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Differential expression and immune correlation analysis of COVID-19 receptor ACE2 and TMPRSS2 genes in all normal and
1Tongji Cancer Research Institute, Tongji Hospital, Tongji Medical College in Huazhong University of Science and Technology, Wuhan, Hubei, China. zxcao@tjh.tjmu.edu.cn.
Abstract:
The outbreak of COVID-19 seriously affected people's life and safety, and it has not been effectively controlled all over the world at present. The binding of S protein of SARS-COV-2 virus to ACE2 receptor requires the assistance of Transmembrane Serine Protease 2 (TMPRSS2), which can activate the S protein on the surface of virus and promote its binding to the ACE2 receptor. With the continuous accumulation of experience in the treatment of COVID-19 patients and the experimental studies of a large number of scientific researchers, it was found that COVID-19 patients had a higher mortality rate in patients with underlying diseases. Therefore, for COVID-19 patients with tumors, the mortality rate may be significantly higher than other people. Clinical studies had found that some patients were complicated with cytokine storm in clinical treatment, which was also the direct cause of death for some patients. The infiltration of immune cells and the release of a variety of cytokines were important factors causing cytokine storm. Therefore, for COVID-19 patients with tumors, it was of great clinical significance to explore the relationship between COVID-19 virus receptor ACE2, TMPRSS2 and immune cell infiltration, which can help clinicians to make some more appropriate treatment plans.
Insights
COVID-19 patients with cancer face higher mortality risks. Understanding the interaction between SARS-CoV-2 receptors (ACE2, TMPRSS2) and immune cell infiltration is crucial for better treatment strategies.
Area of Science:
- Virology
- Oncology
- Immunology
Background:
- COVID-19 poses a global health threat, with higher mortality in patients with comorbidities.
- The SARS-CoV-2 virus utilizes the ACE2 receptor, facilitated by TMPRSS2, for cellular entry.
- Cancer patients are a vulnerable population with potentially increased COVID-19 mortality.
Purpose of the Study:
- To investigate the clinical significance of the relationship between SARS-CoV-2 receptors (ACE2, TMPRSS2) and immune cell infiltration in cancer patients with COVID-19.
- To explore factors contributing to severe outcomes, including cytokine storm, in this patient group.
Main Methods:
- The study focuses on analyzing existing clinical data and experimental findings.
- It examines the roles of ACE2 and TMPRSS2 in viral entry and activation.
- Emphasis is placed on understanding immune cell infiltration and cytokine release.
Main Results:
- COVID-19 patients with underlying conditions, particularly cancer, exhibit higher mortality rates.
- Cytokine storm, driven by immune cell infiltration and cytokine release, is a significant cause of death.
- The interplay between viral receptors and immune responses is critical in determining patient outcomes.
Conclusions:
- Understanding the interaction of ACE2, TMPRSS2, and immune cell infiltration is vital for managing COVID-19 in cancer patients.
- This knowledge can aid clinicians in developing more effective and personalized treatment plans.
- Further research into these mechanisms may lead to improved survival rates for vulnerable populations.
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