Association between mannose binding lectin gene polymorphisms and clinical severity of COVID-19 in children

Dilek Yilmaz1,2, Mustafa Soyoz3, Aslıhan Sahin4

  • 1Department of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, Izmir, Turkey.

Abstract

Insights

Mannose-binding lectin (MBL) gene polymorphisms, specifically in the MBL2 exon-1 region, are linked to the severity of COVID-19 in children. The study found a higher frequency of certain MBL2 genotypes in symptomatic pediatric COVID-19 patients.

Area of Science:

  • Immunology
  • Genetics
  • Infectious Diseases

Background:

  • Mannose-binding lectin (MBL) is a key component of innate immunity, activating the complement system's lectin pathway with MBL-associated serine proteases (MASPs).
  • MBL gene variations are known risk factors for infectious disease susceptibility.
  • The role of MBL and MASP-2 in SARS-CoV-2 infection severity requires further investigation.

Purpose of the Study:

  • To investigate the association between MBL2 gene polymorphisms, serum MBL levels, and serum MASP-2 levels with the clinical course of COVID-19 in pediatric patients.
  • To compare these factors between asymptomatic and symptomatic children with COVID-19.

Main Methods:

  • Genotyping of MBL2 gene single nucleotide polymorphisms (SNPs) in promoter and exon 1 regions using PCR and restriction fragment length polymorphism analysis.
  • Quantification of serum MBL and MASP-2 levels via ELISA.
  • Comparison of genetic and serological data between symptomatic and asymptomatic pediatric COVID-19 cases.

Main Results:

  • No significant differences in MBL2 promoter region polymorphisms (rs11003125, rs7096206) between symptomatic and asymptomatic groups.
  • Codon 52 and 57 genotypes were predominantly wild-type AA in all patients.
  • A significantly higher prevalence of MBL2 exon-1 AB and BB genotypes, and B allele, was observed in symptomatic pediatric COVID-19 patients compared to asymptomatic ones (p < 0.001).
  • Serum MBL and MASP-2 levels did not show significant differences between the groups.

Conclusions:

  • Codon 54 polymorphism in the MBL2 gene exon-1 region is associated with a symptomatic course of COVID-19 in children.
  • MBL2 genotype, not serum MBL or MASP-2 levels, appears to influence COVID-19 symptom severity in the pediatric population studied.

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