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2020 ; 254
(ä): 117808
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Lungs as target of COVID-19 infection: Protective common molecular mechanisms of
vitamin D and melatonin as a new potential synergistic treatment
#MMPMID32422305
Martín Giménez VM
; Inserra F
; Tajer CD
; Mariani J
; Ferder L
; Reiter RJ
; Manucha W
Life Sci
2020[Aug]; 254
(ä): 117808
PMID32422305
show ga
COVID-19 pandemic has a high mortality rate and is affecting practically the
entire world population. The leading cause of death is severe acute respiratory
syndrome as a consequence of exacerbated inflammatory response accompanied by
uncontrolled oxidative stress as well as the inflammatory reaction at the lung
level. Until now, there is not a specific and definitive treatment for this
pathology that worries the world population, especially the older adults who
constitute the main risk group. In this context, it results in a particular
interest in the evaluation of the efficacy of existing pharmacological agents
that may be used for overcoming or attenuating the severity of this pulmonary
complication that has ended the lives of many people worldwide. Vitamin D and
melatonin could be good options for achieving this aim, taking into account that
they have many shared underlying mechanisms that are able to modulate and control
the immune adequately and oxidative response against COVID-19 infection, possibly
even through a synergistic interaction. The renin-angiotensin system exaltation
with consequent inflammatory response has a leading role in the physiopathology
of COVID-19 infection; and it may be down-regulated by vitamin D and melatonin in
many organs. Therefore, it is also essential to analyze this potential
therapeutic association and their relation with RAS as part of this new approach.