Sars-COV-2

SARS - CoV - 2
  • 文章类型: Journal Article
    BACKGROUND: Although COVID-19 has brought serious disasters to all mankind, it has also accelerated the innovation and application of educational science and technology. China is the first to bear in COVID-19, and in order to minimize the impact of the field of education and teaching involving a large number of students, educational technology has entered a stage of continuous innovation and large-scale application, especially in higher education institutions.
    OBJECTIVE: Firstly, it introduces the progress and achievements of China\'s educational science and technology innovation during the COVID-19 epidemic, as well as the in-depth application of it in education for studying abroad in China. Secondly, the problems and gaps of STI in education for studying abroad in China are analyzed. Once again, it puts forward the solution countermeasures and future development strategies for the science and technology innovation of education abroad in China.
    METHODS: A cross-sectional survey of 258 international students from 20 universities was conducted using a self-administered questionnaire entitled \"Research on Innovation and Application of Science and Technology in China\'s International Education under the Situation of Conventional COVID-19 Epidemic Prevention and Control\".
    RESULTS: It will put forward opinions and suggestions to promote the deepening and improvement of China\'s education science and technology innovation and application, as well as to provide a commentary and theoretical contribution to similar issues and phenomena around the world.
    CONCLUSIONS: Through in-depth research and analysis, it is found that the application of science, technology and innovation has played a great role in China\'s study abroad education, which not only improves the quality and effect of teaching, but also enriches the means and methods of teaching.
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  • 文章类型: Journal Article
    This study aimed to determine the possibility of COVID-19 transmission through in-flight contact during flights for many patients with confirmed COVID-19 during the COVID-19 pandemic and explore infection prevention and control (IPC) methods for overseas infectious diseases. A retrospective cohort study was conducted on flight with a large number of confirmed case among. Delhi- Incheon flights in 2020. This flight was selected to confirm transmission through close contact with the cabin, with a total of 14 confirmed cases out of 190 passengers (including 10 flight attendants). After confirming COVID-19 test results for those entering Korea, we conducted an epidemiological investigation on confirmed patients to determine their general characteristics and epidemiological relevance. We analyzed the epidemiological relevance, occupational information, incubation period, and COVID-19 variation and genotype among confirmed patients who were in close contact with confirmed cases, and analyzed the possibility of transmission according to the distance of close contact in the flight. One confirmed patient was found to be highly likely to be infected due to close contact with the cabin. However, it occurred within two rows, not within 1 meter. In addition, considering the aerodynamics in the cabin and local incidence rate, infection in an unspecified number of local people could not be excluded. It was analyzed that the reason for reducing infection from close contact on board for a long time in a flight with a large number of confirmed cases was the effective IPC method. In order to prevent overseas infectious diseases caused by flights, autonomous IPC management of airlines and passengers is necessary in addition to national quarantine management such as symptom screening before boarding, wearing passenger masks while boarding, food and beverage restrictions, disinfection of public spaces, distancing between passengers, close contact management after boarding, and self-quarantine.
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  • 文章类型: Journal Article
    Replicons, derived from RNA viruses, are genetic constructs retaining essential viral enzyme genes while lacking key structural protein genes. Upon introduction into cells, the genes carried by the replicon RNA are expressed, and the RNA self-replicates, yet viral particle production does not take place. Typically, RNA replicons are transcribed in vitro and are then electroporated in cells. However, it would be advantageous for the replicon to be generated in cells following DNA transfection instead of RNA. In this study, a bacterial artificial chromosome (BAC) DNA encoding a SARS-CoV-2 replicon under control of a T7 promoter was transfected into HEK293T cells engineered to functionally express the T7 RNA polymerase (T7 RNAP). Upon transfection of the BAC DNA, we observed low, but reproducible expression of reporter proteins GFP and luciferase carried by this replicon. Expression of the reporter proteins required linearization of the BAC DNA prior to transfection. Moreover, expression occurred independently of T7 RNAP. Gene expression was also insensitive to remdesivir treatment, suggesting that it did not involve self-replication of replicon RNA. Similar results were obtained in highly SARS-CoV-2 infection-permissive Calu-3 cells. Strikingly, prior expression of the SARS-CoV-2 N protein boosted expression from transfected SARS-CoV-2 RNA replicon but not from the replicon BAC DNA. In conclusion, transfection of a large DNA encoding a coronaviral replicon led to reproducible replicon gene expression through an unidentified mechanism. These findings highlight a novel pathway toward replicon gene expression from transfected replicon cDNA, offering valuable insights for the development of methods for DNA-based RNA replicon applications.
