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新型冠状病毒与糖尿病的交叉关联

The Intersection of SARS-CoV-2 and Diabetes.

作者信息

Nichols Jacob H, Smith Amber M, Jonsson Colleen B

机构信息

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.

出版信息

Microorganisms. 2025 Jun 14;13(6):1390. doi: 10.3390/microorganisms13061390.


DOI:10.3390/microorganisms13061390
PMID:40572277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12196163/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5123/12196163/333501cb701a/microorganisms-13-01390-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5123/12196163/333501cb701a/microorganisms-13-01390-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5123/12196163/333501cb701a/microorganisms-13-01390-g001.jpg

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The Intersection of SARS-CoV-2 and Diabetes.

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引用本文的文献

[1]
Impact of Obesity and Ageing on the Expression of Key Mediators of SARS-CoV-2 Infection in Human Adipose Tissue.

Int J Mol Sci. 2025-7-29

[2]
Diabetes Mellitus, a Leading Comorbidity in COVID-19: an Insight on Pathophysiology, Molecular Interactions, and Comprehensive Management.

Curr Microbiol. 2025-7-16

本文引用的文献

[1]
Prevalence of Total, Diagnosed, and Undiagnosed Diabetes in Adults: United States, August 2021-August 2023.

NCHS Data Brief. 2024-11

[2]
Diabetic Mice Spleen Vulnerability Contributes to Decreased Persistence of Antibody Production after SARS-CoV-2 Vaccine.

Int J Mol Sci. 2024-9-26

[3]
SARS-CoV-2 Infection and New-Onset Type 2 Diabetes Among Pediatric Patients, 2020 to 2022.

JAMA Netw Open. 2024-10-1

[4]
Hyperglycemia induced cathepsin L maturation linked to diabetic comorbidities and COVID-19 mortality.

Elife. 2024-8-16

[5]
Diabetes mellitus-Progress and opportunities in the evolving epidemic.

Cell. 2024-7-25

[6]
Metabolic and mitochondria alterations induced by SARS-CoV-2 accessory proteins ORF3a, ORF9b, ORF9c and ORF10.

J Med Virol. 2024-7

[7]
Infection with SARS-CoV-2 can cause pancreatic impairment.

Signal Transduct Target Ther. 2024-4-12

[8]
Impact of Delta SARS-CoV-2 Infection on Glucose Metabolism: Insights on Host Metabolism and Virus Crosstalk in a Feline Model.

Viruses. 2024-2-15

[9]
SARS-CoV-2 Spike Protein Intensifies Cerebrovascular Complications in Diabetic hACE2 Mice through RAAS and TLR Signaling Activation.

Int J Mol Sci. 2023-11-16

[10]
Alterations in the gene expression of SARS-COV-2 entry receptors and enzymes in lungs and hearts of controlled and uncontrolled diabetic mice.

Fundam Clin Pharmacol. 2024-4

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