Zinc supplementation as an adjunct therapy for COVID-19: Challenges and opportunities.

COVID-19 SARS-COV-2 bioavailability immunity intravenous oral zinc

Journal

British journal of clinical pharmacology
ISSN: 1365-2125
Titre abrégé: Br J Clin Pharmacol
Pays: England
ID NLM: 7503323

Informations de publication

Date de publication:
10 2021
Historique:
revised: 11 02 2021
received: 24 09 2020
accepted: 27 02 2021
pubmed: 21 3 2021
medline: 2 10 2021
entrez: 20 3 2021
Statut: ppublish

Résumé

An outbreak of a novel coronavirus (COVID-19 or 2019-CoV) infection has posed significant threats to international health and the economy. Patients with COVID-19 are at risk of cytokine storm, acute respiratory distress syndrome (ARDS), reduced blood oxygenation, mechanical ventilation, and a high death rate. Although recent studies have shown remdesivir and dexamethasone as treatment options, there is an urgent need to find a treatment to inhibit virus replication and to control the progression of the disease. Essential biometal zinc has generated a lot of excitement as one of the promising candidates to reduce the severity of COVID-19 infection. Several published observations outlined in the review are the reasons why there is a global enthusiasm that zinc therapy could be a possible therapeutic option. However, the biggest challenge in realising the therapeutic value of zinc is lack of optimal treatment modalities such as dose, duration of zinc supplementation and the mode of delivery. In this review, we discuss the regulatory mechanism that hinges upon the bioavailability of zinc. Finally, we propose that intravenous zinc could circumvent the confounding factors affecting the bioavailability of zinc and allow zinc to achieve its therapeutic potential. If successful, due to advantages such as lack of toxicity, low cost and ease of availability, intravenous zinc could be rapidly implemented clinically.

Identifiants

pubmed: 33742473
doi: 10.1111/bcp.14826
pmc: PMC8250380
doi:

Substances chimiques

Zinc J41CSQ7QDS

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3737-3746

Informations de copyright

© 2021 British Pharmacological Society.

