COVID-19 and Endocrinology

A special issue of Endocrines (ISSN 2673-396X). This special issue belongs to the section "Endocrine Immunology, Cytokines and Cell Signaling".

Deadline for manuscript submissions: closed (15 December 2023) | Viewed by 7634

Special Issue Editors


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Guest Editor
Interdisciplinary Department of Medicine-Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, School of Medicine, University of Bari “Aldo Moro”, Policlinico, Piazza Giulio Cesare 11, 70124 Bari, Italy
Interests: endocrinology; diabetology; thyroid; technology
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Interdisciplinary Department of Medicine, School of Medicine, University of Bari “Aldo Moro”, Piazza Giulio Cesare 11, 70124 Bari, Italy
Interests: iodine; iodine prophylaxis; iodine, selenium and thyroid disorders; iodine deficiency related disorders; iodine deficiency and pregnancy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

More than 30 months have passed since the state of pandemic was declared on March 2022. Since then, more than 600 million confirmed cases and over 6 million deaths have been registered worldwide. Diabetes mellitus, morbid obesity, male hypogonadism, hypercortisolism, hypoadrenalism, and undernourishment were found to be risk factors of a worse prognosis in COVID-19. In addition, SARS-CoV-2 could be involved in the pathogenesis of newly onset or relapsing endocrine diseases, such as subacute or silent thyroiditis and chronic autoimmune thyroiditis.

Vaccines have significantly improved the prognosis of COVID-19, particularly in those patients at high risk of severe complications. However, the worldwide vaccine coverage is heterogeneous, especially considering unequal vaccine access between high- and low-income countries, vaccine hesitancy, and the need for a periodic boosting of vaccinated people due to the progressive loss in vaccine protection over time. Given this background, although clinical manifestations and the incidence of severe outcomes of COVID-19 are declining, especially in places where vaccination coverage is high, complete control of SARS-CoV-2 transmission is probably far from being achieved despite wide seasonal variability.

The number of patients who have contracted the infection is considerable, and a continual increase in this number over time is also expected. Hence, this is a current topic that warrants further exploration. The aim of this Special Issue is to provide updated information about the role of SARS-CoV-2 in the pathogenesis of acute, subacute, and chronic endocrine diseases and dysfunction, vaccine efficacy/effectiveness and safety from an endocrinological point of view, and endocrine diseases and dysfunction as possible prognostic factors of worse outcomes in COVID-19. Original case reports, case series, retrospective and prospective clinical studies, systematic reviews, and meta-analyses could be considered suitable for publication.

Dr. Giuseppe Lisco
Dr. Vincenzo Triggiani
Guest Editors

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Keywords

  • COVID-19
  • SARS-CoV-2
  • SARS-CoV-2 vaccines
  • hypopituitarism
  • hypercortisolism
  • hypoadrenalism
  • thyroiditis
  • diabetes mellitus
  • obesity
  • male hypogonadism
  • vitamin D
  • undernourishment

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Published Papers (1 paper)

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Review

23 pages, 1213 KiB  
Review
Long COVID and the Neuroendocrinology of Microbial Translocation Outside the GI Tract: Some Treatment Strategies
by Adonis Sfera, Carolina Osorio, Sabine Hazan, Zisis Kozlakidis, Jose Campo Maldonado, Carlos Manuel Zapata-Martín del Campo, Jonathan J. Anton, Leah Rahman, Christina V. Andronescu and Garth L. Nicolson
Endocrines 2022, 3(4), 703-725; https://doi.org/10.3390/endocrines3040058 - 7 Nov 2022
Cited by 7 | Viewed by 7153
Abstract
Similar to previous pandemics, COVID-19 has been succeeded by well-documented post-infectious sequelae, including chronic fatigue, cough, shortness of breath, myalgia, and concentration difficulties, which may last 5 to 12 weeks or longer after the acute phase of illness. Both the psychological stress of [...] Read more.
Similar to previous pandemics, COVID-19 has been succeeded by well-documented post-infectious sequelae, including chronic fatigue, cough, shortness of breath, myalgia, and concentration difficulties, which may last 5 to 12 weeks or longer after the acute phase of illness. Both the psychological stress of SARS-CoV-2 infection and being diagnosed with COVID-19 can upregulate cortisol, a stress hormone that disrupts the efferocytosis effectors, macrophages, and natural killer cells, leading to the excessive accumulation of senescent cells and disruption of biological barriers. This has been well-established in cancer patients who often experience unrelenting fatigue as well as gut and blood–brain barrier dysfunction upon treatment with senescence-inducing radiation or chemotherapy. In our previous research from 2020 and 2021, we linked COVID-19 to myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) via angiotensin II upregulation, premature endothelial senescence, intestinal barrier dysfunction, and microbial translocation from the gastrointestinal tract into the systemic circulation. In 2021 and 2022, these hypotheses were validated and SARS-CoV-2-induced cellular senescence as well as microbial translocation were documented in both acute SARS-CoV-2 infection, long COVID, and ME/CFS, connecting intestinal barrier dysfunction to disabling fatigue and specific infectious events. The purpose of this narrative review is to summarize what is currently known about host immune responses to translocated gut microbes and how these responses relate to fatiguing illnesses, including long COVID. To accomplish this goal, we examine the role of intestinal and blood–brain barriers in long COVID and other illnesses typified by chronic fatigue, with a special emphasis on commensal microbes functioning as viral reservoirs. Furthermore, we discuss the role of SARS-CoV-2/Mycoplasma coinfection in dysfunctional efferocytosis, emphasizing some potential novel treatment strategies, including the use of senotherapeutic drugs, HMGB1 inhibitors, Toll-like receptor 4 (TLR4) blockers, and membrane lipid replacement. Full article
(This article belongs to the Special Issue COVID-19 and Endocrinology)
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