Glucose metabolism plays a key role in the cytokine storm seen in influenza, and the link could have potential implications for novel coronavirus infections.
Many of the people dying in the novel coronavirus pandemic appear to be harmed more by their own immune system than by the virus itself. The infection can trigger a cytokine storm—a surge in cell-signaling proteins that prompt inflammation—that hits the lungs, attacking tissues and potentially resulting in organ failure and death. But this phenomenon is not unique to COVID-19; it sometimes occurs in severe influenza, too. Now a study sheds light on one of the metabolic mechanisms that help orchestrate such runaway inflammation. Scientists have long known that viral infections can affect human cellular metabolism, the system of biochemical reactions needed to provide energy for everything cells do. In the new paper, researchers showed that in live mice and human cells, infection with an influenza A virus—one of two types that typically cause seasonal flu—sets off a chain of cellular events, or a pathway, that boosts the metabolism of glucose. This action, in turn, triggers the production of an avalanche of cytokines. And blocking a key enzyme involved in the glucose pathway could be one way to prevent a deadly cytokine storm, according to the study, which was published in Science Advances.
What is a cytokine storm?
What do cytokines have to do with Hypoglycemia?
Proinflammatory Effects of Hypoglycemia in Humans With or Without Diabetes
“Hypoglycemia has been shown to increase circulating proinflammatory cytokines, but the underlying mechanisms, the role of repeated hypoglycemia, and the relationship with counterregulatory hormone responses, particularly adrenaline, are incompletely understood.”
References
- Behind the headlines: coronavirus and blood sugar levels
- What Flu A, Glucose and the Cytokine Storm Can Teach Us About COVID-19
- Low Glucose Concentrations Induce a Similar Inflammatory Response in Monocytes from Type 2 Diabetic Patients and Healthy Subjects
- The Cytokine storm in COVID-19: An overview of the involvement of the chemokine/chemokine-receptor system
- Effect of Hypoglycemia on Inflammatory Responses and the Response to Low-Dose Endotoxemia in Humans
- Behind the headlines: coronavirus and blood sugar levels
- What Flu A, Glucose and the Cytokine Storm Can Teach Us About COVID-19
- Low Glucose Concentrations Induce a Similar Inflammatory Response in Monocytes from Type 2 Diabetic Patients and Healthy Subjects
- The Cytokine storm in COVID-19: An overview of the involvement of the chemokine/chemokine-receptor system
- COVID-19: A New Virus, but a Familiar Receptor and Cytokine Release Syndrome
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