Maddaloni Ernesto, Buzzetti Raffaella
Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy.
Diabetes Metab Res Rev. 2020 Oct;36(7):e33213321. doi: 10.1002/dmrr.3321. Epub 2020 Apr 13.
A novel RNA betacoronavirus causing coronavirus disease 2019 (Covid-19) has now been declared pandemic disease by WHO. Guo et al published the first report of biochemical features in patients with diabetes and the further risk that this disease can determine to the progression of Covid-19. Among different cytokines found significantly higher in patients with diabetes compared to those without, Interleukin-6 (IL-6), which is already increased in conditions of chronic inflammation, may play a more deleterious role in Covid-19 infection. Targeting the overexpression of Il-6 effects with a monoclonal antibody against IL-6 receptor or using Janus Kinase inhibitors may be particularly helpful for treatment of Covid-19 pneumonia in diabetes.
一种导致2019冠状病毒病(Covid-19)的新型RNAβ冠状病毒现已被世界卫生组织宣布为大流行病。郭等人发表了关于糖尿病患者生化特征的首份报告,以及这种疾病可能对Covid-19病情进展产生的进一步风险。在糖尿病患者中发现的多种细胞因子显著高于非糖尿病患者,其中白细胞介素-6(IL-6)在慢性炎症状态下已经升高,可能在Covid-19感染中发挥更有害的作用。使用抗IL-6受体单克隆抗体靶向IL-6的过表达效应或使用Janus激酶抑制剂可能对治疗糖尿病患者的Covid-19肺炎特别有帮助。