PMID- 36289885 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221030 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 10 IP - 10 DP - 2022 Oct 19 TI - Non-Insulin Novel Antidiabetic Drugs Mechanisms in the Pathogenesis of COVID-19. LID - 10.3390/biomedicines10102624 [doi] LID - 2624 AB - The present study aimed to analyse the published data and to realize an update about the use and pathogenesis of the novel antidiabetic drugs, respectively, dipeptidyl peptidase-4 inhibitors (DPP-4i), glucagon-like peptide-1 receptor agonists (GLP-1 Ra), and sodium-glucose co-transporter-2 inhibitors (SGLT-2i), in patients with type 2 diabetes mellitus (T2DM) and coronavirus disease (COVID-19). Literature research in the PubMed and Web of Science database was performed in order to identify relevant published clinical trials and meta-analyses that include information about the treatment with novel antidiabetic agents in patients with T2DM and COVID-19. A total of seven articles were included, and their primary and secondary outcomes were reported and analysed. DPP-4i has mixed results on mortality in T2DM patients with COVID-19 but with an overall slightly favourable or neutral effect, whereas GLP-1 Ra seems to have a rather beneficial impact, while SGLT-2i may be useful in acute illness. Even if there are limited data, they seem to have favourable efficacy and safety profiles. The available evidence is heterogenous and insufficient to evaluate if the benefits of non-insulin novel antidiabetic drugs in COVID-19 treatment are due to the improvement of glycaemic control or to their intrinsic anti-inflammatory effects but highlights their beneficial effects in the pathogenesis and evolution of the disease. FAU - Salmen, Teodor AU - Salmen T AUID- ORCID: 0000-0003-4548-7441 AD - Doctoral School, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania. FAU - Pietrosel, Valeria-Anca AU - Pietrosel VA AD - Department of Diabetes, Nutrition and Metabolic Diseases, "Prof. Dr N.C.Paulescu" National Institute of Diabetes, Nutrition and Metabolic Diseases, 030167 Bucharest, Romania. FAU - Mihai, Bianca-Margareta AU - Mihai BM AD - Doctoral School, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania. FAU - Bica, Ioana Cristina AU - Bica IC AD - Doctoral School, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania. FAU - Teodorescu, Claudiu AU - Teodorescu C AD - Doctoral School, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania. FAU - Paunescu, Horia AU - Paunescu H AUID- ORCID: 0000-0002-6084-1974 AD - Department of Pharmacology and Pharmacotherapy, Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania. FAU - Coman, Oana Andreia AU - Coman OA AD - Department of Pharmacology and Pharmacotherapy, Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania. FAU - Mihai, Doina-Andrada AU - Mihai DA AD - Department of Diabetes, Nutrition and Metabolic Diseases, "Prof. Dr N.C.Paulescu" National Institute of Diabetes, Nutrition and Metabolic Diseases, 030167 Bucharest, Romania. AD - Department of Diabetes, Nutrition and Metabolic Diseases, Carol Davila University of Medicine and Pharmacy, Bld. Eroii Sanitari No. 8, 050471 Bucharest, Romania. FAU - Pantea Stoian, Anca AU - Pantea Stoian A AUID- ORCID: 0000-0003-0555-526X AD - Department of Diabetes, Nutrition and Metabolic Diseases, "Prof. Dr N.C.Paulescu" National Institute of Diabetes, Nutrition and Metabolic Diseases, 030167 Bucharest, Romania. AD - Department of Diabetes, Nutrition and Metabolic Diseases, Carol Davila University of Medicine and Pharmacy, Bld. Eroii Sanitari No. 8, 050471 Bucharest, Romania. LA - eng PT - Journal Article PT - Review DEP - 20221019 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC9599217 OTO - NOTNLM OT - COVID-19 OT - dipeptidyl peptidase-4 inhibitors OT - glucagon-like peptide-1 receptor agonist OT - pathogenesis OT - sodium-glucose co-transporter-2 inhibitors COIS- Anca Pantea Stoian is currently the President of Romanian National Diabetes Committee, and she has given lectures, received honoraria and research support, and participated in conferences, advisory boards, and clinical trials sponsored by pharmaceutical companies, including AstraZeneca, Boehringer Ingelheim, Medtronic, Eli Lilly, Merck, Novo Nordisk, Novartis, Roche Diagnostics, and Sanofi. Doina-Andrada Mihai has given lectures, received honoraria and participated clinical trials sponsored by pharmaceutical companies, including AstraZeneca, Boehringer Ingelheim, Medtronic, Eli Lilly, Novo Nordisk, Servier, and Sanofi. The rest of the authors declare no conflict of interest. EDAT- 2022/10/28 06:00 MHDA- 2022/10/28 06:01 PMCR- 2022/10/19 CRDT- 2022/10/27 01:03 PHST- 2022/09/19 00:00 [received] PHST- 2022/10/09 00:00 [revised] PHST- 2022/10/11 00:00 [accepted] PHST- 2022/10/27 01:03 [entrez] PHST- 2022/10/28 06:00 [pubmed] PHST- 2022/10/28 06:01 [medline] PHST- 2022/10/19 00:00 [pmc-release] AID - biomedicines10102624 [pii] AID - biomedicines-10-02624 [pii] AID - 10.3390/biomedicines10102624 [doi] PST - epublish SO - Biomedicines. 2022 Oct 19;10(10):2624. doi: 10.3390/biomedicines10102624.