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COVID-19-related hyperglycemia is associated with infection of hepatocytes and stimulation of gluconeogenesis
COVID-19-related hyperglycemia is associated with infection of hepatocytes and stimulation of gluconeogenesis
Postmortem liver biopsies were collected to assess the presence of SARS-CoV-2 and its transporters in hepatocytes. In human hepatocytes, we studied the mechanistic bases of SARS-CoV-2 entrance and its gluconeogenic effect. SARS-CoV-2 infection was independently associated with hyperglycemia, regardless of diabetic history and beta cell function. We detected replicating viruses in human hepatocytes from postmortem liver biopsies and in primary hepatocytes. We found that SARS-CoV-2 variants infected human hepatocytes in vitro with different susceptibility. SARS-CoV-2 infection in hepatocytes yields the release of new infectious viral particles, though not causing cell damage. We showed that infected hepatocytes increase glucose production and this is associated with induction of PEPCK activity.
fsnestel·pnas.org·
COVID-19-related hyperglycemia is associated with infection of hepatocytes and stimulation of gluconeogenesis