The Role of Cytokines and T Cells as Mediators of Inflammatory Pathology in Type 1 Diabetes and COVID-19.

IF 1.1 4区 医学 Q3 PEDIATRICS
James Polega
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引用次数: 0

Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, reports of individuals experiencing new-onset type 1 diabetes (T1D) began to appear in the literature. This spurred subsequent epidemiological studies that demonstrated an increase in new diagnosis of T1D compared to prepandemic. Development of T1D is characterized by the development of an inappropriate T cell response directed against pancreatic beta-cells, leading to eventual loss of insulin secretion. This T cell response occurs in genetically susceptible individuals and may be triggered by viral illnesses. Abnormal cytokine production is another element of the pathogenesis of T1D. Infection with severe acute respiratory syndrome related coronavirus 2 induces a profound increase in the production of inflammatory cytokines and causes significant T-cell dysregulation. These disruptions of the immune system may be linked to the development of T1D following COVID-19. [Pediatr Ann. 2024;53(7):e264-e268.].

细胞因子和 T 细胞作为 1 型糖尿病和 COVID-19 炎症病理介质的作用。
在 2019 年冠状病毒病(COVID-19)大流行期间,文献中开始出现有关新发 1 型糖尿病(T1D)患者的报道。这促使随后开展的流行病学研究显示,与大流行前相比,新诊断出的 T1D 患者有所增加。T1D 的发病特点是出现针对胰腺 beta 细胞的不适当 T 细胞反应,最终导致胰岛素分泌丧失。这种 T 细胞反应发生在遗传易感人群中,可能由病毒性疾病引发。细胞因子分泌异常是 T1D 发病机制的另一个因素。感染与严重急性呼吸系统综合征相关的冠状病毒 2 会诱发炎性细胞因子的分泌大量增加,并导致 T 细胞严重失调。这些免疫系统紊乱可能与 COVID-19 后 T1D 的发生有关。[2024;53(7):e264-e268.].
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来源期刊
Pediatric Annals
Pediatric Annals 医学-小儿科
CiteScore
1.80
自引率
0.00%
发文量
104
审稿时长
2 months
期刊介绍: Published for more than 40 years, Pediatric Annals is an online-only, monthly medical review journal dedicated to providing pediatricians and other clinicians with the latest practical information on the diagnosis and treatment of pediatric diseases and disorders. Begin to explore the Journal and all of its great benefits such as: -Single-topic summary reviews of important trends in pediatric medicine -Access to current articles, as well as several years of archived content -Columns including Healthy Baby/Healthy Child and Case Challenges
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