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Lactoferrin Supplementation in Preventing and Protecting from SARS-CoV-2 Infection: Is There Any Role in General and Special Populations? An Updated Review of Literature

Manzoni et al., International Journal of Molecular Sciences, doi:10.3390/ijms251910248
Sep 2024  
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Review of lactoferrin supplementation for prevention and treatment of SARS-CoV-2. Authors summarize in vitro evidence showing lactoferrin can inhibit viral entry and replication through multiple mechanisms. Clinical trials in adults have shown mixed results, with some finding reduced time to viral clearance while others found no benefit when lactoferrin was added to standard of care treatment in hospitalized patients.
Reviews covering lactoferrin for COVID-19 include1-6.
Manzoni et al., 24 Sep 2024, peer-reviewed, 8 authors. Contact: pierpaolo.sainaghi@med.uniupo.it (corresponding author), bianca.masturzo@aslbi.piemonte.it, alessandro.messina@hotmail.it.
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Lactoferrin Supplementation in Preventing and Protecting from SARS-CoV-2 Infection: Is There Any Role in General and Special Populations? An Updated Review of Literature
Paolo Manzoni, Alessandro Messina, Chiara Germano, Simonetta Picone, Bianca Masturzo, Pier Paolo Sainaghi, Daniele Sola, Manuela Rizzi
International Journal of Molecular Sciences, doi:10.3390/ijms251910248
At the beginning of the pandemic, SARS-CoV-2 infection represented a great medical burden worldwide, as targeted and effective therapeutic options were lacking. This resulted in the revival of existing molecules and the increasing popularity of over-the-counter nutritional supplements. Among the latter, lactoferrin has been investigated as an adjuvant in COVID-19 therapy with conflicting results, mainly depending on different study designs. Considering that lactoferrin is one of the main components of human breast milk with anti-microbial and anti-inflammatory activity, it is conceivable that such bioactive molecule could be effective in supporting anti-SARS-CoV-2 infection therapy, especially in infants and pregnant women, two subpopulations that have been poorly evaluated in the existing clinical trials. This narrative review is intended to offer insight into the existing literature on lactoferrin's biological functions and protective effects against COVID-19, with a special focus on pregnant women and their infants.
Author Contributions: All authors contributed to the literature review and manuscript drafting. All authors have read and agreed to the published version of the manuscript. Conflicts of Interest: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as potential conflicts of interest.
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' 'Considering that lactoferrin is one of the main components of human breast milk with ' 'anti-microbial and anti-inflammatory activity, it is conceivable that such bioactive molecule ' 'could be effective in supporting anti-SARS-CoV-2 infection therapy, especially in infants and ' 'pregnant women, two subpopulations that have been poorly evaluated in the existing clinical ' 'trials. This narrative review is intended to offer insight into the existing literature on ' 'lactoferrin’s biological functions and protective effects against COVID-19, with a special ' 'focus on pregnant women and their infants.</jats:p>', 'DOI': '10.3390/ijms251910248', 'type': 'journal-article', 'created': {'date-parts': [[2024, 9, 24]], 'date-time': '2024-09-24T12:54:17Z', 'timestamp': 1727182457000}, 'page': '10248', 'source': 'Crossref', 'is-referenced-by-count': 0, 'title': 'Lactoferrin Supplementation in Preventing and Protecting from SARS-CoV-2 Infection: Is There Any ' 'Role in General and Special Populations? 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Giuseppe Hospital, 28824 Piancavallo, Italy'}]}, { 'ORCID': 'http://orcid.org/0000-0002-6174-7111', 'authenticated-orcid': False, 'given': 'Manuela', 'family': 'Rizzi', 'sequence': 'additional', 'affiliation': [ { 'name': 'IRCAD (Interdisciplinary Research Center of Autoimmune ' 'Diseases), Università del Piemonte Orientale (UPO), 28100 ' 'Novara, Italy'}, { 'name': 'Department of Health Sciences (DiSS), Università del Piemonte ' 'Orientale (UPO), 28100 Novara, Italy'}]}], 'member': '1968', 'published-online': {'date-parts': [[2024, 9, 24]]}, 'reference': [ { 'key': 'ref_1', 'doi-asserted-by': 'crossref', 'unstructured': 'Bolat, E., Eker, F., Kaplan, M., Duman, H., Arslan, A., Saritaş, S., ' 'Şahutoğlu, A.S., and Karav, S. (2022). Lactoferrin for COVID-19 ' 'prevention, treatment, and recovery. Front. 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