DPP4 Inhibitors and COVID-19-Holy Grail or Another Dead End?

Alicja Krejner-Bienias1, Katarzyna Grzela2, Tomasz Grzela3

  • 1Department of Histology and Embryology, Medical University of Warsaw, Chalubinskiego 5, 02-004, Warsaw, Poland.

Insights

Type 2 diabetes impacts COVID-19 severity. Dipeptidyl peptidase 4 (DPP4) may influence SARS-CoV-2 infection, necessitating research into DPP4 inhibitors (gliptins) for diabetic patients.

Area of Science:

  • Virology
  • Endocrinology
  • Immunology

Background:

  • COVID-19, a novel coronavirus disease, presents a global health challenge.
  • Comorbidities, particularly type 2 diabetes, significantly affect COVID-19 clinical outcomes.
  • Dipeptidyl peptidase 4 (DPP4) is implicated in diabetes pathophysiology and may influence SARS-CoV-2 infection course.

Purpose of the Study:

  • To review the potential role of dipeptidyl peptidase 4 (DPP4) modulation in SARS-CoV-2 infection.
  • To clarify the impact of DPP4 inhibitors (gliptins) on COVID-19 course in diabetic patients.

Main Methods:

  • Literature review of structural studies and clinical data.
  • Analysis of the interaction between DPP4, SARS-CoV-2, and type 2 diabetes.

Main Results:

  • DPP4's role in diabetes pathophysiology suggests a potential link to COVID-19 severity.
  • The widespread use of DPP4 inhibitors (gliptins) in diabetic populations warrants investigation.

Conclusions:

  • Further research is crucial to understand DPP4's exact role in SARS-CoV-2 infection.
  • Clarifying DPP4 modulation's impact is essential for managing COVID-19 in patients with type 2 diabetes.

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