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

Karakaş Çelik, Sevim / Çakmak Genç, Güneş / Pişkin, Nihal / Açikgöz, Bilgehan / Altinsoy, Bülent / Kurucu İşsiz, Başak / Dursun, Ahmet

Journal of medical virology

2021  Volume 93, Issue 10, Page(s) 5947–5952

Abstract: ... of ACE gene I/D, ACE2 receptor gene rs2106809, and rs2285666 polymorphisms were not statistically ... 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 ...

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.
MeSH term(s) Adult ; Aged ; Angiotensin-Converting Enzyme 2/genetics ; COVID-19/diagnosis ; COVID-19/genetics ; Gene Frequency ; Genetic Association Studies ; Genotype ; Humans ; Middle Aged ; Negative Results ; Peptidyl-Dipeptidase A/genetics ; Polymorphism, Single Nucleotide ; SARS-CoV-2 ; Severity of Illness Index
Chemical Substances ACE protein, human (EC 3.4.15.1) ; Peptidyl-Dipeptidase A (EC 3.4.15.1) ; ACE2 protein, human (EC 3.4.17.23) ; Angiotensin-Converting Enzyme 2 (EC 3.4.17.23)
Language English
Publishing date 2021-07-10
Publishing country United States
Document type Journal Article
ZDB-ID 752392-0
ISSN 1096-9071 ; 0146-6615
ISSN (online) 1096-9071
ISSN 0146-6615
DOI 10.1002/jmv.27160
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