The Cytokine Profiles and Immune Response Are Increased in COVID-19 Patients with Type 2 Diabetes Mellitus

The induction of inflammation and cytokine storm was proposed to play a critical role in COVID-19. This study is aimed at investigating the relationship between glucose metabolism and the inflammatory state of inpatients with COVID-19. 71 inpatients with COVID-19 were classified into nondiabetes mel...

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Main Authors: Mao Zheng, Xiaobing Wang, Hui Guo, Yinguang Fan, Zichen Song, Zhaohui Lu, Jinquan Wang, Changcheng Zheng, Lin Dong, Yan Ma, Yuyou Zhu, Haoshu Fang, Shandong Ye
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2021/9526701
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author Mao Zheng
Xiaobing Wang
Hui Guo
Yinguang Fan
Zichen Song
Zhaohui Lu
Jinquan Wang
Changcheng Zheng
Lin Dong
Yan Ma
Yuyou Zhu
Haoshu Fang
Shandong Ye
author_facet Mao Zheng
Xiaobing Wang
Hui Guo
Yinguang Fan
Zichen Song
Zhaohui Lu
Jinquan Wang
Changcheng Zheng
Lin Dong
Yan Ma
Yuyou Zhu
Haoshu Fang
Shandong Ye
author_sort Mao Zheng
collection DOAJ
description The induction of inflammation and cytokine storm was proposed to play a critical role in COVID-19. This study is aimed at investigating the relationship between glucose metabolism and the inflammatory state of inpatients with COVID-19. 71 inpatients with COVID-19 were classified into nondiabetes mellitus (NDM) group, impaired fasting glucose (IFG) group, and diabetes mellitus (DM) group. The average hospitalization days were significantly shorter in DM patients when compared with patients in the IFG group and NDM group. CD4+ T cell percentage was higher while CD8+ T cells percentage was lower in the DM group than those in the NDM group. The serum levels of IL-6, IL-2, IL-10, and INF-γ in the DM group were upregulated when compared with those in the NDM group. The serum levels of TNF-α, IL-4, IL-2, IL-10, and INF-γ were significantly higher in the DM group than those in the IFG group. A significant difference was observed in CD4+ T cell, CD4+/CD8+ ratio percentage, IL-6, and IL-10 between the NDM group and DM group with adjusted BMI. In conclusion, COVID-19 patients with elevated glucose levels have promoted cytokine profiles and immune response.
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issn 2314-6745
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publishDate 2021-01-01
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series Journal of Diabetes Research
spelling doaj-art-2fe958a94fe44e509f961c4e504a94c62025-08-20T03:20:22ZengWileyJournal of Diabetes Research2314-67452314-67532021-01-01202110.1155/2021/95267019526701The Cytokine Profiles and Immune Response Are Increased in COVID-19 Patients with Type 2 Diabetes MellitusMao Zheng0Xiaobing Wang1Hui Guo2Yinguang Fan3Zichen Song4Zhaohui Lu5Jinquan Wang6Changcheng Zheng7Lin Dong8Yan Ma9Yuyou Zhu10Haoshu Fang11Shandong Ye12The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, ChinaThe First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230031, ChinaDepartment of Breast and Thyroid Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430000, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, ChinaDepartment of Pathophysiology, Anhui Medical University, Hefei, Anhui 230032, ChinaThe First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, ChinaThe First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, ChinaThe First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, ChinaThe First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, ChinaThe First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, ChinaThe First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, ChinaDepartment of Pathophysiology, Anhui Medical University, Hefei, Anhui 230032, ChinaThe First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, ChinaThe induction of inflammation and cytokine storm was proposed to play a critical role in COVID-19. This study is aimed at investigating the relationship between glucose metabolism and the inflammatory state of inpatients with COVID-19. 71 inpatients with COVID-19 were classified into nondiabetes mellitus (NDM) group, impaired fasting glucose (IFG) group, and diabetes mellitus (DM) group. The average hospitalization days were significantly shorter in DM patients when compared with patients in the IFG group and NDM group. CD4+ T cell percentage was higher while CD8+ T cells percentage was lower in the DM group than those in the NDM group. The serum levels of IL-6, IL-2, IL-10, and INF-γ in the DM group were upregulated when compared with those in the NDM group. The serum levels of TNF-α, IL-4, IL-2, IL-10, and INF-γ were significantly higher in the DM group than those in the IFG group. A significant difference was observed in CD4+ T cell, CD4+/CD8+ ratio percentage, IL-6, and IL-10 between the NDM group and DM group with adjusted BMI. In conclusion, COVID-19 patients with elevated glucose levels have promoted cytokine profiles and immune response.http://dx.doi.org/10.1155/2021/9526701
spellingShingle Mao Zheng
Xiaobing Wang
Hui Guo
Yinguang Fan
Zichen Song
Zhaohui Lu
Jinquan Wang
Changcheng Zheng
Lin Dong
Yan Ma
Yuyou Zhu
Haoshu Fang
Shandong Ye
The Cytokine Profiles and Immune Response Are Increased in COVID-19 Patients with Type 2 Diabetes Mellitus
Journal of Diabetes Research
title The Cytokine Profiles and Immune Response Are Increased in COVID-19 Patients with Type 2 Diabetes Mellitus
title_full The Cytokine Profiles and Immune Response Are Increased in COVID-19 Patients with Type 2 Diabetes Mellitus
title_fullStr The Cytokine Profiles and Immune Response Are Increased in COVID-19 Patients with Type 2 Diabetes Mellitus
title_full_unstemmed The Cytokine Profiles and Immune Response Are Increased in COVID-19 Patients with Type 2 Diabetes Mellitus
title_short The Cytokine Profiles and Immune Response Are Increased in COVID-19 Patients with Type 2 Diabetes Mellitus
title_sort cytokine profiles and immune response are increased in covid 19 patients with type 2 diabetes mellitus
url http://dx.doi.org/10.1155/2021/9526701
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