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A or D supplements may increase ACE2, Covid19 risk
Quote from dan on March 23, 2020, 8:59 amDespite generally recommending Vitamin A supplementation, nutrition researcher Chris Masterjohn is now recommending against supplementing Vitamin A and D because "they could increase ACE2, the protein that [Covid-19] uses to enter cells." Here are excerpts from his $10 PDF :
- "Most coronaviruses whose entry method is well established dock to aminopeptidase N... [4]. SARS-CoV and SARS-CoV-2, by contrast, dock to angiotensin-converting enzyme-2 (ACE2) [5,6]" (SARS-CoV-2 is the virus that causes COVID-19 disease)
"[Vitamin A's] active metabolite, all-trans retinoic acid, has been shown to upregulate ACE2 in the heart of rats whose blood pressure was raised by constricting their aortas [64], in the heart and kidney of spontaneously hypertensive rats [65], in the kidney of rats with glomerular sclerosis (to much higher levels than even healthy control rats), [66] and in rat tubular epithelial cells subject to hypoxia-repurfusion. [67]" "Calcitriol, the active metabolite of vitamin D, increases ACE2 mRNA and protein in rat pulmonary microvascular endothelial cells treated with lipopolysaccharide, [71] synergizes with diabetes to increase ACE2 protein in the renal tubules of rats, [72] and in the brains of both hypertensive and healthy rats. [73]"
- "Most coronaviruses whose entry method is well established dock to aminopeptidase N... [4]. SARS-CoV and SARS-CoV-2, by contrast, dock to angiotensin-converting enzyme-2 (ACE2) [5,6]" (SARS-CoV-2 is the virus that causes COVID-19 disease)
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"[Vitamin A's] active metabolite, all-trans retinoic acid, has been shown to upregulate ACE2 in the heart of rats whose blood pressure was raised by constricting their aortas [64], in the heart and kidney of spontaneously hypertensive rats [65], in the kidney of rats with glomerular sclerosis (to much higher levels than even healthy control rats), [66] and in rat tubular epithelial cells subject to hypoxia-repurfusion. [67]"
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"Calcitriol, the active metabolite of vitamin D, increases ACE2 mRNA and protein in rat pulmonary microvascular endothelial cells treated with lipopolysaccharide, [71] synergizes with diabetes to increase ACE2 protein in the renal tubules of rats, [72] and in the brains of both hypertensive and healthy rats. [73]"
Quote from ggenereux on March 23, 2020, 9:16 amHi @dan,
Here's an another interesting reference:So, to me it looks like elevated levels of vA could be a factor in why older people are more vulnerable. Of course, this is well documented in other studies that vitamin A weakens cell membranes and therefore enable a much faster rate of viral replication.
Hi @dan,
Quote from dan on March 23, 2020, 9:18 amFor Covid19 prevention, my former naturopath is recommending 25,000iu/day of Vitamin A -- "if active infection can double this dosage" -- and 50,000 IU/week Vitamin D -- "If you get an active sickness, double the dose for two weeks."
I'm quite annoyed at him because I'm fairly certain that taking Vitamin A and D on his advice personally hurt me and likely many other patients (his practice is very busy and expensive). However, he courteously responded to me when I asked him to respond to Masterjohn's concerns. So I'm posting it below to show his reasoning. The numbering and bold has been added by me:
- "This topic has already come up with ACE HTN medicines and is a complex topic."
- "My main goal is prevent spread, arrest viral replication (where the zinc comes in) and attenuate inflammatory cytokine storms trigger need for hospital bed and ventilator ."
- "A and D bolster mucosal immunity so Virus 'breach' is dampened, are both anti-viral in the literature, modulate corona's trigger of innate immune response (the problem for those who die from ARDS."
- "A, D mechanisms very multi-factorial and sure I'd love them to not interact with ACE2, but boy have they prevented hospitalizations in Influenza, COPD and asthma in my years."
- "Upregulation of ACE 2 receptor sites does not evidence breach and using an LPS (Lipopolysaccharides from bacterial endotoxin-think E.Coli endotoxin-how you trigger leaky linings in rat model) for driving leaky borders."
- "A literature search on 'Vitamin A and virus' is an interesting read in regards to Vitamin A deficiency and Respiratory tract infections damage,"
- "this recent study under peer review but well referenced with human epidemiological studies on D and enveloped viruses is also a good read."
- "Really wish we had large scale trials to understand the multifactorial angles on corona, but also think masterjohn...although sharp is making some jumps."
- "Although we get very mild reduction of BP with Vitamin D, its nothing like giving an ACE on Bp numbers."
For Covid19 prevention, my former naturopath is recommending 25,000iu/day of Vitamin A -- "if active infection can double this dosage" -- and 50,000 IU/week Vitamin D -- "If you get an active sickness, double the dose for two weeks."
I'm quite annoyed at him because I'm fairly certain that taking Vitamin A and D on his advice personally hurt me and likely many other patients (his practice is very busy and expensive). However, he courteously responded to me when I asked him to respond to Masterjohn's concerns. So I'm posting it below to show his reasoning. The numbering and bold has been added by me:
- "This topic has already come up with ACE HTN medicines and is a complex topic."
- "My main goal is prevent spread, arrest viral replication (where the zinc comes in) and attenuate inflammatory cytokine storms trigger need for hospital bed and ventilator ."
- "A and D bolster mucosal immunity so Virus 'breach' is dampened, are both anti-viral in the literature, modulate corona's trigger of innate immune response (the problem for those who die from ARDS."
- "A, D mechanisms very multi-factorial and sure I'd love them to not interact with ACE2, but boy have they prevented hospitalizations in Influenza, COPD and asthma in my years."
- "Upregulation of ACE 2 receptor sites does not evidence breach and using an LPS (Lipopolysaccharides from bacterial endotoxin-think E.Coli endotoxin-how you trigger leaky linings in rat model) for driving leaky borders."
- "A literature search on 'Vitamin A and virus' is an interesting read in regards to Vitamin A deficiency and Respiratory tract infections damage,"
- "this recent study under peer review but well referenced with human epidemiological studies on D and enveloped viruses is also a good read."
- "Really wish we had large scale trials to understand the multifactorial angles on corona, but also think masterjohn...although sharp is making some jumps."
- "Although we get very mild reduction of BP with Vitamin D, its nothing like giving an ACE on Bp numbers."
Quote from Jiří on March 23, 2020, 9:23 amI think to have bioavailable copper is also very important. I have low ceruloplasmin for years + low vit D I am basically already dead..
I think to have bioavailable copper is also very important. I have low ceruloplasmin for years + low vit D I am basically already dead..