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10.2337/db20-1260

http://scihub22266oqcxt.onion/10.2337/db20-1260
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34417262!8576416!34417262
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suck abstract from ncbi


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pmid34417262      Diabetes 2021 ; 70 (9): 2120-2130
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  • LTB(4)-Driven Inflammation and Increased Expression of ALOX5/ACE2 During Severe COVID-19 in Individuals With Diabetes #MMPMID34417262
  • Bonyek-Silva I; Machado AFA; Cerqueira-Silva T; Nunes S; Silva Cruz MR; Silva J; Santos RL; Barral A; Oliveira PRS; Khouri R; Serezani CH; Brodskyn C; Caldas JR; Barral-Netto M; Boaventura V; Tavares NM
  • Diabetes 2021[Sep]; 70 (9): 2120-2130 PMID34417262show ga
  • Diabetes is a known risk factor for severe coronavirus disease 2019 (COVID-19), the disease caused by the new coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, there is a lack of knowledge about the mechanisms involved in the evolution of COVID-19 in individuals with diabetes. We aimed to evaluate whether the chronic low-grade inflammation of diabetes could play a role in the development of severe COVID-19. We collected clinical data and blood samples of patients with and without diabetes hospitalized for COVID-19. Plasma samples were used to measure inflammatory mediators and peripheral blood mononuclear cells, for gene expression analysis of the SARS-CoV-2 main receptor system (ACE2/TMPRSS2), and for the main molecule of the leukotriene B(4) (LTB(4)) pathway (ALOX5). We found that diabetes activates the LTB(4) pathway and that during COVID-19 it increases ACE2/TMPRSS2 as well as ALOX5 expression. Diabetes was also associated with COVID-19-related disorders, such as reduced oxygen saturation as measured by pulse oximetry/fraction of inspired oxygen (FiO(2)) and arterial partial pressure of oxygen/FiO(2) levels, and increased disease duration. In addition, the expressions of ACE2 and ALOX5 are positively correlated, with increased expression in patients with diabetes and COVID-19 requiring intensive care assistance. We confirmed these molecular results at the protein level, where plasma LTB(4) is significantly increased in individuals with diabetes. In addition, IL-6 serum levels are increased only in individuals with diabetes requiring intensive care assistance. Together, these results indicate that LTB(4) and IL-6 systemic levels, as well as ACE2/ALOX5 blood expression, could be early markers of severe COVID-19 in individuals with diabetes.
  • |*SARS-CoV-2[MESH]
  • |Angiotensin-Converting Enzyme 2/genetics/*metabolism[MESH]
  • |Arachidonate 5-Lipoxygenase/genetics/*metabolism[MESH]
  • |COVID-19/metabolism/*pathology[MESH]
  • |Diabetes Mellitus/*pathology[MESH]
  • |Gene Expression Regulation[MESH]
  • |Humans[MESH]
  • |Inflammation/metabolism[MESH]
  • |Leukotriene B4/genetics/*metabolism[MESH]
  • |Risk Factors[MESH]


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