Zeinivand Motahareh, Jamali-Raeufy Nida, Zavvari Fahime
Department of Physiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Physiology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
J Diabetes Metab Disord. 2022 Jul 6;21(2):1797-1807. doi: 10.1007/s40200-022-01053-9. eCollection 2022 Dec.
Coronavirus Disease 2019 (COVID-19) is a recent public health issue worldwide. Also, diabetes is a frequent condition with high mortality. There is a strong relationship between COVID-19 and diabetes. This article analyses the intricate relationship between COVID-19 and hepcidin. Hepcidin increases in aged non-insulin diabetic patients. Hepcidin is the last target treatment of several medications commonly used. Viral diseases, especially SARS-CoV19, can activate the hepcidin pathway leading to an elevation in the iron load. This increased iron is released into the bloodstream and results in cell death through ferroptosis, like free iron. Excess iron has pro-coagulative and toxic effects. Hepcidin overexpression and iron overload are associated with COVID-19 infection and can be considered potential targets for treatment. Several studies have shown dalteparin (anti-Hepcidin) could improve the symptoms of COVID-19 in diabetics by appropriately modulating and decreasing oxidative stress and inflammation. This finding can be leading to enhancing the existing knowledge about Therapeutic measures for reducing Covid-19 impairments in diabetics and is suggested as a possible therapeutic agent in diabetes.
2019冠状病毒病(COVID-19)是近期全球范围内的一个公共卫生问题。此外,糖尿病是一种常见且死亡率高的疾病。COVID-19与糖尿病之间存在密切关系。本文分析了COVID-19与铁调素之间的复杂关系。老年非胰岛素依赖型糖尿病患者体内铁调素水平升高。铁调素是几种常用药物的最终靶向治疗靶点。病毒性疾病,尤其是严重急性呼吸综合征冠状病毒2(SARS-CoV-19),可激活铁调素途径,导致铁负荷升高。这种增加的铁释放到血液中,像游离铁一样通过铁死亡导致细胞死亡。过量的铁具有促凝血和毒性作用。铁调素过表达和铁过载与COVID-19感染相关,可被视为潜在的治疗靶点。多项研究表明,达肝素(抗铁调素)可通过适当调节和降低氧化应激及炎症反应来改善糖尿病患者的COVID-19症状。这一发现可能会增进我们对减轻糖尿病患者COVID-19损伤的治疗措施的现有认识,并被建议作为糖尿病的一种可能治疗药物。