Role of ACE2 and TMPRSS2 genes in susceptibility/severity to COVID-19

Authors

Keywords:

angiotensin converting enzyme, COVID-19, genetic polymorphism, genetic susceptibility, SARS-CoV-2

Abstract

COVID-19 is a new severe acute respiratory syndrome, caused by SARS-CoV-2 coronavirus. There are variants in ACE2 and TMPRSS2 genes potentially associated with susceptibility/severity to COVID-19, although the literature on this topic is scattered and poorly systematized. The aim of this work is to highlight the relevance of variants in ACE2 and TMPRSS2 genes for susceptibility/severity to COVID-19. Variants in the ACE2 and TMPRSS2 genes were described, with potential repercussions on the structure and function of these proteins, or on their levels of expression. Some of these variants are differentially distributed among Asian, European, African or American populations, and are potentially associated with increased susceptibility/severity to COVID-19. Results referring to the role of ACE2 expression levels on the clinical severity of the disease are inconsistent. None of these studies establish associations between identified genetic variants, or ACE2 and TMPRSS2 expression levels, and specific clinical markers of disease severity. In conclusion, variants in ACE2 and TMPRSS2 genes have been identified as potentially associated with a higher susceptibility/severity to COVID-19, although it is necessary to replicate research in other populations around the world, and to develop clinical genotype-phenotype correlation studies in patients with this disease, for its adequate stratification by risk groups, and to adjust personalized preventive or therapeutic interventions, based on the patient profile for relevant genetic variants.

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Published

2020-05-13

How to Cite

Almaguer Mederos, L., Cuello Almarales, D., & Almaguer Gotay, D. (2020). Role of ACE2 and TMPRSS2 genes in susceptibility/severity to COVID-19. Anales De La Academia De Ciencias De Cuba, 10(2), e799. Retrieved from https://revistaccuba.sld.cu/index.php/revacc/article/view/799