Center for Pathogen Research, Department of Microbiology and Immunology, University of Maryland School of Medicine , Baltimore, Maryland, USA.
Novavax , Gaithersburg, Maryland, USA.
J Virol. 2023 Nov 30;97(11):e0133623. doi: 10.1128/jvi.01336-23. Epub 2023 Oct 17.
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.
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。
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