ACE(I/D)和 ACE2 受体基因(Rs2106809、Rs2285666)多态性与 COVID-19 的临床病程无关:一项病例研究。

Polymorphisms of ACE (I/D) and ACE2 receptor gene (Rs2106809, Rs2285666) are not related to the clinical course of COVID-19: A case study.

机构信息

Department of Medical Genetics, Zonguldak Bulent Ecevit University, Zonguldak, Turkey.

Department of Infectious Diseases and Clinical Microbiology, Zonguldak Bulent Ecevit University, Zonguldak, Turkey.

出版信息

J Med Virol. 2021 Oct;93(10):5947-5952. doi: 10.1002/jmv.27160. Epub 2021 Jul 10.

Abstract

Coronavirus disease 2019 (COVID-19) is an infectious disease, and the reason behind the currently ongoing pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Angiotensin-converting enzyme (ACE2) has been recognized as the specific receptor of the SARS-CoV-2 virus. Although the possible effect of ACE2 gene polymorphism remains unknown, human ACE2 receptor expression influences SARS-CoV-2 susceptibility and COVID-19 disease outcome. In this study, we aimed to investigate the relationship between ACE gene I/D polymorphism, ACE2 receptor gene polymorphism, and COVID-19 severity. ACE gene insertion/deletion (I/D) polymorphism and ACE2 receptor gene rs2106809 and rs2285666 polymorphisms were determined using polymerase chain reaction (PCR) and PCR-based restriction fragment length polymorphism methods, respectively, in 155 COVID-19 patients who were divided into three groups (mild, moderate, and severe) according to clinical symptoms. However, the distribution of genotype and allele frequencies of ACE gene I/D, ACE2 receptor gene rs2106809, and rs2285666 polymorphisms were not statistically significant in all groups. In conclusion, in the study population, ACE gene I/D, ACE2 receptor gene rs2106809, and rs2285666 polymorphisms were not associated with the severity of COVID-19 infection. Although ACE2 receptor gene expression may affect the susceptibility to COVID-19, there is no existing evidence that the ACE or ACE2 gene polymorphisms are directly associated with COVID-19 severity. Interindividual differences in COVID-19 severity might be related to epigenetic mechanisms of ACE2 receptor gene expression or variations in other genes suggested to play a critical role in COVID-19 pathogenesis such as pro-inflammatory cytokines and coagulation indicators.

摘要

新型冠状病毒肺炎(COVID-19)是一种传染病,目前正在流行的原因是由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的。血管紧张素转换酶(ACE)已被确认为 SARS-CoV-2 病毒的特定受体。尽管 ACE2 基因多态性的可能影响尚不清楚,但人类 ACE2 受体表达会影响 SARS-CoV-2 的易感性和 COVID-19 的疾病结局。在这项研究中,我们旨在研究 ACE 基因 I/D 多态性、ACE2 受体基因多态性与 COVID-19 严重程度之间的关系。ACE 基因插入/缺失(I/D)多态性和 ACE2 受体基因 rs2106809 和 rs2285666 多态性分别采用聚合酶链反应(PCR)和基于 PCR 的限制性片段长度多态性方法确定,共检测了 155 名 COVID-19 患者,根据临床症状将其分为三组(轻症、中症和重症)。然而,ACE 基因 I/D、ACE2 受体基因 rs2106809 和 rs2285666 多态性的基因型和等位基因频率在所有组中均无统计学意义。综上所述,在研究人群中,ACE 基因 I/D、ACE2 受体基因 rs2106809 和 rs2285666 多态性与 COVID-19 感染的严重程度无关。尽管 ACE2 受体基因表达可能会影响 COVID-19 的易感性,但尚无证据表明 ACE 或 ACE2 基因多态性与 COVID-19 严重程度直接相关。COVID-19 严重程度的个体间差异可能与 ACE2 受体基因表达的表观遗传机制或其他被认为在 COVID-19 发病机制中起关键作用的基因变异有关,如促炎细胞因子和凝血指标。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索