Références

Curr Opin Clin Nutr Metab Care. 2009 Nov;12(6):646-52
pubmed: 19710611
J Nephrol. 2019 Aug;32(4):539-547
pubmed: 30635875
Br Med J. 1977 May 28;1(6073):1390-1
pubmed: 405076
Int J Physiol Pathophysiol Pharmacol. 2016 Apr 25;8(1):35-43
pubmed: 27186321
Lancet Respir Med. 2020 Jul;8(7):738-742
pubmed: 32416769
J Nutr Sci. 2015 Apr 20;4:e15
pubmed: 26090095
Nutrients. 2019 Aug 13;11(8):
pubmed: 31412634
Biogerontology. 2006 Oct-Dec;7(5-6):315-27
pubmed: 16972155
JPEN J Parenter Enteral Nutr. 2016 Aug;40(6):860-8
pubmed: 25700179
Biol Trace Elem Res. 2021 Feb;199(2):550-558
pubmed: 32458149
Biometals. 2013 Apr;26(2):205-27
pubmed: 23460081
JAMA. 2020 Aug 25;324(8):782-793
pubmed: 32648899
Herz. 2020 Jun;45(4):329-331
pubmed: 32313971
Biometals. 2011 Oct;24(5):875-90
pubmed: 21424779
N Engl J Med. 2021 Feb 25;384(8):693-704
pubmed: 32678530
Front Oncol. 2018 Nov 19;8:484
pubmed: 30510915
Br Med J. 1972 Nov 11;4(5836):331-3
pubmed: 4637513
Lancet. 2004 May 22;363(9422):1683-8
pubmed: 15158629
Front Immunol. 2020 Jul 10;11:1712
pubmed: 32754164
Lancet. 2020 Feb 15;395(10223):470-473
pubmed: 31986257
Autoimmun Rev. 2015 Apr;14(4):277-85
pubmed: 25462582
Nutrients. 2020 Mar 13;12(3):
pubmed: 32183116
J Am Pharm Assoc (2003). 2004 Sep-Oct;44(5):594-603
pubmed: 15496046
J Gen Virol. 2007 Apr;88(Pt 4):1206-1217
pubmed: 17374764
JRSM Open. 2017 May 02;8(5):2054270417694291
pubmed: 28515951
JCI Insight. 2017 Jun 2;2(11):
pubmed: 28570269
Biometals. 1999 Dec;12(4):347-52
pubmed: 10816735
Metallomics. 2015 Jan;7(1):102-11
pubmed: 25360687
Int J Mol Med. 2020 Jul;46(1):17-26
pubmed: 32319538
BMJ Open. 2020 Dec 02;10(12):e040580
pubmed: 33268419
Am J Clin Nutr. 2005 Jul;82(1):103-10
pubmed: 16002807
Cochrane Database Syst Rev. 2016 Dec 20;12:CD005436
pubmed: 27996088
J Virol. 1974 Aug;14(2):282-91
pubmed: 4367904
N Engl J Med. 2020 Aug 6;383(6):517-525
pubmed: 32492293
Cell Host Microbe. 2014 Jan 15;15(1):23-35
pubmed: 24439895
Pediatr Crit Care Med. 2009 Jan;10(1):29-34
pubmed: 19057435
Metallomics. 2019 Aug 1;11(8):1330-1343
pubmed: 31204765
J Am Soc Nephrol. 2020 Jul;31(7):1380-1383
pubmed: 32366514
Proc Natl Acad Sci U S A. 2005 May 10;102(19):6843-8
pubmed: 15863613
JPEN J Parenter Enteral Nutr. 2008 Sep-Oct;32(5):509-19
pubmed: 18669902
J Gerontol A Biol Sci Med Sci. 2017 Aug 01;72(8):1149-1154
pubmed: 27789618
Dermatol Res Pract. 2014;2014:709152
pubmed: 25120566
Am J Clin Nutr. 2011 Aug;94(2):679S-84S
pubmed: 21715515
Eur J Clin Nutr. 2011 Jan;65(1):125-31
pubmed: 20959856
Adv Nutr. 2013 Jan 01;4(1):82-91
pubmed: 23319127
Br J Clin Pharmacol. 2021 Oct;87(10):3737-3746
pubmed: 33742473
Metallomics. 2014 Jul;6(7):1216-9
pubmed: 24676028
PLoS Pathog. 2010 Nov 04;6(11):e1001176
pubmed: 21079686
J Basic Clin Pharm. 2016 Mar;7(2):27-31
pubmed: 27057123
PLoS One. 2017 Jul 7;12(7):e0180028
pubmed: 28686686
Metallomics. 2015 Oct;7(10):1390-8
pubmed: 26404630
J Virol. 2005 Jul;79(13):8014-23
pubmed: 15956547
Curr Cardiol Rep. 2020 Apr 21;22(5):32
pubmed: 32318865
Med Biol. 1978 Feb;56(1):5-10
pubmed: 24784
Eur J Clin Nutr. 2016 Aug;70(8):886-93
pubmed: 27049031
BMC Med. 2012 Feb 08;10:14
pubmed: 22316073
Cochrane Database Syst Rev. 2014 May 15;(5):CD009384
pubmed: 24826920
Cell. 2012 Feb 3;148(3):399-408
pubmed: 22304911
Am J Clin Nutr. 2002 Oct;76(4):805-12
pubmed: 12324294
J Nutr. 1991 Sep;121(9):1389-96
pubmed: 1880617
Antimicrob Agents Chemother. 2004 Mar;48(3):783-90
pubmed: 14982765
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2005 May;25(5):449-51
pubmed: 15957842
J Nutr. 2000 May;130(5S Suppl):1378S-83S
pubmed: 10801947
J Exp Med. 2008 Dec 22;205(13):3065-77
pubmed: 19064696
Kidney Int. 2020 Jul;98(1):219-227
pubmed: 32327202
Am J Clin Nutr. 2007 May;85(5):1293-300
pubmed: 17490965
PLoS Pathog. 2013 Feb;9(2):e1003188
pubmed: 23468627
Med J Aust. 2006 Feb 6;184(3):107-12
pubmed: 16460294
N Engl J Med. 2020 Sep 3;383(10):992-993
pubmed: 32649075
BMJ. 2001 Jun 30;322(7302):1567
pubmed: 11431296
Proc Natl Acad Sci U S A. 2013 Jun 11;110(24):9903-8
pubmed: 23716681
Clin Immunol. 2020 Jun;215:108427
pubmed: 32325252
Anesthesiology. 2020 Jun;132(6):1317-1332
pubmed: 32195705
J Infect. 2020 Jun;80(6):607-613
pubmed: 32283152
Arch Otolaryngol Head Neck Surg. 2010 Jul;136(7):673-6
pubmed: 20644061
J Biol Chem. 1999 Dec 24;274(52):37060-9
pubmed: 10601264
Chem Sci. 2016 Nov 1;7(11):6635-6648
pubmed: 28567254
Adv Nutr. 2019 Jul 1;10(4):696-710
pubmed: 31305906
Eur J Clin Nutr. 2014 Feb;68(2):203-8
pubmed: 24327117
Arch Biochem Biophys. 2016 Dec 1;611:58-65
pubmed: 27021581
J Biol Chem. 2009 Aug 21;284(34):23116-24
pubmed: 19520864
Am J Clin Nutr. 1998 Aug;68(2):365-71
pubmed: 9701195
Biometals. 2018 Oct;31(5):821-834
pubmed: 29974287
Arch Dermatol. 1998 Dec;134(12):1556-60
pubmed: 9875193
J Clin Transl Hepatol. 2020 Mar 28;8(1):18-24
pubmed: 32274342
J Oral Pathol Med. 2005 Aug;34(7):423-5
pubmed: 16011612
Am J Clin Nutr. 2010 May;91(5):1478S-1483S
pubmed: 20200254
Am J Clin Nutr. 2007 May;85(5):1301-6
pubmed: 17490966
J Biol Inorg Chem. 2011 Oct;16(7):1123-34
pubmed: 21660546
Front Nutr. 2014 Sep 01;1:14
pubmed: 25988117
Gastroenterology. 2009 Nov;137(5 Suppl):S7-12
pubmed: 19874952
Biol Trace Elem Res. 2021 Aug;199(8):2882-2892
pubmed: 33094446
Metallomics. 2010 May;2(5):306-17
pubmed: 21069178
Neurosci Lett. 2003 Dec 4;352(2):113-6
pubmed: 14625036
Diabetes Metab Syndr. 2020 Jul - Aug;14(4):367-382
pubmed: 32334392
Nature. 1974 Apr 12;248(449):588-90
pubmed: 4363085

