Potential immunomodulatory effects of vitamin D in the prevention of severe coronavirus disease 2019: An ally for Latin America (Review)

Int J Mol Med. 2021 Apr;47(4):32. doi: 10.3892/ijmm.2021.4865. Epub 2021 Feb 4.

Abstract

Currently, the world is under a pandemic of severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2), responsible for coronavirus disease 2019 (COVID‑19). This disease is characterized by a respiratory syndrome that can progress to an acute respiratory distress syndrome. To date, limited effective therapies are available for the prevention or treatment of COVID‑19; therefore, it is necessary to propose novel treatment options with immunomodulatory effects. Vitamin D serves functions in bone health and has been recently reported to exert protective effects against respiratory infections. Observational studies have demonstrated an association between vitamin D deficiency and a poor prognosis of COVID‑19; this is alarming as vitamin D deficiency is a global health problem. In Latin America, the prevalence of vitamin D deficiency is unknown, and currently, this region is in the top 10 according to the number of confirmed COVID‑19 cases. Supplementation with vitamin D may be a useful adjunctive treatment for the prevention of COVID‑19 complications. The present review provides an overview of the current knowledge of the potential immunomodulatory effects of vitamin D in the prevention of COVID‑19 and sets out vitamin D recommendations for the Latin American population.

Keywords: vitamin D; ergocalciferol; cholecalciferol; severe acute respiratory syndrome coronavirus 2; coronavirus disease 2019; prevention; immunomodulation; respiratory tract infections; Latin America.

Publication types

  • Review

MeSH terms

  • Bone and Bones
  • COVID-19 / complications*
  • COVID-19 / prevention & control*
  • Dietary Supplements
  • Humans
  • Immunologic Factors / therapeutic use*
  • Latin America
  • Prevalence
  • Renin-Angiotensin System
  • Respiratory Tract Infections / virology*
  • Vitamin D / therapeutic use*
  • Vitamin D Deficiency / complications*

Substances

  • Immunologic Factors
  • Vitamin D

Grants and funding

This research was funded by the National Council of Science and Technology (CONACYT Ciencia Básica; grant no. A1-S-8774) and Universidad de Guadalajara through the 'Fortalecimiento de la Investigatión y el Posgrado 2020' fund.