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A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
Published on: July 5, 2022
COVID-19 and Diabetes: will Novel Drugs for Diabetes Help in COVID-19?
Hayder Mutter Al-Kuraishy1, Ali Ismail Al-Gareeb1, Gomaa Mostafa-Hedeab2,3
1Department of Clinical Pharmacology and Medicine, College of Medicine, AL-Mustansiriyia University, Baghdad, Iraq.
Abstract:
COVID-19 is caused by the SARS-CoV-2 virus, which has afflicted more than 245.37 million individuals worldwide and resulted in more than 4.9 million deaths as of today, with a mortality rate of 2.1%. Diabetes mellitus (DM) and its secondary complications are the major serious global health concerns today due to its growth rate, and it is the fastest-growing non-communicable disease. According to International Diabetes Federation (IDF) data, one out of 11 adults is diabetic, and the projection says that the figure will reach 642 million by 2040 globally. The occurrence of DM and its secondary complications is also associated with the severity of COVID-19 and high mortality. People with DM have a weakened immune system owing to innate immunity defects affecting phagocytosis, neutrophil chemotaxis, and cellmediated immunity; however, the high prevalence of diabetes in serious cases of COVID-19 may reflect the higher prevalence of type 2 DM (T2DM) in older people. Moreover, DM is linked to cardiovascular illness in older people, which could underlie the correlation between COVID-19 and fatal outcomes. SARS-CoV-2 infects via the angiotensin-converting enzyme 2 (ACE2), which is found in pancreatic islets, and infection with SARS-CoV-1 has been linked to hyperglycemia in individuals who do not have DM. And hence diabetic patients need to take more precautions and maintain their blood glucose levels. Many pieces of research say that COVID-19 and DM, especially its secondary complications are interlinked. But it also needs more elaborative evidence on whether the anti-diabetic drugs can manage only blood glucose or SARS-CoV-2.
Insights
Diabetes mellitus (DM) and COVID-19 (coronavirus disease 2019) share a dangerous link, with diabetic patients facing higher risks. Further research is needed to determine if anti-diabetic drugs can manage SARS-CoV-2 infection.
Area of Science:
- * Infectious Diseases
- * Endocrinology
- * Public Health
Background:
- * COVID-19 (coronavirus disease 2019), caused by SARS-CoV-2, has led to millions of deaths globally.
- * Diabetes mellitus (DM) is a rapidly growing non-communicable disease, affecting 1 in 11 adults, with projections reaching 642 million by 2040.
- * DM and its complications are associated with increased COVID-19 severity and mortality, potentially due to weakened immune systems and links to cardiovascular disease.
Purpose of the Study:
- * To explore the intricate relationship between COVID-19 and diabetes mellitus.
- * To investigate the potential impact of anti-diabetic drugs on SARS-CoV-2 infection management.
Main Methods:
- * Review of existing research on COVID-19, diabetes mellitus, and their comorbidities.
- * Analysis of the role of ACE2 receptors in SARS-CoV-2 infection and pancreatic islet cells.
- * Examination of immune system defects in diabetic individuals and their implications for viral infections.
Main Results:
- * Diabetic patients exhibit a higher prevalence in severe COVID-19 cases and mortality rates.
- * SARS-CoV-2 utilizes ACE2 receptors, present in pancreatic islets, suggesting a direct impact on glucose regulation.
- * Existing research indicates a strong link between COVID-19 and DM, particularly its secondary complications.
Conclusions:
- * Diabetic patients require heightened precautions to manage blood glucose levels during the COVID-19 pandemic.
- * The correlation between COVID-19 and fatal outcomes in diabetic individuals may be linked to underlying cardiovascular conditions.
- * Further evidence is required to ascertain if anti-diabetic medications can effectively manage SARS-CoV-2 infection beyond blood glucose control.
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