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Published on: August 8, 2022
A haemochromatosis-causing HFE mutation is associated with SARS-CoV-2 susceptibility in the Czech population
J A Hubacek1, T Philipp2, V Adamkova3
1Experimental Medicine Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; Department of Endocrinology and Metabolism, Third Department of Internal Medicine, First Faculty of Medicine, Charles University & General University Hospital, Prague, Czech Republic.
Insights
Genetic factors influence COVID-19 susceptibility. Individuals with the rs1800562 minor allele, linked to hereditary hemochromatosis and higher iron levels, show increased risk for SARS-CoV-2 infection.
Area of Science:
- Genetics
- Infectious Diseases
- Human Physiology
Background:
- Coronavirus disease (COVID-19) susceptibility is influenced by genetic factors, including those affecting iron metabolism.
- Increased iron levels are associated with higher risk for SARS-CoV-2 infection.
Purpose of the Study:
- To investigate the association between HFE gene variants, hereditary hemochromatosis, and COVID-19 susceptibility.
- To determine if specific HFE genotypes impact SARS-CoV-2 infection risk and disease severity.
Main Methods:
- Genotyping of HFE SNPs (rs1800562 and rs1799945) in 617 COVID-19 patients and 2,559 controls.
- Analysis of allele frequencies and their correlation with infection status and disease severity.
Main Results:
- The minor allele (Tyr282) of rs1800562 was more frequent in COVID-19 patients (8.5%) than controls (5.5%), indicating increased susceptibility (P < 0.002).
- Non-carriers of the rs1800562 minor allele exhibited protection against SARS-CoV-2 infection (OR, 0.59).
- The rs1799945 variant showed no significant effect on disease severity or susceptibility.
Conclusions:
- The rs1800562 minor allele, associated with hereditary hemochromatosis and elevated iron, increases susceptibility to SARS-CoV-2 infection.
- HFE genotype rs1800562 is a significant genetic determinant of COVID-19 risk.
Background:
Coronavirus disease (COVID-19), which is caused by the SARS-CoV-2 virus, has become a global pandemic. While susceptibility to COVID-19 is subject to several external factors, including hypertension, BMI, and the presence of diabetes, it is also genetically determined to a significant extent. Infectious agents require iron (Fe) for proper functioning. Carriers of mutations resulting in increased iron concentrations are understood to be at increased risk of COVID-19.
Methods:
We examined HFE genotypes associated with hereditary haemochromatosis (rs1800562 and rs1799945 SNPs) in 617 COVID-19 patients (166 asymptomatic, 246 symptomatic and 205 hospitalised survivors) and 2 559 population-based controls.
Results:
We found a higher frequency of the minor allele (Tyr282) of the rs1800562 polymorphism (P < 0.002) in patients compared to controls (8.5 % vs 5.5 %). Non-carriers of the minor allele were protected against SARS-Cov-2 infection (OR, 95 %CI; 0.59, 0.42-0.82). The frequency of minor allele carriers was almost identical across asymptomatic, symptomatic, and hospitalised survivors. The rs1799945 variant did not affect disease severity and its occurrence was almost identical in patients and controls (P between 0.58 and 0.84).
Conclusions:
In conclusion, our results indicate that presence of the rs1800562 minor allele, which is associated with hereditary haemochromatosis (thus increased levels of plasma Fe), increases susceptibility to SARS-CoV-2.
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