Nichols Jacob H, Smith Amber M, Jonsson Colleen B
Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Microorganisms. 2025 Jun 14;13(6):1390. doi: 10.3390/microorganisms13061390.
The interplay between comorbidities and viral infections is a critical factor that influences disease severity and outcomes. Diabetes Mellitus (DM) is one such comorbidity that significantly elevates the risk of severe viral infection from coronaviruses, namely, SARS-CoV-2. DM is characterized by either a lack of insulin production (type 1 diabetes) or insulin resistance (type 2 diabetes), both of which contribute to a state of hyperglycemia, or high blood sugar. Hyperglycemia significantly promotes chronic inflammation, metabolic dysfunction, and immune dysregulation, which put diabetics at an elevated risk of critical health outcomes. Additionally, diabetes is hypothesized to amplify viral titers during infection by promoting the expression of the viral entry receptor ACE2 and providing a favorable cellular energy environment for viral replication. This review focuses on explaining the mechanisms that link diabetics with more severe COVID-19 disease and exploring some of the mechanisms that contribute to the phenomenon where COVID-19 can promote new-onset diabetes. By highlighting the interconnections between diabetes and COVID-19, this review aims to emphasize the implications that the SARS-CoV-2 outbreak has had on metabolic health.
合并症与病毒感染之间的相互作用是影响疾病严重程度和转归的关键因素。糖尿病(DM)就是这样一种合并症,它会显著增加感染冠状病毒(即严重急性呼吸综合征冠状病毒2,SARS-CoV-2)后发生严重病毒感染的风险。糖尿病的特征是胰岛素分泌不足(1型糖尿病)或胰岛素抵抗(2型糖尿病),这两种情况都会导致高血糖状态,即血糖升高。高血糖会显著促进慢性炎症、代谢功能障碍和免疫失调,从而使糖尿病患者面临更高的严重健康后果风险。此外,据推测,糖尿病通过促进病毒进入受体血管紧张素转换酶2(ACE2)的表达,并为病毒复制提供有利的细胞能量环境,从而在感染期间增加病毒滴度。本综述重点解释将糖尿病患者与更严重的2019冠状病毒病(COVID-19)联系起来的机制,并探讨导致COVID-19可引发新发糖尿病这一现象的一些机制。通过强调糖尿病与COVID-19之间的相互联系,本综述旨在强调SARS-CoV-2疫情对代谢健康的影响。
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