Role of Vitamin D in Pathogenesis and Severity of Coronavirus Disease 2019 (COVID-19) Infection
Dr Amir Hamza, Maqbool Ahmed, Khalil Ahmed, Abdul Baqi Durrani
Aim: To determine the vitamin D deficiency in COVID-19 infection and its association with the severity and fatality of COVID-19 disease. Study Design: Descriptive cross sectional study Place and duration of study: Department of Internal Medicine Bolan Medical College Hospital Quetta from 1 st March to 30 th April 2020. Methods: A total of 168 patients diagnosed with COVID-19 infection, age ranged from 30 to 80 years of either gender were included. The brief medical history was taken and clinical examination were done. Nasopharyngeal and oropharyngeal swabs samples of patient for severe acute respiratory syndrome coronavirus 2 were collected and sent to the hospital medical laboratory to detect COVID-19 infection by using real-time polymerase chain reaction(RT-PCR). Blood sample of each patient were also collected to detect the vitamin D3 levels. Results: Mean age of patients was 42.26±13.69 years, 94(56%) were males, while 74(44%) were females. Most of the patients were with age group of 31-50 years 80(47.6%). Regarding COVID-19 asymptomatic subjects were 139(82.73%), while 22(13.09%), 5(2.97%), 2(1.19%) cases were respectively suffering from mild, moderate and severe disease. Vit D deficiency was significantly associated with both asymptomatic and symptomatic cases. Conclusion: Vitamin D is having protective role in respiratory tract infections. Its administration in deficient individuals suffering from COVID-19 infection may boost the immune system and reduces the severity of COVID-19 infection Vitamin D supplementation might boost the immune system of COVID-19 patients and reduce severity of the disease in vitamin D deficient individuals.
References
Andersen, Przybyl, Haase, Versen-Hoynck, Qadri et al., Vitamin D depletion aggravates hypertension and target-organ damage, J Am Heart Assoc
Arya, Bhambri, Godbole, Mithal, Vitamin D status and its relationship with bone mineral density in healthy Asian Indians, Osteoporos Int
Burnand, Sloutskis, Gianoli, Cornuz, Rickenbach et al., Serum 25-hydroxyvitamin D: distribution and determinants in the Swiss population, Am J Clin Nutr
Chailurkit, Aekplakorn, Ongphiphadhanakul, Regional variation and determinants of vitamin D status in sunshine-abundant Thailand, BMC Public Health
Chapuy, Preziosi, Maamer, Arnaud, Galan et al., Prevalence of vitamin D insufficiency in an adult normal population, Osteoporos Int
Gatera, Abdulah, Musfiroh, Judistiani, Setiabudiawan, Updates on the status of vitamin D as a risk factor for respiratory distress syndrome, Adva Pharmacol Sci
Grant, Lahore, Mcdonnell, Baggerly, French et al., Evidence that Vitamin D supplementation could reduce risk of influenza and COVID-19 infections and deaths, Nutrients
Grant, Lahore, Mcdonnell, Baggerly, French et al., Vitamin D supplementation could prevent and treat influenza, coronavirus, and pneumonia infections, Nutrient
Greiller, Martineau, Modulation of the immune response to respiratory viruses by vitamin D, Nutrients
Ho-Pham, Nguyen, Lai, Eisman, Nguyen, Vitamin D status and parathyroid hormone in a urban population in Vietnam, Osteoporos Int
Huang, Wang, Li, Ren, Zhao et al., Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China, Lancet
Huang, Wang, Li, Ren, Zhao et al., Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China, Lancet
Jia, Look, Shi, Hickey, Pewe et al., ACE2 receptor expression and severe acute respiratory syndrome coronavirus infection depend on differentiation of human airway epithelia, J Virol
Jj, Dong, Cao, Yan, Yang et al., Clinical characteristics of 140 patients infected by SARS-CoV-2 in Wuhan, China, Eur J Allergy Clin Immunol
Meddeb, Sahli, Chahed, Abdelmoula, Feki et al., Vitamin D deficiency in Tunisia, Osteoporos Int
Pike, Christakos, Biology and mechanisms of action of the vitamin D hormone, Endocrinol Metab Clin
Riaz, Finlayson, Bashir, Hussain, Mahmood et al., Prevalence of vitamin D deficiency in Pakistan and implications for the future, Expert Rev Clin Pharmacol
Sabetta, Depetrillo, Cipriani, Smardin, Burns et al., Serum 25-hydroxyvitamin d and the incidence of acute viral respiratory tract infections in healthy adults, PLoS One
Vaidya, Forman, Hopkins, Seely, Williams, 25-hydroxyvitamin D is associated with plasma renin activity and the pressor response to dietary sodium intake in Caucasians, J Renin Angiotensin Aldosterone Syst
Van Der Meer, Boeke, Lips, Grootjans-Geerts, Wuister et al., Fatty fish and supplements are the greatest modifiable contributors to the serum 25-hydroxyvitamin D concentration in a multiethnic population, Clin Endocrinol (Oxf)
Xu, Shi, Wang, Zhang, Huang et al., Pathological findings of COVID-19 associated with acute respiratory distress syndrome, Lancet Resp Med
Yin, Wunderink, MERS, SARS and other coronaviruses as causes of pneumonia, Respirology
Zhu, Zhang, Li, Yang, Song, A novel coronavirus from patients with pneumonia in China, 2019, N Engl J Med