Inflammation and immunity connect hypertension with adverse COVID-19 outcomes

Lei Cai1, Chuan He1, Yonglin Liu2

  • 1Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Collaborative Innovation Center for Genetics and Development, Shanghai Mental Health Center, Shanghai Jiaotong University, Shanghai, China.

Frontiers in Genetics
|September 26, 2022
PubMed

Insights

Hypertension significantly increases the risk of severe COVID-19 outcomes and mortality. Genetic links, particularly involving inflammation and immunity genes in the lungs, may explain this connection.

Area of Science:

  • Cardiovascular Medicine
  • Infectious Diseases
  • Genetics

Background:

  • Hypertension is a prevalent comorbidity globally.
  • The association between hypertension and severe COVID-19 outcomes requires further investigation.
  • Understanding shared genetic factors may elucidate disease mechanisms.

Purpose of the Study:

  • To investigate the link between hypertension and severe COVID-19 outcomes.
  • To analyze the relationship between blood pressure levels and COVID-19 severity.
  • To identify shared genes and molecular pathways connecting hypertension and severe COVID-19.

Main Methods:

  • Meta-analysis of 68 observational studies on COVID-19 mortality and severity.
  • Genome-wide cross-trait meta-analysis (GWCTM) to identify shared genetic factors.
  • Subgroup analysis of European cohorts to assess blood pressure differences.

Main Results:

  • Hypertension was associated with a 1.80-fold increased risk of COVID-19 mortality and 1.78-fold increased risk of severe outcomes.
  • Significant differences in blood pressure were observed between severe and mild COVID-19 patients in European cohorts.
  • Shared genes between hypertension and severe COVID-19 were predominantly expressed in the lungs, implicating inflammatory and immune pathways.

Conclusions:

  • Hypertension is a significant risk factor for severe COVID-19.
  • Genetic variants in inflammation- and immunity-related genes may contribute to both hypertension and severe COVID-19.
  • Shared molecular pathways, including CCR1/CCR5 and IL10RB signaling, are implicated.

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