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International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
CoV-2. Vitamin D may help prevent systemic infection of Author Contributions
SARS-CoV-2. T.H. performed most of the experiments and coordinated the
project; T.H. conceived the study and wrote the manuscript.
In these medical discussions, multiple clinical trials are set to I.K. gave information on clinical medicine and oversaw the
begin to examine the effect of vitamin D on preventing the entire study.
aggravation of COVID-19. Dr. Lau's clinical trial is
investigating the anti-COVID-19 effects of vitamin D in Reference
patients with early-stage COVID-19 symptoms. On the other [1] Naming the coronavirus disease (COVID-19) and the
hand, a clinical trial conducted in France will examine the virus that causes it". World Health Organization
anti-COVID-19 effect of vitamin D in critically ill patients (WHO).
with COVID-19.
[2] Novel Coronavirus-China". World Health Organization
(WHO). Retrieved 9 April 2020.
Conclusion
Previous studies have shown that low average levels of [3] Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al.
vitamin D are susceptible to acute respiratory infections. In "Clinical features of patients infected with 2019 novel
COVID-19, it is reported that patients with COVID-19 die coronavirus in Wuhan, China". Lancet. 395(10223):
from the onset of acute respiratory distress syndrome 497-506, 2020. doi:10.1016/s0140-6736(20)30183-5.
(ARDS) due to excessive release of inflammatory cytokines. PMC 7159299.
Recent research reports indicate that vitamin D regulates
[4] Statement on the second meeting of the International
leukocyte responses and prevents releasing excessive
Health Regulations (2005) Emergency Committee
inflammatory cytokines from leukocytes. In other words,
regarding the outbreak of novel coronavirus (2019-
vitamin D seems to have the effect of suppressing the
nCoV)". World Health Organization (WHO). 30 January
excessive immune response and suppressing the occurrence
2020. Archived from the original on 31 January 2020.
of the inflammatory cytokine storm. The British National
Retrieved 30 January 2020.
Health Service recommends that adults consume
approximately 10 micrograms of vitamin D daily (e.g. one [5] "WHO Director-General's opening remarks at the
egg contains 2 micrograms of vitamin D). It is important to media briefing on COVID-19-11 March 2020". World
actively eat foods rich in vitamin D, such as fish and Health Organization. 11 March 2020. Retrieved 11
mushrooms, as well as to enhance the normal immunity by March 2020.
being exposed to sunlight that stimulates the natural
[6] "COVID-19 Dashboard by the Center for Systems
production of vitamin D.
Science and Engineering (CSSE) at Johns Hopkins
University (JHU)". ArcGIS. Johns Hopkins University.
Footnote
Retrieved 2 June 2020.
Vitamin D is a group of fat-soluble secosteroids responsible
for increasing intestinal absorption of calcium, magnesium, [7] Ilie PC, Stefanescu S, Smith L. The role of vitamin D in
and phosphate, and multiple other biological effects [9]. In the prevention of coronavirus disease 2019 infection
humans, the most important compounds in this group are and mortality. Aging clinical and experimental
vitamin D3 (also known as cholecalciferol) and vitamin D2 research. 2020 May 06; doi: 10.1007/s40520-020-
(ergocalciferol) [10]. 01570-8.
The major natural source of the vitamin is synthesis of [8] Daneshkhah A, Agrawal V, Eshein A, Subramanian H,
cholecalciferol in the lower layers of skin epidermis through Kumar Roy H, Backman V. The Possible Role of Vitamin
a chemical reaction that is dependent on sun exposure D in Suppressing Cytokine Storm and Associated
(specifically UVB radiation) [11,12]. Mortality in COVID-19 Patients. medRxiv
2020.04.08.20058578; doi:
Disclosure of potential conflicts of interest https://doi.org/10.1101/2020.04.08.20058578
The authors declare no potential conflicts of interest. The [9] Holick MF "Sunlight and vitamin D for bone health and
funders had no role in study design, data collection and prevention of autoimmune diseases, cancers, and
analysis, decision to publish, or preparation of the cardiovascular disease". The American Journal of
manuscript. Clinical Nutrition. 80 (6 Suppl): 1678S-88S, 2004.
doi:10.1093/ajcn/80.6.1678S.
Acknowledgments
We sincerely thank Professor Richard A. Young (Whitehead [10] Holick MF "High prevalence of vitamin D inadequacy
Institute for Biomedical Research, Massachusetts Institute of and implications for health". Mayo Clinic Proceedings.
Technology) for his research assistance. This study was 81(3): 353-73, 2006. doi:10.4065/81.3.353.
supported in part by grants from the Japan Ministry of [11] MacDonald, James (July 18, 2019). "How Does the Body
Education, Culture, Science and Technology (No. 24592510, Make Vitamin D from Sunlight?". JSTOR Daily.
No. 15K1079, and No. 19K09840), The Foundation of Osaka Retrieved July 22, 2019.
Cancer Research, The Ichiro Kanehara Foundation for the
Promotion of Medical Science and Medical Care, The [12] Holick MF, MacLaughlin JA, Clark MB, Holick SA, Potts
Foundation for the Promotion of Cancer Research, The JT, Anderson RR, Blank IH, Parrish JA, Elias P.
Kanzawa Medical Research Foundation, The Shinshu Medical "Photosynthesis of previtamin D3 in human skin and
Foundation, and The Takeda Foundation for Medical Science. the physiologic consequences". Science. 210(4466):
203-205, 1980. Bibcode:1980Sci.210.203H.
doi:10.1126/science.6251551.
@ IJTSRD | Unique Paper ID – IJTSRD31433 | Volume – 4 | Issue – 4 | May-June 2020 Page 988
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
Figure1. Mean vitamin D levels per courtry versus COVID-19 cases and mortality/1M population
The negative correlation is found that COVID-19 morbidity and mortality were low in people with high concentration levels of
vitamin D in the body. The modified figure 1 is adapted from doi: 10.1007/s40520-020-01570-8.
@ IJTSRD | Unique Paper ID – IJTSRD31433 | Volume – 4 | Issue – 4 | May-June 2020 Page 989