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  • 文章类型: Journal Article
    BACKGROUND: This study examined manual therapy business owners\' perception of official recommendations during the COVID-19 pandemic and the impact on their clinics\' economic performance, including clinic activity hours and business turnover.
    METHODS: In a longitudinal study design, data were collected in November 2021 (baseline), and after three months, six months, and 12 months. Participants were manual therapists who were business owners. A growth curve model was used to analyze differences in clinical activity trajectories. Multinomial logistic regression analysis was used to assess the relationship between perceived disruptions in business and turnover. Qualitative text analysis was used to examine participants\' responses to open-ended questions concerning economic measures taken to sustain their business during the pandemic.
    RESULTS: This study of 443 manual therapy business owners found that clinics were initially active with minimal variation, but activity changed following COVID-19 recommendations. Business owners perceived that the disruptions had no significant impact on turnover during the initial stages of the official recommendations. Economic support and the previous decrease in turnover increased the likelihood of experiencing a decreased turnover at 12 months. Business owners implemented cost-cutting measures and diversified income sources to navigate COVID-19 challenges and sustain their businesses.
    CONCLUSIONS: The official recommendations in Sweden had an impact on manual therapists\' businesses as the COVID-19 pandemic lingered. Some business owners were concerned at the early stages about lower turnover but showed financial resilience by cutting costs and finding new revenue sources to overcome COVID-19 challenges.
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  • 文章类型: Journal Article
    Although many studies highlighted the potential of COVID-19 to reshape existing models of wildlife management, empirical research on this topic has been scarce, particularly in Europe. We investigated the potential of COVID-19 pandemic to accelerate the ongoing decline in an aging population of recreational hunters in Italy. Namely, we modelled spatiotemporal trends between 2011 and 2021 in the number of recreational hunters in 50 Italian provinces with a varying incidence of COVID-19, and temporally delayed waves of infection. Compared to projections from 2011-2019 data, we detected a lower number of hunters who enrolled for the hunting season, both in 2020 (14 provinces) and in 2021 (15 provinces). The provinces with the highest incidence of COVID-19 in the Lombardy and Emilia-Romagna regions were also those experiencing the most marked decrease in hunting participation. Our findings revealed that a wildlife management system based on recreational hunting can be rapidly destabilized by epidemics and their associated public health measures, particularly when the average age of hunters is high, like in Italy. Considered the high incidence attained by COVID-19 in many European countries, where hunters are pivotal for the management of large ungulates and where they were already declining before the pandemic, our findings call for further large-scale research about the impact of COVID-19 on hunting participation.
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  • 文章类型: Journal Article
    OBJECTIVE: To investigate the epidemiological changes in emergency department (ED), including changes in toxic substances and ED outcomes in pediatric and adolescent patients who visited the EDs before and during the COVID-19 pandemic.
    METHODS: This cross-sectional observational study used data from the ED-based Injury In-depth Surveillance from 2017 to 2021 in South Korea (SK). The study population comprised patients aged <19 years who visited 23 EDs because of poisoning before and during the COVID-19 outbreak. We divided the study period into pre-COVID-19 (January 2017 to February 2020) and COVID-19 periods (March 2020 to December 2021).
    RESULTS: In total, 5862 patients were included in the final analysis, with 3863 and 1999 in the pre-COVID-19 and COVID-19 periods, respectively. The patients\' mean age increased from 8.3 ± 7.1 to 11.2 ± 6.9 years between the pre-COVID-19 and COVID-19 periods (P < 0.001), and the number of adolescents (aged 13-18 years) significantly increased during the COVID-19 period (1653 [42.8%] vs. 1252 [62.6%]; P < 0.001). The number of intentional poisoning cases increased from 1332 (34.5%) before COVID-19 to 1174 (58.7%) during COVID-19 (P < 0.001). Specifically, pharmaceutical poisoning significantly increased during the COVID-19 period (2242 [58.0%] vs. 1443 [72.2%]; P < 0.001), with central nervous system (CNS) drug poisoning being the most common type (780 [34.8%] vs. 747 [51.8%]; P < 0.001). Among the intentional poisoning cases, pharmaceutical substance use significantly increased during the COVID-19 period (1207 [90.6%] vs. 1102 [93.9%]; P = 0.007). We used Bayesian structural time series (BSTS) forecasting models to forecast the number of ED visits during COVID-19. The total number of pediatric patients with poisoning decreased during the COVID-19 pandemic. However, when using the BSTS forecasting model, the decrease in the number of patients was not significant. Furthermore, the forecasting models showed no statistically significant increase in the number of intentional pediatric poisoning cases.
