PMID- 33775925 OWN - NLM STAT- MEDLINE DCOM- 20210908 LR - 20221221 IS - 1878-5832 (Electronic) IS - 1359-6446 (Print) IS - 1359-6446 (Linking) VI - 26 IP - 8 DP - 2021 Aug TI - Diabetes, inflammation, and the adiponectin paradox: Therapeutic targets in SARS-CoV-2. PG - 2036-2044 LID - S1359-6446(21)00149-5 [pii] LID - 10.1016/j.drudis.2021.03.013 [doi] AB - Aging and pre-existing conditions in older patients increase severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) severity and its complications, although the causes remain unclear. Apart from acute pulmonary syndrome, Coronavirus 2019 (COVID-19) can increasingly induce chronic conditions. Importantly, SARS-CoV-2 triggers de novo type 2 diabetes mellitus (T2DM) linked to age-associated cardiovascular disease (CVD), cancers, and neurodegeneration. Mechanistically, SARS-CoV-2 induces inflammation, possibly through damage-associated molecular pattern (DAMP) signaling and 'cytokine storm,' causing insulin resistance and the adiponectin (APN) paradox, a phenomenon linking metabolic dysfunction to chronic disease. Accordingly, preventing the APN paradox by suppressing APN-related inflammatory signaling might prove beneficial. A better understanding could uncover novel therapies for SARS-CoV-2 and its chronic disorders. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Ho, Gilbert AU - Ho G AD - PCND Neuroscience Research Institute, Poway, CA, USA. FAU - Ali, Alysha AU - Ali A AD - PCND Neuroscience Research Institute, Poway, CA, USA. FAU - Takamatsu, Yoshiki AU - Takamatsu Y AD - Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo, Japan. FAU - Wada, Ryoko AU - Wada R AD - Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo, Japan. FAU - Masliah, Eliezer AU - Masliah E AD - Division of Neurosciences, National Institute on Aging, National Institutes of Health, Bethesda, MD, USA. FAU - Hashimoto, Makoto AU - Hashimoto M AD - Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo, Japan. Electronic address: hashimoto-mk@igakuken.or.jp. LA - eng PT - Journal Article PT - Review DEP - 20210326 PL - England TA - Drug Discov Today JT - Drug discovery today JID - 9604391 RN - 0 (Adiponectin) SB - IM MH - Adiponectin/*metabolism MH - Aging/*physiology MH - *COVID-19/immunology/metabolism MH - Chronic Disease MH - Diabetes Mellitus, Type 2/*immunology MH - Humans MH - Inflammation/*metabolism MH - Paracrine Communication/physiology MH - *SARS-CoV-2/pathogenicity/physiology PMC - PMC7997138 OTO - NOTNLM OT - Adiponectin paradox OT - Antagonistic pleiotropy OT - COVID-19 OT - Diabetes mellitus OT - Inflammation OT - SARS-CoV-2 COIS- Declaration of interests The first author, Dr. Gilbert Ho, has previously served on an Advisory Board for Biogen, Inc. The remaining authors declare no known competing financial interests that might influence this paper. EDAT- 2021/03/30 06:00 MHDA- 2021/09/09 06:00 PMCR- 2021/03/26 CRDT- 2021/03/29 05:58 PHST- 2020/11/16 00:00 [received] PHST- 2021/02/22 00:00 [revised] PHST- 2021/03/16 00:00 [accepted] PHST- 2021/03/30 06:00 [pubmed] PHST- 2021/09/09 06:00 [medline] PHST- 2021/03/29 05:58 [entrez] PHST- 2021/03/26 00:00 [pmc-release] AID - S1359-6446(21)00149-5 [pii] AID - 10.1016/j.drudis.2021.03.013 [doi] PST - ppublish SO - Drug Discov Today. 2021 Aug;26(8):2036-2044. doi: 10.1016/j.drudis.2021.03.013. Epub 2021 Mar 26.