The Intersection of SARS-CoV-2 and Diabetes

The interplay between comorbidities and viral infections is a critical factor that influences disease severity and outcomes. Diabetes Mellitus (DM) is one such comorbidity that significantly elevates the risk of severe viral infection from coronaviruses, namely, SARS-CoV-2. DM is characterized by ei...

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Main Authors: Jacob H. Nichols, Amber M. Smith, Colleen B. Jonsson
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/13/6/1390
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author Jacob H. Nichols
Amber M. Smith
Colleen B. Jonsson
author_facet Jacob H. Nichols
Amber M. Smith
Colleen B. Jonsson
author_sort Jacob H. Nichols
collection DOAJ
description The interplay between comorbidities and viral infections is a critical factor that influences disease severity and outcomes. Diabetes Mellitus (DM) is one such comorbidity that significantly elevates the risk of severe viral infection from coronaviruses, namely, SARS-CoV-2. DM is characterized by either a lack of insulin production (type 1 diabetes) or insulin resistance (type 2 diabetes), both of which contribute to a state of hyperglycemia, or high blood sugar. Hyperglycemia significantly promotes chronic inflammation, metabolic dysfunction, and immune dysregulation, which put diabetics at an elevated risk of critical health outcomes. Additionally, diabetes is hypothesized to amplify viral titers during infection by promoting the expression of the viral entry receptor ACE2 and providing a favorable cellular energy environment for viral replication. This review focuses on explaining the mechanisms that link diabetics with more severe COVID-19 disease and exploring some of the mechanisms that contribute to the phenomenon where COVID-19 can promote new-onset diabetes. By highlighting the interconnections between diabetes and COVID-19, this review aims to emphasize the implications that the SARS-CoV-2 outbreak has had on metabolic health.
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spelling doaj-art-d5efd5d3890845caa705e6a1a4e669922025-08-20T03:29:40ZengMDPI AGMicroorganisms2076-26072025-06-01136139010.3390/microorganisms13061390The Intersection of SARS-CoV-2 and DiabetesJacob H. Nichols0Amber M. Smith1Colleen B. Jonsson2Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN 38163, USADepartment of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN 38163, USADepartment of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN 38163, USAThe interplay between comorbidities and viral infections is a critical factor that influences disease severity and outcomes. Diabetes Mellitus (DM) is one such comorbidity that significantly elevates the risk of severe viral infection from coronaviruses, namely, SARS-CoV-2. DM is characterized by either a lack of insulin production (type 1 diabetes) or insulin resistance (type 2 diabetes), both of which contribute to a state of hyperglycemia, or high blood sugar. Hyperglycemia significantly promotes chronic inflammation, metabolic dysfunction, and immune dysregulation, which put diabetics at an elevated risk of critical health outcomes. Additionally, diabetes is hypothesized to amplify viral titers during infection by promoting the expression of the viral entry receptor ACE2 and providing a favorable cellular energy environment for viral replication. This review focuses on explaining the mechanisms that link diabetics with more severe COVID-19 disease and exploring some of the mechanisms that contribute to the phenomenon where COVID-19 can promote new-onset diabetes. By highlighting the interconnections between diabetes and COVID-19, this review aims to emphasize the implications that the SARS-CoV-2 outbreak has had on metabolic health.https://www.mdpi.com/2076-2607/13/6/1390SARS-CoV-2diabetesdisease modelingpathogenesisin vitro models
spellingShingle Jacob H. Nichols
Amber M. Smith
Colleen B. Jonsson
The Intersection of SARS-CoV-2 and Diabetes
Microorganisms
SARS-CoV-2
diabetes
disease modeling
pathogenesis
in vitro models
title The Intersection of SARS-CoV-2 and Diabetes
title_full The Intersection of SARS-CoV-2 and Diabetes
title_fullStr The Intersection of SARS-CoV-2 and Diabetes
title_full_unstemmed The Intersection of SARS-CoV-2 and Diabetes
title_short The Intersection of SARS-CoV-2 and Diabetes
title_sort intersection of sars cov 2 and diabetes
topic SARS-CoV-2
diabetes
disease modeling
pathogenesis
in vitro models
url https://www.mdpi.com/2076-2607/13/6/1390
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