Auteurs

Vidyasagar Chinni (V)

Department of Surgery, The University of Melbourne, Austin Health, Heidelberg, Victoria, Australia.
Department of Urology, Austin Health, Heidelberg, Victoria, Australia.

John El-Khoury (J)

Department of Surgery, The University of Melbourne, Austin Health, Heidelberg, Victoria, Australia.
Department of Urology, Austin Health, Heidelberg, Victoria, Australia.

Marlon Perera (M)

Department of Surgery, The University of Melbourne, Austin Health, Heidelberg, Victoria, Australia.
Department of Urology, Austin Health, Heidelberg, Victoria, Australia.

Rinaldo Bellomo (R)

Centre for Integrated Critical Care, The University of Melbourne, Parkville, Victoria, Australia.
Department of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.

Daryl Jones (D)

Department of Surgery, The University of Melbourne, Austin Health, Heidelberg, Victoria, Australia.

Damien Bolton (D)

Department of Surgery, The University of Melbourne, Austin Health, Heidelberg, Victoria, Australia.
Department of Urology, Austin Health, Heidelberg, Victoria, Australia.

Joseph Ischia (J)

Department of Surgery, The University of Melbourne, Austin Health, Heidelberg, Victoria, Australia.
Department of Urology, Austin Health, Heidelberg, Victoria, Australia.

Oneel Patel (O)

Department of Surgery, The University of Melbourne, Austin Health, Heidelberg, Victoria, Australia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH