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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.
Abstract:
A novel coronavirus disease, COVID-19, has emerged as a global public health issue. Clinical course of disease significantly correlates with the occurrence of some comorbidities, among them type 2 diabetes. According to recent structural studies the dipeptidyl peptidase 4, a key molecule in the pathophysiology of diabetes, may influence the course of COVID-19. Since DPP4 inhibitors, gliptins, are widely used in diabetes patients, the exact role of DPP4 modulation in SARS-CoV-2 infection, at least in that group, urgently needs to be clarified. In this short review, we discuss this issue with more detail.
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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