    CONCLUSIONS: The previous studies suggested a decrease in the total number of patients with poisoning but an increase in intentional poisoning cases during the COVID-19 pandemic. By using similar methods to those of previous studies, our results also reached the same conclusion. However, the BSTS model, which predicts real-world time series patterns, seasonal effects, and cumulative effects, shows no significant change in pediatric poisoning patterns during the COVID-19 pandemic.
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  • 文章类型: Journal Article
    有孩子和少数民族的家庭经历了不成比例的食物困难负担。在COVID-19大流行期间,美国联邦政府在补充营养援助计划(SNAP)中实施了紧急拨款,增加许多参与家庭获得的食品购买援助的数量。
    为了研究在SNAP中实施紧急拨款与整体有孩子的家庭和黑人家庭的食物困难之间的关联,西班牙裔,通过比较参加和未参加SNAP的符合收入的家庭和白人儿童。
    这项生态横断面研究使用了2016-2022年全国儿童健康调查数据和差异差异方法,比较了SNAP实施前(2016-2019年)到实施期间(2020-2022年)的粮食困难风险变化。在所有50个州和华盛顿州,拥有18岁以下儿童且收入为联邦贫困水平(FPL)的130%或以下的家庭,DC,包括在内。
    在SNAP中实施紧急拨款。
    主要结果是护理人员报告过去12个月的家庭食物困难。
    在收入低于或等于FPL130%的44753户家庭中,加权的23.4%有黑人孩子,56.7%有白人儿童,19.9%有其他种族的孩子。超过三分之一的家庭(37.8%)有西班牙裔儿童,31.8%有0至5岁的幼儿。从2016年到2021年,经历粮食困难的家庭比例下降(SNAP参与家庭中从62.9%下降到48.2%,收入合格的非参与家庭中从44.3%下降到38.9%),但在2022年上升(SNAP参与家庭中下降到58.0%,非参与家庭中下降到47.5%)。调整混杂因素,与未参与的家庭相比,在SNAP中实施紧急拨款与SNAP参与家庭的食物困难风险降低相关(风险比[RR],0.88;95%CI,0.81-0.96)。在SNAP中实施紧急分配与SNAP参与的西班牙裔家庭中食物困难的风险降低有关(RR,0.86;95%CI,0.72-1.02)和白色(RR,0.85;95%CI,0.76-0.94)儿童与非参与家庭相比,但与有黑人儿童的家庭相比(RR,1.04;95%CI,0.87-1.23)。
    在这项生态横断面研究中,在SNAP中实施紧急拨款与有子女家庭的粮食困难风险降低相关.需要努力确保所有人口受益于经济政策。
    UNASSIGNED: Households with children and minoritized racial and ethnic groups experience a disproportionate burden of food hardship. During the COVID-19 pandemic, the US federal government implemented emergency allotments in the Supplemental Nutrition Assistance Program (SNAP), increasing the amount of food purchasing assistance received by many participating households.
    UNASSIGNED: To examine the association of implementing emergency allotments in SNAP with food hardship among households with children overall and for households with Black, Hispanic, and White children by comparing income-eligible households that did and did not participate in SNAP.
    UNASSIGNED: This ecologic cross-sectional study used 2016-2022 National Survey of Children\'s Health data and a difference-in-differences approach to compare changes in the risk of food hardship from before implementation of emergency allotments in SNAP (2016-2019) to during implementation (2020-2022). Households with children younger than 18 years and incomes 130% or less of the federal poverty level (FPL) in all 50 states and Washington, DC, were included.
    UNASSIGNED: Implementation of emergency allotments in SNAP.
    UNASSIGNED: The primary outcome was caregiver report of household food hardship during the past 12 months.
