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饮食诱导的肥胖和糖尿病会增加 SARS-CoV-2 感染的死亡率,并降低疫苗的有效性。

Diet-induced obesity and diabetes enhance mortality and reduce vaccine efficacy for SARS-CoV-2.

机构信息

Center for Pathogen Research, Department of Microbiology and Immunology, University of Maryland School of Medicine , Baltimore, Maryland, USA.

Novavax , Gaithersburg, Maryland, USA.

出版信息

J Virol. 2023 Nov 30;97(11):e0133623. doi: 10.1128/jvi.01336-23. Epub 2023 Oct 17.


DOI:10.1128/jvi.01336-23
PMID:37846985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10688338/
Abstract

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has caused a wide spectrum of diseases in the human population, from asymptomatic infections to death. It is important to study the host differences that may alter the pathogenesis of this virus. One clinical finding in coronavirus disease 2019 (COVID-19) patients is that people with obesity or diabetes are at increased risk of severe illness from SARS-CoV-2 infection. We used a high-fat diet model in mice to study the effects of obesity and type 2 diabetes on SARS-CoV-2 infection as well as how these comorbidities alter the response to vaccination. We find that diabetic/obese mice have increased disease after SARS-CoV-2 infection and they have slower clearance of the virus. We find that the lungs of these mice have increased neutrophils and that removing these neutrophils protects diabetic/obese mice from disease. This demonstrates why these diseases have increased risk of severe disease and suggests specific interventions upon infection.

摘要

严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)在人群中引起了广泛的疾病,从无症状感染到死亡。研究可能改变这种病毒发病机制的宿主差异非常重要。在 2019 年冠状病毒病(COVID-19)患者中发现的一个临床发现是,肥胖或糖尿病患者感染 SARS-CoV-2 后出现严重疾病的风险增加。我们使用高脂肪饮食模型在小鼠中研究肥胖和 2 型糖尿病对 SARS-CoV-2 感染的影响,以及这些合并症如何改变对疫苗接种的反应。我们发现感染 SARS-CoV-2 后糖尿病/肥胖小鼠的疾病加重,病毒清除速度较慢。我们发现这些小鼠的肺部有更多的中性粒细胞,并且清除这些中性粒细胞可以保护糖尿病/肥胖小鼠免受疾病侵害。这表明为什么这些疾病会增加严重疾病的风险,并提示在感染后采取具体的干预措施。

相似文献

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Diet-induced obesity and diabetes enhance mortality and reduce vaccine efficacy for SARS-CoV-2.

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[6]
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[7]
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Gut Microbes. 2025-12

[2]
The Intersection of SARS-CoV-2 and Diabetes.

Microorganisms. 2025-6-14

[3]
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[4]
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Virol Sin. 2025-6

[5]
Assessment of COVID-19 Vaccine Effectiveness Against SARS-CoV-2 Infection, Hospitalization and Death in Mexican Patients with Metabolic Syndrome from Northeast Mexico: A Multicenter Study.

Vaccines (Basel). 2025-2-27

[6]
Diabetes exacerbates SARS-CoV-2 replication through ineffective pulmonary interferon responses, delayed cell-mediated immunity, and disruption of leptin signaling.

Front Cell Infect Microbiol. 2025-3-7

[7]
Impaired inflammatory resolution with severe SARS-CoV-2 infection in leptin knock out obese hamster.

iScience. 2025-1-17

[8]
FABP4 as a therapeutic host target controlling SARS-CoV-2 infection.

EMBO Mol Med. 2025-3

[9]
Association of obstructive sleep apnea symptoms with all-cause mortality and cause-specific mortality in adults with or without diabetes: A cohort study based on the NHANES.

J Diabetes. 2024-4

[10]
Effectiveness of SARS-CoV-2 primary vaccines and boosters in patients with type 2 diabetes mellitus in Hungary (HUN-VE 4 Study).

BMJ Open Diabetes Res Care. 2024-1-24

本文引用的文献

[1]
Antigen specific T cells in people with obesity at five months following ChAdOx1 COVID-19 vaccination.

Int J Obes (Lond). 2023-1

[2]
Risk Factors for COVID-19: A Systematic Mapping Study.

Stud Health Technol Inform. 2022-11-3

[3]
SARS-CoV-2 fires up inflammation in adipose tissue.

Nat Rev Endocrinol. 2023-1

[4]
Extreme obesity is a strong predictor for in-hospital mortality and the prevalence of long-COVID in severe COVID-19 patients with acute respiratory distress syndrome.

Sci Rep. 2022-11-1

[5]
Phenotypes of disease severity in a cohort of hospitalized COVID-19 patients: Results from the IMPACC study.

EBioMedicine. 2022-9

[6]
ACE2 expression in adipose tissue is associated with cardio-metabolic risk factors and cell type composition-implications for COVID-19.

Int J Obes (Lond). 2022-8

[7]
Sero-survey on long-term care facility residents reveals increased risk of sub-optimal antibody response to BNT162b2: implications for breakthrough prevention.

BMC Geriatr. 2022-3-10

[8]
Antibody response following SARS-CoV-2 vaccination among patients with type 2 diabetes mellitus: A systematic review.

Diabetes Metab Syndr. 2022-2

[9]
SARS-CoV-2 Vaccine Antibody Response and Breakthrough Infection in Patients Receiving Dialysis.

Ann Intern Med. 2022-3

[10]
The evaluation of factors affecting antibody response after administration of the BNT162b2 vaccine: a prospective study in Japan.

PeerJ. 2021-10-13

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