• Gender-specific features of the prognostic value of pro-inflammatory biomarkers in patients with type 2 diabetes and COVID-19
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Gender-specific features of the prognostic value of pro-inflammatory biomarkers in patients with type 2 diabetes and COVID-19

Ukrainian Journal Health of Woman. 2026. 2(183): 108-113. doi: 10.15574/HW.2026.2(183).108113
Deket M. M.1, Velyka A. Ya.2
1Uzhhorod National University, Ukraine
2Bukovinian State Medical University, Chernivtsi, Ukraine

For citation: Deket MM, Velyka AYa. (2026). Gender-specific features of the prognostic value of pro-inflammatory biomarkers in patients with type 2 diabetes and COVID-19. Ukrainian Journal Health of Woman. 2(183): 108-113. doi: 10.15574/HW.2026.2(183).108113
Article received: Jan 03, 2026. Accepted for publication: Mar 22, 2026.

Gender-specific features of the pro-inflammatory response in patients with type 2 diabetes (DT2) during COVID-19 are an urgent problem of modern medicine, due to the high prevalence of metabolic disorders, adverse course of infection and differences in the immune response depending on gender. Of particular importance are pro-inflammatory biomarkers that reflect the intensity of systemic inflammation, allow predicting the severity of the disease course, the development of complications, and can be used for risk stratification in men and women with DT2.
Aim – to carry out a systematic analysis of modern scientific data on sex-specific features of the prognostic value of pro-inflammatory biomarkers in patients with DT2 in the presence of COVID-19 and to determine their role in predicting the severity of the course and clinical consequences of the disease.
Summarizing the results of modern research shows that the levels of interleukin-6, C-reactive protein, ferritin, tumor necrosis factor alpha, D-dimer, and neutrophil-to-lymphocyte ratio are closely associated with the severity of the course of COVID-19 in patients with DT2. The presence of sex-specific features of the immune and inflammatory response, which can influence the prognostic value of certain biomarkers regarding the risk of hospitalization to the intensive care unit, the development of multiple organ failure, and fatal outcomes, has been established. The analysis of literature sources confirms the expediency of a comprehensive assessment of biomarkers, taking into account the gender of patients, to increase the accuracy of predicting the clinical course of COVID-19.
Conclusions. The prognostic value of pro-inflammatory biomarkers in patients with DT2 depends not only on the severity of systemic inflammation, but also on sex-specific features of the immune response. The use of a comprehensive approach to the assessment of laboratory indicators, taking into account gender, can contribute to early prediction of the adverse course of COVID-19, optimization of clinical monitoring and personalization of treatment tactics.
The authors declare no conflict of interest.
Keywords: COVID-19, type 2 diabetes, proinflammatory biomarkers, gender differences, systemic inflammation, prognosis, systematic review.

REFERENCES

1. Apicella M, Campopiano MC, Mantuano M, Mazoni L, Coppelli A, Del Prato S. (2020, Sep). COVID-19 in people with diabetes: understanding the reasons for worse outcomes. Lancet Diabetes Endocrinol. 8(9): 782-792. Epub 2020 Jul 17. doi: 10.1016/S2213-8587(20)30238-2. Erratum in: Lancet Diabetes Endocrinol. 2020 Oct;8(10):e5. doi: 10.1016/S2213-8587(20)30317-X. Erratum in: Lancet Diabetes Endocrinol. 2020 Nov; 8(11): e6. https://doi.org/10.1016/S2213-8587(20)30348-X; PMid:33065061 PMCid:PMC7553734

2. Bornstein SR, Rubino F, Khunti K, Mingrone G, Hopkins D, Birkenfeld AL et al. (2020, Jun). Practical recommendations for the management of diabetes in patients with COVID-19. Lancet Diabetes Endocrinol. 8(6): 546-550. https://doi.org/10.1016/S2213-8587(20)30152-2; PMid:32334646 PMCid:PMC7180013

3. Del Valle DM, Kim-Schulze S, Huang HH, Beckmann ND, Nirenberg S, Wang B et al. (2020, Oct). An inflammatory cytokine signature predicts COVID-19 severity and survival. Nat Med. 26(10): 1636-1643. https://doi.org/10.1038/s41591-020-1051-9; PMid:32839624 PMCid:PMC7869028

4. Drucker DJ. (2020, Jun 1). Coronavirus Infections and Type 2 Diabetes-Shared Pathways with Therapeutic Implications. Endocr Rev. 41(3): bnaa011. https://doi.org/10.1210/endrev/bnaa011; PMid:32294179 PMCid:PMC7184382

5. Fajgenbaum DC, June CH. (2020, Dec 3). Cytokine Storm. N Engl J Med. 383(23): 2255-2273. https://doi.org/10.1056/NEJMra2026131; PMid:33264547 PMCid:PMC7727315

