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囊性纤维化基因突变携带者是 COVID-19 的潜在高脆弱人群吗?

Are cystic fibrosis mutation carriers a potentially highly vulnerable group to COVID-19?

机构信息

Molecular Oncology Unit, Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

J Cell Mol Med. 2020 Nov;24(22):13542-13545. doi: 10.1111/jcmm.15941. Epub 2020 Oct 3.

Abstract

Undoubtedly, the new SARS-CoV-2 virus poses a grave health threat, plaguing the health and socio-economic sectors. COVID-19 disease must be treated quickly and effectively as soon as possible. The main axes in this direction are establishing vaccines, drugs, diagnostic tests, as well as identifying the most vulnerable groups. Probably, there is a correlation between COVID-19 and cystic fibrosis. Our interest is focused on cystic fibrosis carriers that, due to limited tests, remain undetectable. There is an activation of the inflammatory response in the carriers, as well as in cystic fibrosis patients. First of all, a striking similarity lies between the inflammatory response in COVID-19 and cystic fibrosis carriers. Notably, ACE-2 plays the same role in both cases and a similar geographical distribution is observed in both diseases. In conclusion, we suggest that cystic fibrosis mutation carriers are potential members of a certain vulnerable group and the detection of such mutations in the population might be vital for the prevention of SARS-CoV-2 virus, and more specifically to limit its serious complications.

摘要

毫无疑问,新型 SARS-CoV-2 病毒对健康构成严重威胁,困扰着卫生和社会经济领域。COVID-19 疾病必须尽快得到快速有效的治疗。这方面的主要方向是建立疫苗、药物、诊断测试,以及确定最脆弱的群体。COVID-19 可能与囊性纤维化有关。我们的兴趣集中在囊性纤维化携带者上,由于检测有限,这些携带者仍然无法检测到。携带者和囊性纤维化患者的炎症反应都被激活。首先,COVID-19 和囊性纤维化携带者的炎症反应之间存在显著的相似性。值得注意的是,ACE-2 在两种情况下都起着相同的作用,并且在两种疾病中都观察到类似的地理分布。总之,我们建议囊性纤维化突变携带者是特定脆弱群体的潜在成员,在人群中检测到这种突变对于预防 SARS-CoV-2 病毒至关重要,更具体地说,是为了限制其严重并发症。

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