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10.1016/j.intimp.2020.106995

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suck abstract from ncbi


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pmid33182059      Int+Immunopharmacol 2020 ; 88 (ä): 106995
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  • Correlation between premorbid IL-6 levels and COVID-19 mortality: Potential role for Vitamin D #MMPMID33182059
  • Silberstein M
  • Int Immunopharmacol 2020[Nov]; 88 (ä): 106995 PMID33182059show ga
  • There is recent evidence that interleukin-6 (IL-6) levels are elevated in cases of complicated COVID-19, but it is also possible that this cytokine may have a far more important role in the pathogenesis of viral infection. IL-6 is known to be modulated by Vitamin D, and there is preliminary evidence that deficiency of this vitamin is linked to poorer outcomes. To identify whether IL-6 levels prior to infection might predict outcome, early data on COVID-19 mortality from Italy and the UK were compared with previously published results of mean IL-6 levels from these countries as well as from the USA. There was a highly significant correlation (r = 0.9883; p = 0.00025) between age-stratified mortality rates and IL-6 levels from previously published data on healthy individuals. To determine whether Vitamin D may be beneficial at lowering IL-6 levels in patients, a limited analysis of trials examining the relationship between these entities published since 2015 was undertaken. Eight out of 11 studies described a significant lowering effect of Vitamin D on IL-6. Given that IL-6 likely facilitates viral cell entry and replication, levels prior to infection may predict mortality. This provides a rationale for prophylactic and therapeutic measures directed at lowering IL-6, including Vitamin D prescription.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*blood/drug therapy/epidemiology/*mortality[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Interleukin-6/*blood[MESH]
  • |Italy/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*blood/drug therapy/epidemiology/*mortality[MESH]
  • |United Kingdom/epidemiology[MESH]
  • |Vitamin D/*therapeutic use[MESH]
  • |Vitamins/*therapeutic use[MESH]


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