Portal de investigación
Polymorphisms in ACE, ACE2, AGTR1 genes and severity of COVID-19 disease.
Fecha de publicación:
Fecha Ahead of Print:
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- Sabater Molina, Maria
- Nicolas Rocamora, Elisa
- Bendicho AI
- Vázquez EG
- Rodriguez FD
- Gil Ortuño C
- Rodríguez AI
- Sanchez-Lopez, Antonio J.
- Jara Rubio, Ruben
- Moreno-Docon, Antonio
- Marcos, Pedro J.
- Garcia Pavia, Pablo
- Villa RB
- Gimeno Blanes, Juan R.
Grupos
Abstract
BACKGROUND: Infection by the SARS-Cov-2 virus produces in humans a disease of highly variable and unpredictable severity. The presence of frequent genetic single nucleotide polymorphisms (SNPs) in the population might lead to a greater susceptibility to infection or an exaggerated inflammatory response. SARS-CoV-2 requires the presence of the ACE2 protein to enter in the cell and ACE2 is a regulator of the renin-angiotensin system. Accordingly, we studied the associations between 8 SNPs from AGTR1, ACE2 and ACE genes and the severity of the disease produced by the SARS-Cov-2 virus. METHODS: 318 (aged 59.6±17.3 years, males 62.6%) COVID-19 patients were grouped based on the severity of symptoms: Outpatients (n = 104, 32.7%), hospitalized on the wards (n = 73, 23.0%), Intensive Care Unit (ICU) (n = 84, 26.4%) and deceased (n = 57, 17.9%). Comorbidity data (diabetes, hypertension, obesity, lung disease and cancer) were collected for adjustment. Genotype distribution of 8 selected SNPs among the severity groups was analyzed. RESULTS: Four SNPs in ACE2 were associated with the severity of disease. While rs2074192 andrs1978124showed a protector effectassuming an overdominant model of inheritance (G/A vs. GG-AA, OR = 0.32, 95%CI = 0.12-0.82; p = 0.016 and A/G vs. AA-GG, OR = 0.37, 95%CI: 0.14-0.96; p = 0.038, respectively); the SNPs rs2106809 and rs2285666were associated with an increased risk of being hospitalized and a severity course of the disease with recessive models of inheritance (C/C vs. T/C-T/T, OR = 11.41, 95% CI: 1.12-115.91; p = 0.012) and (A/A vs. GG-G/A, OR = 12.61, 95% CI: 1.26-125.87; p = 0.0081). As expected, an older age (OR = 1.47), male gender (OR = 1.98) and comorbidities (OR = 2.52) increased the risk of being admitted to ICU or death vs more benign outpatient course. Multivariable analysis demonstrated the role of the certain genotypes (ACE2) with the severity of COVID-19 (OR: 0.31, OR 0.37 for rs2074192 and rs1978124, and OR = 2.67, OR = 2.70 for rs2106809 and rs2285666, respectively). Hardy-Weinberg equilibrium in hospitalized group for I/D SNP in ACE was not showed (p<0.05), which might be due to the association with the disease. No association between COVID-19 disease and the different AGTR1 SNPs was evidenced on multivariable, nevertheless the A/A genotype for rs5183 showed an higher hospitalization risk in patients with comorbidities. CONCLUSIONS: Different genetic variants in ACE2 were associated with a severe clinical course and death groups of patients with COVID-19. ACE2 common SNPs in the population might modulate severity of COVID-19 infection independently of other known markers like gender, age and comorbidities.
Datos de la publicación
- ISSN/ISSNe:
- 1932-6203, 1932-6203
- Tipo:
- Article
- Páginas:
- -
- Factor de Impacto:
- 0,852 SCImago ℠
- Cuartil:
- Q1 SCImago ℠
Plos One PUBLIC LIBRARY SCIENCE
Citas Recibidas en Web of Science: 36
Documentos
- No hay documentos
Filiaciones
Keywords
- CONVERTING-ENZYME GENE; INSERTION DELETION POLYMORPHISM; TYPE-1 RECEPTOR GENE; I/D POLYMORPHISM; ASSOCIATION; CORONAVIRUS; SUSCEPTIBILITY; PNEUMONIA
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Cita
Sabater M,Nicolas E,Bendicho AI,Vázquez EG,Zorio E,Rodriguez FD,Gil C,Rodríguez AI,Sanchez AJ,Jara R,Moreno A,Marcos PJ,Garcia P,Villa RB,Gimeno JR. Polymorphisms in ACE, ACE2, AGTR1 genes and severity of COVID-19 disease. PLoS One. 2022. 17. (2):e0263140. IF:3,700. (2).