    UNASSIGNED: Of 44 753 households with incomes 130% or less of the FPL, a weighted 23.4% had Black children, 56.7% had White children, and 19.9% had children of other races. More than one-third of households (37.8%) had Hispanic children, and 31.8% had young children aged 0 to 5 years. The percentage of households that experienced food hardship decreased from 2016 to 2021 (from 62.9% to 48.2% among SNAP-participating households and from 44.3% to 38.9% among income-eligible nonparticipating households) but increased in 2022 (to 58.0% among SNAP-participating households and to 47.5% among nonparticipating households). Adjusting for confounders, implementing emergency allotments in SNAP was associated with a decreased risk of food hardship among SNAP-participating compared with nonparticipating households (risk ratio [RR], 0.88; 95% CI, 0.81-0.96). Implementing emergency allotments in SNAP was associated with a decreased risk of food hardship among SNAP-participating households with Hispanic (RR, 0.86; 95% CI, 0.72-1.02) and White (RR, 0.85; 95% CI, 0.76-0.94) children compared with nonparticipating households but not among households with Black children (RR, 1.04; 95% CI, 0.87-1.23).
    UNASSIGNED: In this ecologic cross-sectional study, implementing emergency allotments in SNAP was associated with a decreased risk of food hardship among households with children. Efforts are needed to ensure that all populations benefit from economic policies.
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  • 文章类型: Journal Article
    这项研究是为了研究不吃早餐(BKS)的频率,相关因素,Covid-19大流行期间的健康后果和本科生学业成绩是最早关注这一领域的研究。对2225名本科生进行了横断面研究。这项研究是在2020年15月1日至2020年3月4日之间进行的,使用在线自我报告早餐饮食习惯调查(BEHS)。BEHS调查分为两个部分。第一部分包括社会人口统计信息(性别,BMI,年龄,吸烟,residence,父母教育,家庭收入,学习系统和阶段(公共或私人),和学习机构(大学或研究所)的学习成绩。第二部分包括有关早餐饮食习惯的问题,包括不吃饭的频率,与BKS健康后果和零食类型相关的因素。逻辑回归是用于对落入1和0范围内的结果进行建模的常用技术。为此,我们进行了逻辑回归,以找出调整后的比值比和粗比值比.结果显示,大多数参与者是女性(1238人,55.7%)。在2,224名学生中,2059的年龄在18至24岁之间。大多数参与者来自第一级(26.5%),第二级(32.8%),第三级(17.6%)或第四级(21.3%)。超过92%的参与者是单身,约68%来自中等收入家庭。统计分析表明,住在住宿的学生中,BKS的几率降低了54%(优势比=54%,CI(41-71%),p值=0.000)。看来,低收入和正常或更高BMI的学生更有可能更经常地不吃早餐。BMI为18-24.9的学生不吃早餐的几率降低了41%(赔率=59%,CI(27%-93%),p值=0.027),并且BMI为25-29.9的学生的BKS几率降低了45%(赔率比=55%,CI(31-95%)。此外,与低收入学生相比,中等或高收入学生更有可能不吃早餐两倍(中等收入(赔率=1.85,CI(1.08-3.17)),p值=0.024),高收入(赔率比=1.98,CI(1.12-3.51),p值=0.019)。包括不吃早餐的最常见原因包括时间限制,不饿,早餐还没准备好,害怕超重和缺乏食欲。不吃早餐的后果是一整天都感到饥饿,感到疲倦,上课不注意,学习成绩低。最后,Covid-19期间的BKS在BMI较高的学生中更常见,更高的收入和住宿。主要原因是时间限制,最常见的健康问题是疲劳和注意力的运气。
    The study was conducted in order to study breakfast skipping (BKS) frequency, factors associated with, health consequence and undergraduate students academic performance during Covid-19 pandemic as earliest studies focusing on this area. A cross-sectional study was carried out among 2225 of undergraduate students. The study was carried between the period of 15/1/2020 to 3/4/2020 using an online self-report Breakfast Eating Habit Survey (BEHS). The BEHS survey was divided into two sections. The first sections included sociodemographic information (gender, BMI, age, smoking, residency, parental education, family income, studying system and stage (public or private), and studying institution (university or institute) academic performance. The second part included questions regarding breakfast eating habits including frequency of skipping meals, factors related to BKS health consequences and types of snacks. Logistic regression is a common technique used for modeling outcomes that fall into the range of 1 and 0. For this purpose, a logistic regression was performed to find adjusted odds ratio and crude odds ratio. The results showed that the majority of participants were female (1238, 55.7%). Out of 2,224 students, 2059 are aged between 18 to 24 years. Most of the participants were from first level (26.5%), second level (32.8%), third level (17.6%) or the fourth level (21.3%). Over 92% of participants were single and about 68% came from families of medium income families. The statistical analysis showed that the odds of BKS is reduced among students who live in accommodation by 54% (odds ratio = 54%, CI (41-71%), p value = 0.000). It seems that students with low income and normal or higher BMI are more likely to skip breakfast more regularly. The odds of skipping breakfast among students with BMI of 18-24.9 is reduced by 41% (odds ratio = 59%, CI (27%-93%), p value = 0.027) and the odds of BKS is reduced among students with BMI of 25-29.9 by 45% (odds ratio = 55%, CI (31-95%). Additionally, students with medium or high incomes are more likely to skip breakfast as much as twofold in comparison with students with low income (medium income (odds ratio = 1.85, CI (1.08-3.17), p-value = 0.024), high income (odds ratio = 1.98, CI (1.12-3.51), p-value = 0.019). The most common reasons for skipping breakfast included include time constraint, not hungry, breakfast is not ready, afraid to be overweight and lack of appetite. The consequences of skipping breakfast were feeling hungry throughout the day, feeling tired, and not paying attention in class and low academic performance. To concluded, BKS during Covid-19 is more common among students with higher BMI, higher income and living in accommodation. The main reason is time constraint and the most common health problems are being tired and luck of attention.
