2021
DOI: 10.1111/febs.16105
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The role of T‐cell immunity in COVID‐19 severity amongst people living with type II diabetes

Abstract: The COVID-19 pandemic has highlighted the vulnerability of people with diabetes mellitus (DM) to respiratory viral infections. Despite the short history of COVID-19, various studies have shown that patients with DM are more likely to have increased hospitalization and mortality rates as compared to patients without. At present, the mechanisms underlying this susceptibility are unclear. However, prior studies show that the course of COVID-19 disease is linked to the efficacy of the host's T cell responses. H… Show more

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Cited by 13 publications
(15 citation statements)
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References 141 publications
(201 reference statements)
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“…In addition, Farnsworth et al reported that patients with T2DM exhibit defects in humoral immunity ( Farnsworth et al, 2018 ). There is evidence to suggest that patients with T2DM exhibit decreased cytokine expression and impaired T-cell responses following viral stimulation ( Richard et al, 2017 ; Tong et al, 2021 ). CD4 and CD8 T-cells have been detected in patients with COVID-19 ( Grifoni et al, 2020 ; Tong et al, 2021 ).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In addition, Farnsworth et al reported that patients with T2DM exhibit defects in humoral immunity ( Farnsworth et al, 2018 ). There is evidence to suggest that patients with T2DM exhibit decreased cytokine expression and impaired T-cell responses following viral stimulation ( Richard et al, 2017 ; Tong et al, 2021 ). CD4 and CD8 T-cells have been detected in patients with COVID-19 ( Grifoni et al, 2020 ; Tong et al, 2021 ).…”
Section: Discussionmentioning
confidence: 99%
“…There is evidence to suggest that patients with T2DM exhibit decreased cytokine expression and impaired T-cell responses following viral stimulation ( Richard et al, 2017 ; Tong et al, 2021 ). CD4 and CD8 T-cells have been detected in patients with COVID-19 ( Grifoni et al, 2020 ; Tong et al, 2021 ). This suggests the importance of T-cell responses in COVID-19, and we speculate that the dysfunction of T-cells and lymphocytes in T2DM may affect the progression of COVID-19 disease.…”
Section: Discussionmentioning
confidence: 99%
“…This impairment of T cell responses in the obese state has also been linked to leptin resistance (144,(251)(252)(253). In COVID-19, lower CD4+ and CD8+ T cell counts were observed in patients with diabetes mellitus upon admission, which correlates with increased disease severity (254). Whether the same defects in T cell responsiveness in obese hosts are observed during SARS-CoV-2 infection, and whether this ultimately derives from the dysregulated inflammatory state, will be important to elucidate.…”
Section: Impact On Adaptive Immune Responsesmentioning
confidence: 99%
“…While metformin has not been used in the clinic to treat severe IAV infection, there have now been clinical studies targeting COVID-19. Metformin reportedly reduces the mortality in women with obesity or Type 2 Diabetes who were admitted to hospital with COVID-19 (254,289).…”
Section: Medical Interventions To Treat Obesity Induced-inflammationmentioning
confidence: 99%
“…The article by Tong et al . [ 7 ] looks at the role of T‐cell immunity in diabetic patients and their response to SARS‐CoV‐2 infection. Through an extensive literature review, the authors provide compelling evidence that a reduced level of T‐cell immunity in patients with type II diabetes links to the poorer prognosis for such patients when exposed to SARS‐CoV‐2.…”
mentioning
confidence: 99%