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10.1007/s11154-020-09573-6

http://scihub22266oqcxt.onion/10.1007/s11154-020-09573-6
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suck abstract from ncbi


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pmid32743793      Rev+Endocr+Metab+Disord 2020 ; 21 (4): 451-463
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  • COVID-19 and diabetes mellitus: how one pandemic worsens the other #MMPMID32743793
  • Azar WS; Njeim R; Fares AH; Azar NS; Azar ST; El Sayed M; Eid AA
  • Rev Endocr Metab Disord 2020[Dec]; 21 (4): 451-463 PMID32743793show ga
  • In light of the most challenging public health crisis of modern history, COVID-19 mortality continues to rise at an alarming rate. Patients with co-morbidities such as hypertension, cardiovascular disease, and diabetes mellitus (DM) seem to be more prone to severe symptoms and appear to have a higher mortality rate. In this review, we elucidate suggested mechanisms underlying the increased susceptibility of patients with diabetes to infection with SARS-CoV-2 with a more severe COVID-19 disease. The worsened prognosis of COVID-19 patients with DM can be attributed to a facilitated viral uptake assisted by the host's receptor angiotensin-converting enzyme 2 (ACE2). It can also be associated with a higher basal level of pro-inflammatory cytokines present in patients with diabetes, which enables a hyperinflammatory "cytokine storm" in response to the virus. This review also suggests a link between elevated levels of IL-6 and AMPK/mTOR signaling pathway and their role in exacerbating diabetes-induced complications and insulin resistance. If further studied, these findings could help identify novel therapeutic intervention strategies for patients with diabetes comorbid with COVID-19.
  • |*Comorbidity[MESH]
  • |*Pandemics[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/epidemiology/*immunology[MESH]
  • |Diabetes Mellitus/epidemiology/*immunology[MESH]
  • |Disease Susceptibility/epidemiology/*immunology[MESH]
  • |Humans[MESH]


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