Evidence map›Paper›PMID 32718670›Full record

ReviewClinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis

Vitamin D high doses supplementation could represent a promising alternative to prevent or treat COVID-19 infection.

José Luis Mansur, Carlos Tajer, Javier Mariani, Felipe Inserra, León Ferder, Walter Manucha

Abstract readReview
In one paragraph

Review in Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. The causal effect of natural killer cells on COVID-19 infection, hospitalization and severity.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Retinol Depletion in COVID-19.Clinical nutrition open science · 2022
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
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  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

José Luis MansurCentro de Endocrinología y Osteoporosis, La Plata, Buenos Aires, Argentina.
Carlos TajerHospital de Alta Complejidad El Cruce, Buenos Aires, Argentina.
Javier MarianiHospital de Alta Complejidad El Cruce, Buenos Aires, Argentina.
Felipe InserraUniversidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina.
León FerderUniversidad Maimónides, Ciudad Autónoma de Buenos Aires, Argentina.
Walter ManuchaInstituto de Medicina y Biología Experimental de Cuyo (IMBECU), CCT-Mendoza, CONICET, Mendoza, Argentina; Laboratorio de Farmacología Experimental, Básica y Traslacional, Área de Farmacología, Facultad de Ciencias Médicas, Universidad Nacional de Cuyo, Mendoza, Argentina. Electronic address: wmanucha@yahoo.com.ar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although we lack enough evidence to justify supplementing with vitaminD in the prevention and treatment of COVID-19 infection, it is increasingly feasible that this hypothesis is valid. Two general underlying mechanisms should be considered. One would be the anti-infectious and immunomodulatory action that it exerts by improving intercellular barriers by stimulating innate immunity, as well as by modulating adaptive immunity. Also, vitaminD reduces the production of inflammatory cytokines, such as IL-2 and interferon-gamma (INF-γ). More recently, multiple pleiotropic effects have been demonstrated on the actions of vitaminD at the anti-inflammatory and immunomodulatory level with positive results in studies with influenza, coronavirus, and other respiratory infections. An inverse relationship between serum vitaminD levels and the prevalence of the respiratory infectious disease has been described. Of interest, another mechanistic approach responds to considering the inhibition of the renin-angiotensin-aldosterone system (RAAS), which is exacerbated in COVID-19 infection because the virus binds to the enzyme ACE2, making more angiotensinII available to cause damage. VitaminD inhibits mediators of RAAS - present in all cells of the body - and by inhibiting ACE activity and increasing ACE2, it lowers angiotensinII levels. We present studies with proposals for recommended doses of vitaminD, and although a single guideline is not specified, the possible benefits are promising. Finally, the purpose of this review is to share this idea with health professionals to ignite the debate and call for critical reflection, so that it can contribute to the undertaking of more and better clinical designs to validate the benefits of using high doses of vitaminD for the benefit of public health and especially in times of crisis for COVID-19.

Indexed as

COVID-19 Drug TreatmentDietary SupplementsSARS-CoV-2Angiotensin-Converting Enzyme 2Angiotensin-Converting Enzyme InhibitorsCalcitriolCOVID-19HumansInfluenza, HumanPandemicsRenin-Angiotensin SystemVitamin DVitaminsAngiotensin-Converting Enzyme 2Angiotensin-Converting Enzyme InhibitorsCalcitriolVitamin DVitaminsAcciones inmunomoduladorasAnti-inflammatory effectsCOVID-19Efectos antiinflamatoriosImmuno-modulating actionsPrevenciónPreventionRenin-angiotensin-aldosterone systemSistema renina-angiotensina-aldosteronaTratamientoTreatmentVitaminaDVitaminD

Identifiers

PMID32718670
PMCPMC7256522

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.