Association of polymorphisms in genes encoding prothrombotic and cardiovascular risk factors with disease severity in

Ivana Lapić1, Margareta Radić Antolic1, Ivana Horvat1

  • 1Department of Laboratory Diagnostics, University Hospital Center Zagreb, Zagreb, Croatia.

Insights

Genetic variations in prothrombotic and cardiovascular risk factors are linked to COVID-19 severity. The ITGB3 PIA2 allele and Factor V (FV) H1299R combined with Factor XIII (FXIII) V34L increase severe COVID-19 risk.

Area of Science:

  • Genetics
  • Cardiovascular Medicine
  • Infectious Diseases

Background:

  • COVID-19 severity is influenced by host genetic factors.
  • Prothrombotic and cardiovascular risk factors play a role in disease pathogenesis.
  • Understanding genetic predispositions can aid in predicting COVID-19 outcomes.

Purpose of the Study:

  • To investigate the association between 16 gene polymorphisms and COVID-19 severity.
  • To identify specific genetic markers that predict a higher risk of severe disease.
  • To explore combined effects of genetic polymorphisms on COVID-19 outcomes.

Main Methods:

  • Genotyping of 16 polymorphisms in prothrombotic and cardiovascular risk genes using CVD StripAssays and real-time PCR.
  • Comparative analysis of genotype frequencies between severe (n=30) and non-severe (n=49) COVID-19 patients.
  • Statistical evaluation to determine significant associations and risk factors.

Main Results:

  • A higher frequency of the ITGB3 PIA2 allele was observed in severe COVID-19 patients (p=0.009).
  • ITGB3 polymorphism was associated with a 3.5-fold increased risk of severe COVID-19 (p=0.011).
  • Significant genotype distribution differences were found for ß-Fbg -455 G>A, and combined polymorphisms (FV H1299R/FXIII V34L, ITGB3 PIA1/A2/ITGA2B Baka/b, ACE I/D/PAI-1 4G/5G).

Conclusions:

  • ITGB3 polymorphism is an independent risk factor for severe COVID-19.
  • Homozygosity for ß-Fbg -455 G>A mutation may contribute to disease severity.
  • Combined effects of multiple genetic polymorphisms may exacerbate COVID-19 severity.

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