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. 2020 Sep 1;887:173530. doi: 10.1016/j.ejphar.2020.173530

Table 1.

The supplements mechanism of action.

Supplement Name Functions
Vitamin C
  • 1.

    Synthesis of collagen in connective tissue

  • 2.

    Antioxidant activity

  • 3.

    Regulation of DNA synthesis and histone methylation

  • 4.
    Immunomodulation by:
    • -
      stimulating effect on the formation of IFN,
    • -
      supporting of lymphocyte proliferation,
    • -
      boosting of neutrophil phagocytic ability
  • 5.

    Enhances innate immunity of alveolar epithelial type II via inhibition of lactate secretion

Vitamin D
  • 1.

    Immunomodulation by downregulation of pro-inflammatory cytokines

  • 2.

    Reduce of acute lung injury by inhibitory effects on the angiopoietin-2-Tie-2 and renin-angiotensin signaling pathways

  • 3.

    Modulation of innate immune system

  • 4.
    Modulation of adaptive immune system by:
    • -
      suppressing Th1 responses
    • -
      accelerating the induction of T regulatory cells
  • 4.

    Local “respiratory homeostasis” by induction of the release of some antimicrobial peptides

  • 5.

    Preserve of cell junctions

  • 6.

    Consolidation of cellular immunity

  • 7.

    Reduce of cytokine storm by effects on the releasing of TNF-α and IFN-γ

Melatonin
  • 1.
    Antioxidant activity by:
    • -
      intracellular scavenging of hydroxyl and peroxyl radicals,
    • -
      indirect enhancement of antioxidant enzyme activities (including glutathione peroxidase, glutathione reductase, superoxide dismutase, and catalase)
  • 2.

    Anti-inflammatory effect by preventing of the release of pro-inflammatory cytokines

  • 3.

    Probable role in suppression of initial cytokine storm

  • 4.

    Effect on immune system and respiratory cells via modulating of the calcium signaling pathways

  • 5.

    Effect on angiogenesis via inflammatory signaling pathways

  • 6.

    Anti-vascular endothelial growth factor (anti-VEGF) properties

  • 7.

    Inhibition of pyroptosis

Selenium
  • 1.

    Antioxidant activity through incorporation into the selenoproteins

  • 2.

    Affects multiple types of immune responses including the expression of inflammatory protein and cytokines

  • 3.

    Effect on virus-host cell attachment interaction

  • 4.

    Inhibition of angiotensin converting enzyme

  • 5.

    Anti-inflammatory activity

  • 6.

    Anti-clotting properties

N-acetyl cysteine
  • 1.

    Potential antioxidant, as a rate-limiting substrate for glutathione synthesis

  • 2.

    Role in increasing the number of immune cells

Zinc
  • 1.

    Maintenance of adaptive and innate immunity

  • 2.

    Important cofactor for several enzymes involved in the function of immune system

  • 3.

    Role in proliferation, differentiation, and maturation of lymphocytes and other leukocytes

  • 4.

    Regulation and formation of inflammatory responses

  • 5.

    Effect on viral biological processes including replication and the translation of viral proteins

  • 6.

    Antiviral activity by the stimulation of interferon-α secretion