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2020 ; 12
(ä): 63
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Coronavirus infection (SARS-CoV-2) in obesity and diabetes comorbidities: is heat
shock response determinant for the disease complications?
#MMPMID32690985
Krause M
; Gerchman F
; Friedman R
Diabetol Metab Syndr
2020[]; 12
(ä): 63
PMID32690985
show ga
Chronic inflammation is involved in the pathogenesis of several metabolic
diseases, such as obesity and type 2 diabetes mellitus (T2DM). With the recent
worldwide outbreak of coronavirus disease (SARS-CoV-2), it has been observed that
individuals with these metabolic diseases are more likely to develop
complications, increasing the severity of the disease and a poorer outcome.
Coronavirus infection leads to the activation of adaptive and innate immune
responses, resulting in massive inflammation (to so called cytokine storm), which
in turn can lead to damage to various tissues, septic shock and multiple organ
failure. Recent evidence suggests that the common link between metabolic diseases
and SARS-CoV-2 is the inflammatory response (chronic/low-grade for metabolic
diseases and acute/intense in coronavirus infection). However, the ability of the
infected individuals to resolve the inflammation has not yet been explored. The
heat shock response (HSR), an important anti-inflammatory pathway, is reduced in
patients with metabolic diseases and, consequently, may impair inflammation
resolution and control in patients with SARS-CoV-2, thus enabling its
amplification and propagation through all tissues. Herein, we present a new
hypothesis that aims to explain the increased severity of SARS-CoV-2 infection in
people with metabolic diseases, and the possible benefits of HSR-inducing
therapies to improve the inflammatory profile in these patients.