Article ; Online: Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2.
Communications biology
2024 Volume 7, Issue 1, Page(s) 202
Abstract: The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals ...
Abstract | The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. |
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MeSH term(s) | Male ; Humans ; Aged ; SARS-CoV-2/genetics ; Mosaicism ; COVID-19/genetics ; Chromosomes, Human, Y ; Aging |
Language | English |
Publishing date | 2024-02-19 |
Publishing country | England |
Document type | Journal Article |
ISSN | 2399-3642 |
ISSN (online) | 2399-3642 |
DOI | 10.1038/s42003-024-05805-6 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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