2020
DOI: 10.1146/annurev-virology-012420-022445
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Seasonality of Respiratory Viral Infections

Abstract: The seasonal cycle of respiratory viral diseases has been widely recognized for thousands of years, as annual epidemics of the common cold and influenza disease hit the human population like clockwork in the winter season in temperate regions. Moreover, epidemics caused by viruses such as severe acute respiratory syndrome coronavirus (SARS-CoV) and the newly emerging SARS-CoV-2 occur during the winter months. The mechanisms underlying the seasonal nature of respiratory viral infections have been examined and d… Show more

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Cited by 946 publications
(973 citation statements)
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References 126 publications
(143 reference statements)
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“…In particular, some recent studies provided credible evidence that subjects with vitamin D deficiency may be at significantly higher risk of developing respiratory tract infections [48]. As SARS-CoV-2 is a coronavirus primarily causing a respiratory viral infection [49], vitamin D insufficiency due to inadequate sunlight may occur, especially in those countries where food fortification has not been introduced [50]. As such, guidelines preventing the risk of vitamin D insufficiency seem advisable.…”
Section: Insufficient Sunlight Exposurementioning
confidence: 99%
“…In particular, some recent studies provided credible evidence that subjects with vitamin D deficiency may be at significantly higher risk of developing respiratory tract infections [48]. As SARS-CoV-2 is a coronavirus primarily causing a respiratory viral infection [49], vitamin D insufficiency due to inadequate sunlight may occur, especially in those countries where food fortification has not been introduced [50]. As such, guidelines preventing the risk of vitamin D insufficiency seem advisable.…”
Section: Insufficient Sunlight Exposurementioning
confidence: 99%
“…They are known to have the largest viral RNA genome and are composed of four genera (Cui et al, 2019). Generally, infection by coronaviruses results in mild respiratory tract symptoms and they are known to be one of the leading causes of the common cold (Moriyama et al, 2020;Paules et al, 2020). However, in the last 18 years, we have witnessed the emergence of highly pathogenic human coronaviruses: the severe acute respiratory syndrome-related coronavirus (SARS-CoV-1), the Middle East respiratory syndrome-related coronavirus (MERS-CoV) and, at the end of 2019, the severe acute respiratory syndrome-related coronavirus-2 (SARS-CoV-2) .…”
Section: Introductionmentioning
confidence: 99%
“…[12] Colder climate and prior exposure to other human coronaviruses, or influenza or flu viruses or possible vaccination against those might develop antibody dependent enhancement (ADE) of immunological responses during recent SARS CoV-2 exposure. ADE might have modulated immune response and could elicit sustained inflammation, lymphopenia, and/or cytokine storm [13,14]. Possibly, that could be one of the reasons (more history of exposure with CoVs beside weaker immune system) for older people being more affected by the present SARS CoV-2.…”
Section: Introductionmentioning
confidence: 99%