Research Progress of Dipeptidyl Peptidase 4 and Its Inhibitors in the Prevention and Treatment of Coronavirus Disease 2019
陈志会1,2,, 杨艳3, 凃玲1, 徐西振2
华中科技大学同济医学院附属同济医院1.综合医疗科
2.心血管内科
3.内分泌科,武汉 430030
CHEN Zhihui1,2,, YANG Yan3, TU Ling1, XU Xizhen2
1.Department of Geriatric Medicine
2.Division of Cardiology and Department of Internal Medicine
3.Division of Endocrinology and Department of Internal Medicine,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China
The pandemic of coronavirus disease 2019 (COVID-19) poses a huge threat to the world health,however,no clinical proven effective methods of treatment of COVID-19 were currently available.Recent study indicated that dipeptidyl peptidase 4 (DPP4) may be a potential receptor for the SARS-CoV-2,however,whether DPP4 directly participated in the adhesion or infection of SARS-CoV-2 to the target cells,and whether inhibition or modulation of DPP4 activity or expression could prevent the progression of COVID-19 still remain unclear.Previous studies revealed the anti-inflammatory and anti-fibrotic effects of DPP4 inhibitors.Thus,it is speculated that DPP4 inhibitors may play a protective role in inhibiting inflammatory response and pulmonary fibrosis in patients with COVID-19,but it still needs to be further confirmed.
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Diabetic retinopathy (DR) is one of the leading causes of blindness worldwide, and the limited availability of qualified ophthalmologists restricts its early diagnosis. For the past few years, artificial intelligence technology has developed rapidly and has been applied in DR screening. The upcoming technology provides support on DR screening and improves the identification of DR lesions with a high sensitivity and specificity. This review aims to summarize the progress on automatic detection and classification models for the diagnosis of DR.
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CD26 or dipeptidyl peptidase IV (DP IV) is expressed on various cell types, including T cells. Although T cells can receive activating signals via CD26, the physiological role of CD26/DP IV is largely unknown. We used the reversible DP IV inhibitor Lys[Z(NO(2))]-pyrrolidide (I40) to dissect the role of DP IV in experimental autoimmune encephalomyelitis (EAE) and to explore the therapeutic potential of DP IV inhibition for autoimmunity. I40 administration in vivo decreased and delayed clinical and neuropathological signs of adoptive transfer EAE. I40 blocked DP IV activity in vivo and increased the secretion of the immunosuppressive cytokine TGF-beta1 in spinal cord tissue and plasma during acute EAE. In vitro, while suppressing autoreactive T cell proliferation and TNF-alpha production, I40 consistently up-regulated TGF-beta1 secretion. A neutralizing anti-TGF-beta1 Ab blocked the inhibitory effect of I40 on T cell proliferation to myelin Ag. DP IV inhibition in vivo was not generally immunosuppressive, neither eliminating encephalitogenic T cells nor inhibiting T cell priming. These data suggest that DP IV inhibition represents a novel and specific therapeutic approach protecting from autoimmune disease by a mechanism that includes an active TGF-beta1-mediated antiinflammatory effect at the site of pathology.
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Characterization of the receptor-binding domain (RBD) of 2019 novel coronavirus:implication for development of RBD protein as a viral attachment inhibitor and vaccine
Increased plasma DPP4 activity is predictive of prediabetes and type 2 diabetes onset in Chinese over a four-year period:result from the China National Diabetes and Metabolic Disorders Study
Experimental infection of dromedaries with Middle East respiratory syndrome coronavirus is accompanied by massive ciliary loss and depletion of the cell surface receptor dipeptidyl peptidase 4
A compa-rative study of the binding properties,dipeptidyl peptidase-4 (DPP-4) inhibitory activity and glucose-lowering efficacy of the DPP-4 inhibitors alogliptin,linagliptin,saxagliptin,sitagliptin and vildagliptin in mice
Dipeptidyl peptidase‐4 inhibitors lower the risk of autoimmune disease in patients with type 2 diabetes mellitus:a nationwide population‐based cohort study