TY - JOUR TI - SARS-CoV-2 adipose tissue infection and hyperglycemia: A further step towards the understanding of severe COVID-19. AU - Tsilingiris, Dimitrios AU - Dalamaga, Maria AU - Liu, Junli JO - Metabolism open PY - 2022 VL - 13 TODO - null SP - 100163 PB - SN - null TODO - 10.1016/j.metop.2022.100163 TODO - COVID-19, SARS-CoV-2, Adipokine, Hyperglycemia, Insulin resistance, Adiponectin, Adipose tissue TODO - Numerous studies have highlighted the prognostic significance of hyperglycemia in the outcomes of SARS-CoV-2 infection. A number of mechanisms have been proposed as potential drivers of this association, which were, however, up until recently based rather on speculation than on investigational evidence. It has been recently come to light that the development of insulin resistance in the frame of COVID-19 is likely the driving force behind the development of overt hyperglycemia. This results through the infectious insult of the adipose tissue, and is observed in conjunction with aberrant adipokine secretion by host adipocytes, such as decreased adiponectin, as well as a switch towards an antiviral immune secretory profile. These data could have a considerable relevance not only for the management of hyperglycemia in the course of the infection but also for the overall understanding of the pathogenesis of severe COVID-19. ER -