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Unveiling the Interplay—Vitamin D and ACE-2 Molecular Interactions in Mitigating Complications and Deaths from SARS-CoV-2

Wimalawansa, S., Biology, doi:10.3390/biology13100831
Oct 2024  
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Vitamin D for COVID-19
8th treatment shown to reduce risk in October 2020
 
*, now with p < 0.00000000001 from 122 studies, recognized in 9 countries.
No treatment is 100% effective. Protocols combine treatments. * >10% efficacy, ≥3 studies.
4,800+ studies for 102 treatments. c19early.org
Review of the interplay between vitamin D and angiotensin-converting enzyme-2 (ACE2) in mitigating complications and deaths from SARS-CoV-2. Author reports that over 300 clinical studies have shown that proper doses of vitamin D effectively prevent and treat SARS-CoV-2, reducing complications, hospitalizations, and deaths by approximately 50%.
Reviews covering vitamin D for COVID-19 include1-32.
Wimalawansa et al., 16 Oct 2024, multiple countries, peer-reviewed, 1 author, study period May 2020 - June 2024. Contact: suniljw@hotmail.com.
This PaperVitamin DAll
Unveiling the Interplay—Vitamin D and ACE-2 Molecular Interactions in Mitigating Complications and Deaths from SARS-CoV-2
Sunil J Wimalawansa
Biology, doi:10.3390/biology13100831
Simple Summary: The SARS-CoV-2 virus that caused COVID-19 devastated families, social structures, and economies worldwide. This pandemic has overwhelmed healthcare systems, increased deaths and disabilities, and triggered a global socio-economic crisis. Although the COVID-19 vaccines were developed rapidly, their effectiveness significantly decreased by the end of 2021 due to mutated viruses evading the immune system. As a result, despite high vaccination rates in industrialized countries, significant outbreaks occurred due to immune evasion associated with viral mutations. Over 300 clinical studies have shown that vitamin D (and ivermectin) are widely available and economical agents that promote immune system function. Proper doses of vitamin D effectively prevent and treat SARS-CoV-2, reducing complications, hospitalizations, and deaths by approximately 50%. Those with vitamin D deficiency fare the worse. SARS-CoV-2 activates the renin-angiotensin system by increasing renin expression, leading to elevated levels of the inflammatogenic and vasoconstrictor peptide angiotensin-II. SARS-CoV-2 viruses cause widespread inflammation, blood clots, and lung damage through multiple mechanisms, leading to impaired tissue oxygenation and death. In addition to enhancing the immune system, vitamin D increases ACE-2 enzyme levels, which breaks down angiotensin-II and reduces SARS-CoV-2-induced inflammation. It also lowers blood pressure and mitigates abnormal clotting. While the virus enters human cells through ACE-2 receptors, excess ACE-2 spills into the bloodstream and neutralizes viruses. This manuscript discusses how vitamin D mitigates the harmful effects of COVID-19.
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Vitamin D’s beneficial actions are mediated through complex molecular ' 'mechanisms involving innate and adaptive immune systems. Meanwhile, vitamin D status [25(OH)D ' 'concentration] is inversely correlated with severity, complications, and mortality rates from ' 'COVID-19. This study explores mechanisms through which vitamin D inhibits SARS-CoV-2 ' 'replication, including the suppression of transcription enzymes, reduced inflammation and ' 'oxidative stress, and increased expression of neutralizing antibodies and antimicrobial ' 'peptides. Both hypovitaminosis D and SARS-CoV-2 elevate renin levels, the rate-limiting step ' 'in the renin-angiotensin-aldosterone system (RAS); it increases ACE-1 but reduces ACE-2 ' 'expression. This imbalance leads to elevated levels of the pro-inflammatory, pro-coagulatory, ' 'and vasoconstricting peptide angiotensin-II (Ang-II), leading to widespread inflammation. It ' 'also causes increased membrane permeability, allowing fluid and viruses to infiltrate soft ' 'tissues, lungs, and the vascular system. In contrast, sufficient vitamin D levels suppress ' 'renin expression, reducing RAS activity, lowering ACE-1, and increasing ACE-2 levels. ACE-2 ' 'cleaves Ang-II to generate Ang(1–7), a vasodilatory, anti-inflammatory, and anti-thrombotic ' 'peptide that mitigates oxidative stress and counteracts the harmful effects of SARS-CoV-2. ' 'Excess ACE-2 molecules spill into the bloodstream as soluble receptors, neutralizing and ' 'facilitating the destruction of the virus. These combined mechanisms reduce viral ' 'replication, load, and spread. Hence, vitamin D facilitates rapid recovery and minimizes ' 'transmission to others. Overall, vitamin D enhances the immune response and counteracts the ' 'pathological effects of SARS-CoV-2. Additionally, data suggests that widely used ' 'anti-hypertensive agents—angiotensin receptor blockers and ACE inhibitors—may lessen the ' 'adverse impacts of SARS-CoV-2, although they are less potent than vitamin D.</jats:p>', 'DOI': '10.3390/biology13100831', 'type': 'journal-article', 'created': { 'date-parts': [[2024, 10, 16]], 'date-time': '2024-10-16T14:11:04Z', 'timestamp': 1729087864000}, 'page': '831', 'source': 'Crossref', 'is-referenced-by-count': 0, 'title': 'Unveiling the Interplay—Vitamin D and ACE-2 Molecular Interactions in Mitigating Complications ' 'and Deaths from SARS-CoV-2', 'prefix': '10.3390', 'volume': '13', 'author': [ { 'ORCID': 'http://orcid.org/0000-0003-1096-8595', 'authenticated-orcid': False, 'given': 'Sunil J.', 'family': 'Wimalawansa', 'sequence': 'first', 'affiliation': [ { 'name': 'CardioMetabolic and Endocrine Institute, North Brunswick, NJ ' '08902, USA'}]}], 'member': '1968', 'published-online': {'date-parts': [[2024, 10, 16]]}, 'reference': [ { 'key': 'ref_1', 'doi-asserted-by': 'crossref', 'unstructured': 'Santaolalla, A., Beckmann, K., Kibaru, J., Josephs, D., Van Hemelrijck, ' 'M., and Irshad, S. 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Please send us corrections, updates, or comments. c19early involves the extraction of 100,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.
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