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基因、基因和基因对 COVID-19 发病风险和病程的修饰作用。初步研究。

Modifying effects of , and genes on the development risk and the course of COVID-19. Pilot study.

机构信息

State Institution "Reference-Centre for Molecular Diagnostic of Public Health Ministry of Ukraine", Kyiv, Ukraine.

Department of Pediatrics № 1 with Propedeutics and Neonatology, Ukrainian Medical Stomatological Academy, Poltava, Ukraine.

出版信息

Drug Metab Pers Ther. 2021 Dec 6;37(2):133-139. doi: 10.1515/dmpt-2021-0127.

Abstract

OBJECTIVES

COVID-19 continues to range around the world and set morbidity and mortality antirecords. Determining the role of genetic factors in the development of COVID-19 may contribute to the understanding of the pathogenetic mechanisms that lead to the development of complications and fatalities in this disease. The aim of our study was to analyze the effect of (rs1800629), (rs1800795) and (rs731236 and rs1544410) genes variants on the development risk and the course of COVID-19 in intensive care patients.

METHODS

The study group included 31 patients with diagnosis "viral COVID-19 pneumonia". All patients underwent standard daily repeated clinical, instrumental and laboratory examinations. Determination of , , and genes variants was performed using the PCR-RFLP method.

RESULTS

It was found a significant increase in the rate of the CC genotype and C allele (38.7 vs. 12.0% and 0.6 vs. 0.4%, respectively) of the gene in all patients of the study in comparison with population frequencies. There was a significantly higher rate of heterozygous genotypes TC and GA of the gene in group of died patients. The rs1800629 variant of the gene is associated with the need for respiratory support and its longer duration in patients with COVID-19.

CONCLUSIONS

The obtained results support a hypothesis about the influence of variants of , and genes on severity of COVID-19. However, in order to draw definite conclusions, further multifaceted research in this area are need.

摘要

目的

新冠病毒持续在全球范围内流行,不断刷新发病率和死亡率纪录。确定遗传因素在新冠病毒发病机制中的作用,可能有助于了解导致该疾病发生并发症和死亡的病理机制。本研究旨在分析 (rs1800629)、 (rs1800795)和 (rs731236 和 rs1544410)基因变异对重症监护患者新冠病毒发病风险和病程的影响。

方法

研究组纳入了 31 例确诊为“病毒性新冠病毒肺炎”的患者。所有患者均接受了标准的日常重复临床、仪器和实验室检查。采用 PCR-RFLP 法检测 、 、 基因变异。

结果

与人群频率相比,所有研究患者的 基因 CC 基因型和 C 等位基因(38.7%比 12.0%和 0.6 比 0.4%)的发生率显著增加。死亡患者组 基因 TC 和 GA 杂合基因型的发生率明显更高。 基因的 rs1800629 变异与新冠患者需要呼吸支持及其持续时间较长有关。

结论

研究结果支持了基因变异影响新冠严重程度的假说。然而,为了得出明确的结论,需要在该领域进行进一步的多方面研究。

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