Abstract
Coronavirus disease (COVID-19) is caused by SARS-CoV2 virus, which
causes serious respiratory illness such as pneumonia and lung failure.
It was first reported in Wuhan, Hubei, China in December 2019 and
rapidly spread globally, becoming a pandemic infection in March 2020.
Although symptoms highly heterogenous (from absence of manifestations to
severe respiratory acute failure), patients with metabolic associated
diseases often resulted in worse COVID-19 outcomes. This study aims to
investigate the association between metabolic diseases and COVID-19
severity, defining the possible molecular mechanisms that possibly
determine the link between the two diseases and the worsening of COVID19
phenotype. In particular, we will define the role of the main biological
processes that may function connecting metabolic alterations to
SARS-CoV2 infection; hyperglycemia, immune system deregulation, ACE-2
receptor modulation, inflammatory response. The impact of metabolic
disorders on the prognosis of COVID-19 have major implications in public
health especially for countries affected by a high incidence of
metabolic diseases.