COVID-19 与糖尿病:流行病学概述

IF 1.1 4区 医学 Q3 PEDIATRICS Pediatric Annals Pub Date : 2024-07-01 DOI:10.3928/19382359-20240502-07
Jonathan Mannheim, Daniel Johnson
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引用次数: 0

摘要

过去有关 1 型糖尿病(T1D)和 2 型糖尿病(T2D)发病的文献强调了外源性因素(包括病毒感染)在这些疾病发病中的影响。2019 年冠状病毒病(COVID-19)大流行再次凸显了病毒感染与糖尿病发病之间的复杂联系。促炎、遗传和社会经济因素的复杂相互作用有助于解释大流行期间 T1D 和 T2D 发病率增加的原因。将严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)与 T1D 联系起来的病理生理学机制包括胰岛细胞上血管紧张素酶 2 受体的表达、由此产生的促炎症状态以及病毒侵入造成的潜在短暂损伤。遗传因素、健康的社会决定因素(包括肥胖症的增加)、SARS-CoV-2 感染期间的促炎状态对胰岛素抵抗的影响等错综复杂的因素表明,SARS-CoV-2 感染与糖尿病的发展存在联系。[Pediatr Ann.
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COVID-19 and Diabetes: An Epidemiologic Overview.

Past literature on the development of type 1 diabetes (T1D) and type 2 diabetes (T2D) has emphasized the influence of exogenous factors, including viral infections, in the development of these conditions. The coronavirus disease 2019 (COVID-19) pandemic again highlighted the complicated connection between viral infection and the development of diabetes. The complex interplay of proinflammatory, genetic, and socioeconomic factors can help explain the increased incidence of T1D and T2D during the pandemic. Proposed pathophysiological mechanisms connecting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to T1D include the expression of angiotensin enzyme 2 receptors on pancreatic islet cells, resultant proinflammatory states, and potential transient damage caused by viral entry. The intricate web of genetic factors, social determinants of health (including the rise of obesity), and the impact of proinflammatory states during SARS-CoV-2 infection on insulin resistance suggests mechanisms linking SARS-CoV-2 infection to the development of diabetes. [Pediatr Ann. 2024;53(7):e258-e263.].

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来源期刊
Pediatric Annals
Pediatric Annals 医学-小儿科
CiteScore
1.80
自引率
0.00%
发文量
104
审稿时长
2 months
期刊介绍: Published for more than 40 years, Pediatric Annals is an online-only, monthly medical review journal dedicated to providing pediatricians and other clinicians with the latest practical information on the diagnosis and treatment of pediatric diseases and disorders. Begin to explore the Journal and all of its great benefits such as: -Single-topic summary reviews of important trends in pediatric medicine -Access to current articles, as well as several years of archived content -Columns including Healthy Baby/Healthy Child and Case Challenges
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