6. Guo W, Li M, Dong Y, Zhou H, Zhang Z, Tian C et al. (2020, Oct). Diabetes is a risk factor for the progression and prognosis of COVID-19. Diabetes Metab Res Rev. 36(7): e3319. https://doi.org/10.1002/dmrr.3319; PMid:32233013 PMCid:PMC7228407

7. Hariyanto TI, Japar KV, Kwenandar F, Damay V, Siregar JI, Lugito NPH et al. (2021, Mar). Inflammatory and hematologic markers as predictors of severe outcomes in COVID-19 infection: A systematic review and meta-analysis. Am J Emerg Med. 41: 110-119. https://doi.org/10.1016/j.ajem.2020.12.076; PMid:33418211 PMCid:PMC7831442

8. Henry BM, de Oliveira MHS, Benoit S, Plebani M, Lippi G. (2020, Jun 25). Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirus disease 2019 (COVID-19): a meta-analysis. Clin Chem Lab Med. 58(7): 1021-1028. https://doi.org/10.1515/cclm-2020-0369; PMid:32286245 PMCid:PMC8482317

9. Huang I, Lim MA, Pranata R. (2020, Jul-Aug). Diabetes mellitus is associated with increased mortality and severity of disease in COVID-19 pneumonia – A systematic review, meta-analysis, and meta-regression. Diabetes Metab Syndr. 14(4): 395-403. https://doi.org/10.1016/j.dsx.2020.04.018; PMid:32334395 PMCid:PMC7162793

10. Jin JM, Bai P, He W, Wu F, Liu XF, Han DM et al. (2020, Apr 29). Gender Differences in Patients With COVID-19: Focus on Severity and Mortality. Front Public Health. 8: 152. https://doi.org/10.3389/fpubh.2020.00152; PMid:32411652 PMCid:PMC7201103

11. Mangalmurti N, Hunter CA. (2020, Jul 14). Cytokine Storms: Understanding COVID-19. Immunity. 53(1): 19-25. https://doi.org/10.1016/j.immuni.2020.06.017; PMid:32610079 PMCid:PMC7321048

12. Pal R, Bhadada SK. (2020, Jul-Aug). COVID-19 and diabetes mellitus: An unholy interaction of two pandemics. Diabetes Metab Syndr. 14(4): 513-517. https://doi.org/10.1016/j.dsx.2020.04.049; PMid:32388331 PMCid:PMC7202837

13. Peckham H, de Gruijter NM, Raine C, Radziszewska A, Ciurtin C, Wedderburn LR et al. (2020, Dec 9). Male sex identified by global COVID-19 meta-analysis as a risk factor for death and ITU admission. Nat Commun. 11(1): 6317. https://doi.org/10.1038/s41467-020-19741-6; PMid:33298944 PMCid:PMC7726563

14. Samprathi M, Jayashree M. (2021, Mar 30). Biomarkers in COVID-19: An Up-To-Date Review. Front Pediatr. 8: 607647. https://doi.org/10.3389/fped.2020.607647; PMid:33859967 PMCid:PMC8042162

15. Sanyaolu A, Okorie C, Marinkovic A, Patidar R, Younis K, Desai P et al. (2020). Comorbidity and its Impact on Patients with COVID-19. SN Compr Clin Med. 2(8): 1069-1076. https://doi.org/10.1007/s42399-020-00363-4; PMid:32838147 PMCid:PMC7314621

16. Scully EP, Haverfield J, Ursin RL, Tannenbaum C, Klein SL. (2020, Jul). Considering how biological sex impacts immune responses and COVID-19 outcomes. Nat Rev Immunol. 20(7): 442-447. https://doi.org/10.1038/s41577-020-0348-8; PMid:32528136 PMCid:PMC7288618

17. Terpos E, Ntanasis-Stathopoulos I, Elalamy I, Kastritis E, Sergentanis TN, Politou M et al. (2020, Jul). Hematological findings and complications of COVID-19. Am J Hematol. 95(7): 834-847. https://doi.org/10.1002/ajh.25829; PMid:32282949 PMCid:PMC7262337

18. Velavan TP, Meyer CG. (2020, Jun). Mild versus severe COVID-19: Laboratory markers. Int J Infect Dis. 95: 304-307. https://doi.org/10.1016/j.ijid.2020.04.061; PMid:32344011 PMCid:PMC7194601

19. Zeng F, Li L, Zeng J, Deng Y, Huang H et al. (2020, May 29). Can we predict the severity of coronavirus disease 2019 with a routine blood test? Pol Arch Intern Med. 130(5): 400-406. https://doi.org/10.20452/pamw.15331