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疑似新冠肺炎 PCR(-)患者的基因变异调查与功能研究。

Investigation of and functional gene variants in suspected COVID-19 PCR (-) patients.

机构信息

Department of Medical Biology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

出版信息

Pathog Glob Health. 2022 May;116(3):178-184. doi: 10.1080/20477724.2021.1984726. Epub 2021 Sep 27.

Abstract

For COVID-19 (Coronavirus Disease-2019) cases, detecting host-based factors that predispose to infection is a very important research area. In this study, the aim is to investigate the and gene polymorphisms in COVID-19 patients with lung involvement, whose first nasopharyngeal PCR results were negative. Seventy-nine patients diagnosed with COVID-19 between April-June 2020 who were admitted to a university hospital, and 100 healthy controls were included. In the first statistical analysis performed between PCR-positive, CT-negative and PCR-negative, CT-positive patients; the AB of genotype was significantly higher in the first group (p = 0.049). The B allele was also significantly higher in the same subgroup (p = 0.001). The absence of the AB genotype was found to increase the risk of CT positivity by 6.9 times. The AB genotype of was higher in healthy controls (p = 0.006). The absence of the AB genotype was found to increase the risk of CT positivity; also, it can be used for early detection and isolation of patients with typical lung involvement who had enough viral loads, but whose initial PCR results were negative.

摘要

对于 COVID-19(2019 年冠状病毒病)病例,检测易感染宿主的因素是一个非常重要的研究领域。本研究旨在调查肺受累的 COVID-19 患者中 和 基因多态性,这些患者的首次鼻咽 PCR 结果为阴性。2020 年 4 月至 6 月期间,我们纳入了一家大学医院收治的 79 名确诊为 COVID-19 的患者和 100 名健康对照者。在对 PCR 阳性、CT 阴性和 PCR 阴性、CT 阳性患者进行的第一次统计分析中;第一组的 基因型 AB 明显更高(p=0.049)。同一亚组的 B 等位基因也明显更高(p=0.001)。发现 AB 基因型缺失使 CT 阳性的风险增加了 6.9 倍。 基因型的 AB 在健康对照者中更高(p=0.006)。发现 AB 基因型缺失使 CT 阳性的风险增加;还可以用于检测具有典型肺部受累、但初始 PCR 结果为阴性且病毒载量足够的患者,并对其进行早期隔离。

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Clinical Characteristics of Coronavirus Disease 2019 in China.《中国 2019 年冠状病毒病临床特征》
N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28.

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