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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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) |
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SARS-CoV-2 COVID-19 vitamin D cytokine cathelicidin-LL37 acute respiratory failure Nutrition. Foods and food supply TX341-641 |
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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 |
work_keys_str_mv |
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