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  • 文章类型: Journal Article
    冠状病毒的主要蛋白酶和肠道病毒的3C蛋白酶在加工病毒多蛋白中起着至关重要的作用,使它们成为抗病毒剂开发的有吸引力的目标。在这项研究中,我们采用了组合化学方法-HyCoSuL-比较来自α冠状病毒的主要和3C蛋白酶的底物特异性谱,betacoronavirus,和肠道病毒。获得的数据表明,冠状病毒MPRs在所有结合袋中表现出重叠的底物特异性,而来自肠道病毒的3Cpro在P4-P2位置对天然和非天然氨基酸表现出略微不同的偏好。然而,化学工具,如基材,抑制剂,为SARS-CoV-2Mpro开发的基于活性的探针可以成功地用于研究其他冠状病毒的Mpro以及肠道病毒的3Cpro的活性。我们的研究为开发广谱抗病毒化合物提供了结构框架。
    The main protease from coronaviruses and the 3C protease from enteroviruses play a crucial role in processing viral polyproteins, making them attractive targets for the development of antiviral agents. In this study, we employed a combinatorial chemistry approach-HyCoSuL-to compare the substrate specificity profiles of the main and 3C proteases from alphacoronaviruses, betacoronaviruses, and enteroviruses. The obtained data demonstrate that coronavirus Mpros exhibit overlapping substrate specificity in all binding pockets, whereas the 3Cpro from enterovirus displays slightly different preferences toward natural and unnatural amino acids at the P4-P2 positions. However, chemical tools such as substrates, inhibitors, and activity-based probes developed for SARS-CoV-2 Mpro can be successfully applied to investigate the activity of the Mpro from other coronaviruses as well as the 3Cpro from enteroviruses. Our study provides a structural framework for the development of broad-spectrum antiviral compounds.
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  • 文章类型: Journal Article
    糖尿病,一种普遍的慢性病,显著增加了COVID-19的死亡风险,但潜在的机制仍然难以捉摸。新的证据表明组织蛋白酶L(CTSL)与糖尿病并发症有关,包括肾病和视网膜病变。我们先前的研究将CTSL确定为促进SARS-CoV-2感染的关键蛋白酶。这里,我们证明糖尿病患者的血液CTSL水平升高,促进SARS-CoV-2感染。慢性高血糖与糖尿病患者的CTSL浓度和活动呈正相关,而急性高血糖会增加健康个体的CTSL活性。体外研究显示高糖,但不是胰岛素,在野生型细胞中促进SARS-CoV-2感染,CTSL敲除细胞显示降低的易感性。利用糖尿病和非糖尿病患者的肺组织样本,与Leprdb/dbmouse和Leprdb/+小鼠一起,我们说明了在糖尿病条件下,人和小鼠的CTSL活性增加。机械上,高葡萄糖水平促进CTSL成熟并通过内质网(ER)-高尔基体-溶酶体轴从内质网(ER)转位到溶酶体。我们的发现强调了高血糖诱导的CTSL成熟在糖尿病合并症和并发症中的关键作用。
    糖尿病患者患严重COVID-19并死于这种疾病的风险更大,这是由一种称为SARS-CoV-2的病毒引起的。与糖尿病相关的高血糖水平似乎是导致这种风险增加的因素。然而,糖尿病是一种复杂的疾病,包括一系列代谢紊乱,因此,其他因素可能会有所贡献。先前的研究确定了一种称为组织蛋白酶L的酶与糖尿病患者中更严重的COVID-19之间的联系。已知升高的组织蛋白酶L水平有助于糖尿病并发症。如肾脏损伤和视力丧失。还显示组织蛋白酶L有助于SARS-CoV-2进入并感染细胞。这提出了一个问题,即升高的组织蛋白酶L是否导致糖尿病患者COVID-19脆弱性增加。为了调查,他,赵等人。监测COVID-19患者的疾病严重程度和组织蛋白酶L水平。这证实了糖尿病患者的COVID-19更为严重,组织蛋白酶L水平越高,疾病越严重。分析还显示组织蛋白酶L活性随着血糖水平的增加而增加。在实验室实验中,糖尿病患者血液中暴露于葡萄糖或液体的细胞更容易感染SARS-CoV-2,而经过基因修饰而缺乏组织蛋白酶L的细胞对感染的抵抗力更强。进一步的实验表明,这是由于葡萄糖促进了细胞中组织蛋白酶L的成熟和迁移。他的发现,赵等人。这有助于解释为什么糖尿病患者更容易患上严重或致命的COVID-19。因此,控制糖尿病患者的血糖水平可能有助于预防或减轻疾病的严重程度。此外,针对组织蛋白酶L的治疗也可能有助于治疗COVID-19,特别是在糖尿病患者中,尽管需要更多的研究来开发和测试这些治疗方法。
