Table 1 Summary of the effects of various micronutrients on different aspects of immunity.

From: Nutrition and immunity: lessons for COVID-19

Micronutrient

Role in barrier function

Role in cellular aspects of innate immunity

Role in T-cell mediated immunity

Role in B-cell mediated immunity

Vitamin A

Promotes differentiation of epithelial tissue; promotes gut homing of B- and T cells; promotes intestinal immunoglobulin A+ cells; promotes epithelial integrity

Regulates number and function of NK cells; supports phagocytic and oxidative burst activity of macrophages

Regulates development and differentiation of Th1 and Th2 cells; promotes conversion of naive T cells to regulatory T cells; regulates IL-2, IFN-γ and TNF production

Supports function of B cells; required for immunoglobulin A production

Vitamin B6

Promotes gut homing of T cells

Supports NK-cell activity

Promotes T-cell differentiation, proliferation and function, especially Th1 cells; regulates (promotes) IL-2 production

Supports antibody production

Vitamin B9 (Folate)

Survival factor for regulatory T cells in the small intestine

Supports NK-cell activity

Promotes proliferation of T cells and the Th1-cell response

Supports antibody production

Vitamin B12

Important co-factor for gut microbiota

Supports NK-cell activity

Promotes T-cell differentiation, proliferation and function, especially cytotoxic T cells; controls ratio of T-helper to cytotoxic T cells

Required for antibody production

Vitamin C

Promotes collagen synthesis; promotes keratinocyte differentiation; protects against oxidative damage; promotes wound healing; promotes complement

Supports function of neutrophils, monocytes and macrophages including phagocytosis; supports NK-cell activity

Promotes production, differentiation and proliferation of T cells especially cytotoxic T cells; regulates IFN-γ production

Promotes antibody production

Vitamin D

Promotes production of antimicrobial proteins (cathelicidin, β-defensin); promotes gut tight junctions (via E-cadherin, connexion 43); promotes homing of T cells to the skin

Promotes differentiation of monocytes to macrophages; promotes macrophage phagocytosis and oxidative burst

Promotes antigen processing but can inhibit antigen presentation; can inhibit T-cell proliferation, Th1-cell function and cytotoxic T-cell function; Promotes the development of regulatory T cells; inhibits differentiation and maturation of dendritic cells; regulates IFN-γ production

Can decrease antibody production

Vitamin E

Protects against oxidative damage

Supports NK-cell activity

Promotes interaction between dendritic cells and T cells; promotes T-cell proliferation and function, especially Th1 cells; regulates (promotes) IL-2 production

Supports antibody production

Zinc

Maintains integrity of the skin and mucosal membranes; promotes complement activity

Supports monocyte and macrophage phagocytosis; supports NK-cell activity

Promotes Th1-cell response; Promotes proliferation of cytotoxic T cells; promotes development of regulatory T cells; regulates (promotes) IL-2 and IFN-γ production; reduces development of Th9 and Th17 cells

Supports antibody production particularly immunoglobulin G

Copper

 

Promotes neutrophil, monocyte and macrophage phagocytosis; supports NK-cell activity

Regulates differentiation and proliferation of T cells; regulates (promotes) IL-2 production

 

Iron

Essential for growth and differentiation of epithelial tissue

Promotes bacterial killing by neutrophils; regulates balance of M1 and M2 macrophages; supports NK-cell activity

Regulates differentiation and proliferation of T cells; regulates IFN-γ production

 

Selenium

 

Supports NK-cell activity

Regulates differentiation and proliferation of T cells; regulates (promotes) IFN-γ production

Supports antibody production

  1. IFN Interferon, IL interleukin, NK natural killer, Th T-helper, TNF tumour necrosis factor.