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SARS-CoV-2 感染与 2 型糖尿病的相互作用。

Crosstalk between SARS-CoV-2 Infection and Type II Diabetes.

机构信息

Aligarh College of Education, Aligarh, Uttar Pradesh, India.

Department of Chemical Engineering, Indian Institute of Technology Delhi, New Delhi, India.

出版信息

Comb Chem High Throughput Screen. 2022;25(14):2429-2442. doi: 10.2174/1386207325666220315114332.

Abstract

Since the outbreak of coronavirus disease (COVID-19) in Wuhan, China, triggered by severe acute respiratory coronavirus 2 (SARS-CoV-2) in late November 2019, spreading to more than 200 countries of the world, the ensuing pandemic to an enormous loss of lives, mainly the older population with comorbidities, like diabetes, cardiovascular disease, chronic obstructive pulmonary disease, obesity, and hypertension. Amongst these immune-debilitating diseases, SARS-CoV-2 infection is the most common in patients with diabetes due to the absence of a normal active immune system to fight the COVID-19. Recovery of patients having a history of diabetes from COVID-19 encounters several complications, and their management becomes cumbersome. For control of coronavirus, antiviral medications, glucose-lowering agents, and steroids have been carefully evaluated. In the present review, we discuss the crosstalk between SARS-CoV-2 infection and patients with a history of diabetes. We mainly emphasize the molecular factors that are involved in diabetic individuals recently infected by SARS-CoV-2 and developed COVID-19 disease. Lastly, we examine the medications available for the long-term management of diabetic patients with SARS-CoV-2 infection.

摘要

自 2019 年 11 月下旬由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引发的中国武汉冠状病毒病(COVID-19)爆发以来,已传播到世界 200 多个国家,随之而来的大流行造成了巨大的生命损失,主要是患有糖尿病、心血管疾病、慢性阻塞性肺疾病、肥胖症和高血压等合并症的老年人群。在这些免疫功能减弱的疾病中,由于缺乏正常的主动免疫系统来对抗 COVID-19,糖尿病患者最容易感染 SARS-CoV-2。患有糖尿病病史的患者从 COVID-19 中康复会遇到多种并发症,其管理变得很复杂。为了控制冠状病毒,已对抗病毒药物、降血糖药物和类固醇进行了仔细评估。在本次综述中,我们讨论了 SARS-CoV-2 感染与有糖尿病病史的患者之间的相互作用。我们主要强调了最近感染 SARS-CoV-2 并患有 COVID-19 疾病的糖尿病个体中涉及的分子因素。最后,我们检查了可用于长期管理 SARS-CoV-2 感染的糖尿病患者的药物。

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