    Diabetes, a prevalent chronic condition, significantly increases the risk of mortality from COVID-19, yet the underlying mechanisms remain elusive. Emerging evidence implicates Cathepsin L (CTSL) in diabetic complications, including nephropathy and retinopathy. Our previous research identified CTSL as a pivotal protease promoting SARS-CoV-2 infection. Here, we demonstrate elevated blood CTSL levels in individuals with diabetes, facilitating SARS-CoV-2 infection. Chronic hyperglycemia correlates positively with CTSL concentration and activity in diabetic patients, while acute hyperglycemia augments CTSL activity in healthy individuals. In vitro studies reveal high glucose, but not insulin, promotes SARS-CoV-2 infection in wild-type cells, with CTSL knockout cells displaying reduced susceptibility. Utilizing lung tissue samples from diabetic and non-diabetic patients, alongside Leprdb/dbmice and Leprdb/+mice, we illustrate increased CTSL activity in both humans and mice under diabetic conditions. Mechanistically, high glucose levels promote CTSL maturation and translocation from the endoplasmic reticulum (ER) to the lysosome via the ER-Golgi-lysosome axis. Our findings underscore the pivotal role of hyperglycemia-induced CTSL maturation in diabetic comorbidities and complications.
    People with diabetes are at greater risk of developing severe COVID-19 and dying from the illness, which is caused by a virus known as SARS-CoV-2. The high blood sugar levels associated with diabetes appear to be a contributing factor to this heightened risk. However, diabetes is a complex condition encompassing a range of metabolic disorders, and it is therefore likely that other factors may contribute. Previous research identified a link between an enzyme called cathepsin L and more severe COVID-19 in people with diabetes. Elevated cathepsin L levels are known to contribute to diabetes complications, such as kidney damage and vision loss. It has also been shown that cathepsin L helps SARS-CoV-2 to enter and infect cells. This raised the question of whether elevated cathepsin L is responsible for the increased COVID-19 vulnerability in patients with diabetes. To investigate, He, Zhao et al. monitored disease severity and cathepsin L levels in patients with COVID-19. This confirmed that people with diabetes had more severe COVID-19 and that higher levels of cathepsin L are linked to more severe disease. Analysis also revealed that cathepsin L activity increases as blood glucose levels increase. In laboratory experiments, cells exposed to glucose or fluid from the blood of people with diabetes were more easily infected with SARS-CoV-2, with cells genetically modified to lack cathepsin L being more resistant to infection. Further experiments revealed this was due to glucose promoting maturation and migration of cathepsin L in the cells. The findings of He, Zhao et al. help to explain why people with diabetes are more likely to develop severe or fatal COVID-19. Therefore, controlling blood glucose levels in people with diabetes may help to prevent or reduce the severity of the disease. Additionally, therapies targeting cathepsin L could also potentially help to treat COVID-19, especially in patients with diabetes, although more research is needed to develop and test these treatments.
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