2021
DOI: 10.3390/nu13103458
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The Complex Interplay between Immunonutrition, Mast Cells, and Histamine Signaling in COVID-19

Abstract: There is an ongoing need for new therapeutic modalities against SARS-CoV-2 infection. Mast cell histamine has been implicated in the pathophysiology of COVID-19 as a regulator of proinflammatory, fibrotic, and thrombogenic processes. Consequently, mast cell histamine and its receptors represent promising pharmacological targets. At the same time, nutritional modulation of immune system function has been proposed and is being investigated for the prevention of COVID-19 or as an adjunctive strategy combined with… Show more

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Cited by 9 publications
(9 citation statements)
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References 150 publications
(180 reference statements)
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“…In these studies, both ascorbic acid and pyridoxine reduced the serum concentration of histamine in allergic patients or suppressed the release of histamine from isolated mast cells. Concerning the mechanisms, ascorbic acid was considered to prevent the formation of histamine or facilitate its degradation [29,30]. However, besides histamine, mast cells release other chemical mediators, such as leukotrienes or β-hexosaminidase, and produce various types of inflammatory cytokines or growth factors [8].…”
Section: Discussionmentioning
confidence: 99%
“…In these studies, both ascorbic acid and pyridoxine reduced the serum concentration of histamine in allergic patients or suppressed the release of histamine from isolated mast cells. Concerning the mechanisms, ascorbic acid was considered to prevent the formation of histamine or facilitate its degradation [29,30]. However, besides histamine, mast cells release other chemical mediators, such as leukotrienes or β-hexosaminidase, and produce various types of inflammatory cytokines or growth factors [8].…”
Section: Discussionmentioning
confidence: 99%
“…This is because vitamin D binds to the gene transcription apparatus to regulate the gene expression of selected mediators, like TNF-α [ 27 ]. Moreover, mast cell proliferation, secretion, and survival can be inhibited by vitamin E supplementation [ 28 ], and vitamin B reduces phospholipase A-induced mast cell degranulation by limiting histamine release from cells [ 29 ]. Nevertheless, supplementation with vitamins should be strictly controlled as their too-high levels may have a negative influence on the body.…”
Section: Mast Cells Degranulation and Its Inhibitorsmentioning
confidence: 99%
“…Examples of mast cell stabilizers are flavonoids: these are a large group of natural stabilizers, including luteolin, apigenin, kaempferol, fisetin, quercetin, genistein, and epigallocatechin gallate. Some antihistamine drugs have also shown anti-inflammatory and mast cell-stabilizing effects such as olopatadine, rupatadine, and ketotifen [40,[42][43][44].…”
Section: Management Of Patients With Post-covid Syndrome and After Ef...mentioning
confidence: 99%