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10.1016/j.dsx.2020.05.013

http://scihub22266oqcxt.onion/10.1016/j.dsx.2020.05.013
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suck abstract from ncbi


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pmid32438331      Diabetes+Metab+Syndr 2020 ; 14 (4): 671-677
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  • Diabetes and metabolic syndrome as risk factors for COVID-19 #MMPMID32438331
  • Marhl M; Grubelnik V; Magdic M; Markovic R
  • Diabetes Metab Syndr 2020[Jul]; 14 (4): 671-677 PMID32438331show ga
  • BACKGROUND AND AIMS: Clinical evidence exists that patients with diabetes are at higher risk for Coronavirus disease 2019 (COVID-19). We investigated the physiological origins of this clinical observation linking diabetes with severity and adverse outcome of COVID-19. METHODS: Publication mining was applied to reveal common physiological contexts in which diabetes and COVID-19 have been investigated simultaneously. Overall, we have acquired 1,121,078 publications from PubMed in the time span between 01-01-2000 and 17-04-2020, and extracted knowledge graphs interconnecting the topics related to diabetes and COVID-19. RESULTS: The Data Mining revealed three pathophysiological pathways linking diabetes and COVID-19. The first pathway indicates a higher risk for COVID-19 because of a dysregulation of Angiotensin-converting enzyme 2. The other two important physiological links between diabetes and COVID-19 are liver dysfunction and chronic systemic inflammation. A deep network analysis has suggested clinical biomarkers predicting the higher risk: Hypertension, elevated serum Alanine aminotransferase, high Interleukin-6, and low Lymphocytes count. CONCLUSIONS: The revealed biomarkers can be applied directly in clinical practice. For newly infected patients, the medical history needs to be checked for evidence of a long-term, chronic dysregulation of these biomarkers. In particular, patients with diabetes, but also those with prediabetic state, deserve special attention.
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/therapeutic use[MESH]
  • |Betacoronavirus/*immunology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*immunology/mortality/physiopathology[MESH]
  • |Diabetes Mellitus/*immunology/mortality/physiopathology[MESH]
  • |Humans[MESH]
  • |Metabolic Syndrome/*immunology/mortality/physiopathology[MESH]
  • |Pandemics[MESH]
  • |Peptidyl-Dipeptidase A/*immunology[MESH]
  • |Pneumonia, Viral/*immunology/mortality/physiopathology[MESH]


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