, p 4047 (2021)
institution DOAJ
collection DOAJ
language EN
topic SARS-CoV-2
COVID-19
vitamin D
cytokine
cathelicidin-LL37
acute respiratory failure
Nutrition. Foods and food supply
TX341-641
spellingShingle SARS-CoV-2
COVID-19
vitamin D
cytokine
cathelicidin-LL37
acute respiratory failure
Nutrition. Foods and food supply
TX341-641
Mustafa Sait Gönen
Merve Alaylıoğlu
Emre Durcan
Yusuf Özdemir
Serdar Şahin
Dildar Konukoğlu
Okan Kadir Nohut
Seval Ürkmez
Berna Küçükece
İlker İnanç Balkan
H. Volkan Kara
Şermin Börekçi
Hande Özkaya
Zekayi Kutlubay
Yalım Dikmen
Yılmaz Keskindemirci
Spyridon N. Karras
Cedric Annweiler
Duygu Gezen-Ak
Erdinç Dursun
Rapid and Effective Vitamin D Supplementation May Present Better Clinical Outcomes in COVID-19 (SARS-CoV-2) Patients by Altering Serum INOS1, IL1B, IFNg, Cathelicidin-LL37, and ICAM1
description Background: We aimed to establish an acute treatment protocol to increase serum vitamin D, evaluate the effectiveness of vitamin D3 supplementation, and reveal the potential mechanisms in COVID-19. Methods: We retrospectively analyzed the data of 867 COVID-19 cases. Then, a prospective study was conducted, including 23 healthy individuals and 210 cases. A total of 163 cases had vitamin D supplementation, and 95 were followed for 14 days. Clinical outcomes, routine blood biomarkers, serum levels of vitamin D metabolism, and action mechanism-related parameters were evaluated. Results: Our treatment protocol increased the serum 25OHD levels significantly to above 30 ng/mL within two weeks. COVID-19 cases (no comorbidities, no vitamin D treatment, 25OHD <30 ng/mL) had 1.9-fold increased risk of having hospitalization longer than 8 days compared with the cases with comorbidities and vitamin D treatment. Having vitamin D treatment decreased the mortality rate by 2.14 times. The correlation analysis of specific serum biomarkers with 25OHD indicated that the vitamin D action in COVID-19 might involve regulation of INOS1, IL1B, IFNg, cathelicidin-LL37, and ICAM1. Conclusions: Vitamin D treatment shortened hospital stay and decreased mortality in COVID-19 cases, even in the existence of comorbidities. Vitamin D supplementation is effective on various target parameters; therefore, it is essential for COVID-19 treatment.
format article
author Mustafa Sait Gönen
Merve Alaylıoğlu
Emre Durcan
Yusuf Özdemir
Serdar Şahin
Dildar Konukoğlu
Okan Kadir Nohut
Seval Ürkmez
Berna Küçükece
İlker İnanç Balkan
H. Volkan Kara
Şermin Börekçi
Hande Özkaya
Zekayi Kutlubay
Yalım Dikmen
Yılmaz Keskindemirci
Spyridon N. Karras
Cedric Annweiler
Duygu Gezen-Ak
Erdinç Dursun
author_facet Mustafa Sait Gönen
Merve Alaylıoğlu
Emre Durcan
Yusuf Özdemir
Serdar Şahin
Dildar Konukoğlu
Okan Kadir Nohut
Seval Ürkmez
Berna Küçükece
İlker İnanç Balkan
H. Volkan Kara
Şermin Börekçi
Hande Özkaya
Zekayi Kutlubay
Yalım Dikmen
Yılmaz Keskindemirci
Spyridon N. Karras
Cedric Annweiler
Duygu Gezen-Ak
Erdinç Dursun
author_sort Mustafa Sait Gönen
title Rapid and Effective Vitamin D Supplementation May Present Better Clinical Outcomes in COVID-19 (SARS-CoV-2) Patients by Altering Serum INOS1, IL1B, IFNg, Cathelicidin-LL37, and ICAM1
title_short Rapid and Effective Vitamin D Supplementation May Present Better Clinical Outcomes in COVID-19 (SARS-CoV-2) Patients by Altering Serum INOS1, IL1B, IFNg, Cathelicidin-LL37, and ICAM1
title_full Rapid and Effective Vitamin D Supplementation May Present Better Clinical Outcomes in COVID-19 (SARS-CoV-2) Patients by Altering Serum INOS1, IL1B, IFNg, Cathelicidin-LL37, and ICAM1
title_fullStr Rapid and Effective Vitamin D Supplementation May Present Better Clinical Outcomes in COVID-19 (SARS-CoV-2) Patients by Altering Serum INOS1, IL1B, IFNg, Cathelicidin-LL37, and ICAM1
title_full_unstemmed Rapid and Effective Vitamin D Supplementation May Present Better Clinical Outcomes in COVID-19 (SARS-CoV-2) Patients by Altering Serum INOS1, IL1B, IFNg, Cathelicidin-LL37, and ICAM1
title_sort rapid and effective vitamin d supplementation may present better clinical outcomes in covid-19 (sars-cov-2) patients by altering serum inos1, il1b, ifng, cathelicidin-ll37, and icam1
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/fb5f9c30585348a2ad4b4e547856908e
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