Resumen
México presenta una alta prevalencia de enfermedades crónico-metabólicas, destacando de entre estas la diabetes mellitus tipo 2 (DMT2). Es esencial profundizar en la asociación entre la covid-19 y la DMT2, dado que ambas enfermedades tienen efectos bidireccionales. La diabetes puede incrementar la patogenicidad del virus SARS-CoV-2, debido a las alteraciones metabólicas que subyacen a esta enfermedad, lo que resulta en un aumento de la susceptibilidad y la severidad de la covid-19 entre los pacientes diabéticos, siendo una población de alto riesgo de mortalidad. Por otra parte, la infección por SARS-CoV-2 puede predisponer a los individuos a hiperglucemia o diabetes de nueva aparición. Con el propósito de comprender la asociación que existe entre la covid-19 y la DMT2, en esta revisión se enfatiza el tropismo del virus SARS-CoV-2 por las células beta pancreáticas secretoras de insulina, así como el efecto que tiene el virus sobre la fisiología de estas células.
Abstract
The prevalence of chronic metabolic diseases in Mexico is high, being type 2 Diabetes mellitus (T2DM) as the most common disease. Several studies have shown that, compared with healthy individuals, patients with T2DM suffer a higher severity and mortality of Coronavirus disease 2019 (COVID-19). Therefore, it is important to the knowledge of the bidirectional relationship between these diseases. T2DM can increase SARS-CoV-2 virus pathogenicity in part due to metabolic disturbance. As a result, COVID-19 susceptibility and severity rise in diabetic individuals, which makes them a high-risk population. On the other hand, the infection caused by SARS-CoV-2 can lead individuals to hyperglycemia or new-onset diabetes. In order to understand the relationship between COVID-19 and T2DM, this review aims to emphasize the tropism of the SARS-CoV-2 virus to pancreatic beta-cells, as well as the physiologic effects of these.
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