Article (Périodiques scientifiques)
Cabbage and fermented vegetables: From death rate heterogeneity in countries to candidates for mitigation strategies of severe COVID-19
Bousquet, J.; Anto, J. M.; Czarlewski, W. et al.
2021In Allergy
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Mots-clés :
COVID-19; Lactobacillus
Résumé :
[en] Large differences in COVID-19 death rates exist between countries and between regions of the same country. Some very low death rate countries such as Eastern Asia, Central Europe, or the Balkans have a common feature of eating large quantities of fermented foods. Although biases exist when examining ecological studies, fermented vegetables or cabbage have been associated with low death rates in European countries. SARS-CoV-2 binds to its receptor, the angiotensin-converting enzyme 2 (ACE2). As a result of SARS-CoV-2 binding, ACE2 downregulation enhances the angiotensin II receptor type 1 (AT1R) axis associated with oxidative stress. This leads to insulin resistance as well as lung and endothelial damage, two severe outcomes of COVID-19. The nuclear factor (erythroid-derived 2)-like 2 (Nrf2) is the most potent antioxidant in humans and can block in particular the AT1R axis. Cabbage contains precursors of sulforaphane, the most active natural activator of Nrf2. Fermented vegetables contain many lactobacilli, which are also potent Nrf2 activators. Three examples are: kimchi in Korea, westernized foods, and the slum paradox. It is proposed that fermented cabbage is a proof-of-concept of dietary manipulations that may enhance Nrf2-associated antioxidant effects, helpful in mitigating COVID-19 severity. © 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.
Disciplines :
Systèmes cardiovasculaire & respiratoire
Auteur, co-auteur :
Bousquet, J.;  Charité, Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Germany, Department of Dermatology and Allergy, Berlin Institute of Health, Comprehensive Allergy Center, Berlin, Germany, MACVIA-France and CHU, Montpellier, France
Anto, J. M.;  Centre for Research in Environmental Epidemiology (CREAL), ISGlobAL, Barcelona, Spain, IMIM (Hospital del Mar Research Institute), Barcelona, Spain, Universitat Pompeu Fabra (UPF), Barcelona, Spain, CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
Czarlewski, W.;  MASK-Air, Montpellier, France, Medical Consulting Czarlewski, Levallois, France
Haahtela, T.;  Skin and Allergy Hospital, Helsinki University Hospital, University of Helsinki, Finland
Fonseca, S. C.;  Faculty of Sciences, GreenUPorto - Sustainable Agrifood Production Research Centre, DGAOT, University of Porto, Porto, Portugal
Iaccarino, G.;  Department of Advanced Biomedical Sciences, Federico II University, Napoli, Italy
Blain, H.;  Department of Geriatrics, Montpellier University hospital and MUSE, Montpellier, France
Vidal, Alain
Sheikh, A.;  Usher Institute, University of Edinburgh, United Kingdom
Akdis, C. A.;  Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
Zuberbier, T.;  Charité, Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Germany, Department of Dermatology and Allergy, Berlin Institute of Health, Comprehensive Allergy Center, Berlin, Germany
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Langue du document :
Anglais
Titre :
Cabbage and fermented vegetables: From death rate heterogeneity in countries to candidates for mitigation strategies of severe COVID-19
Date de publication/diffusion :
2021
Titre du périodique :
Allergy
ISSN :
0105-4538
eISSN :
1398-9995
Maison d'édition :
Blackwell Publishing Ltd
Peer reviewed :
Peer reviewed
Disponible sur ORBi :
depuis le 11 décembre 2020

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