Related Experiment Video
Updated: Jun 28, 2025

Extracellular Glucose Depletion as an Indirect Measure of Glucose Uptake in Cells and Tissues Ex Vivo
Published on: April 6, 2022
Associations between COVID-19 and Glucose-6-Phosphate Dehydrogenase Activity in Brazil
Maria Gabriela de Almeida Rodrigues1,2, Wuelton Marcelo Monteiro1,2, Gisely Cardoso de Melo1,2
1Universidade do Estado do Amazonas, Manaus, Brazil.
Insights
Glucose-6 phosphate dehydrogenase deficiency (G6PDd) did not increase COVID-19 severity. Testing for G6PDd during acute COVID-19 illness may be unreliable, requiring careful interpretation of results.
Area of Science:
- Medical Science
- Infectious Diseases
- Genetics
Background:
- Glucose-6 phosphate dehydrogenase deficiency (G6PDd) was hypothesized to be a risk factor for severe COVID-19.
- G6PDd affects red blood cells and is common globally.
Purpose of the Study:
- To investigate the association between G6PDd and COVID-19 severity.
- To evaluate G6PD activity during and after COVID-19 illness.
Main Methods:
- Prospective cohort study of 753 adult COVID-19 patients.
- Measured G6PD activity on admission and 1 year post-discharge.
- Genotyped for common G6PDd single nucleotide polymorphisms.
Main Results:
- 16.3% of patients had G6PD deficiency.
- No significant difference in hospitalization or mechanical ventilation risk between G6PD deficient and non-deficient groups.
- Higher risk of death observed in patients with normal G6PD levels (P=0.022).
- Significant discordance in G6PD deficiency test results between acute illness and 1 year post-discharge.
Conclusions:
- G6PDd is not associated with increased COVID-19 severity.
- G6PD testing during acute COVID-19 may yield inaccurate results.
- Care is advised when screening for G6PDd in patients with acute COVID-19.
Abstract:
Glucose-6 phosphate dehydrogenase deficiency (G6PDd) was suggested as a risk factor for severe disease in patients with COVID-19. We evaluated clinical outcomes and glucose-6 phosphate dehydrogenase (G6PD) activity during and after illness in patients with COVID-19. This prospective cohort study included adult participants (≥ 18 years old) who had clinical and/or radiological COVID-19 findings or positive reverse transcription-polymerase chain reaction results. Epidemiological and clinical data were extracted from electronic medical records. Glucose-6 phosphate dehydrogenase activity was measured using SD Biosensor STANDARD G6PD® equipment on admission and 1 year after discharge. Samples were genotyped for the three most common single nucleotide polymorphisms for G6PDd in the Brazilian Amazon. Seven hundred fifty-three patients were included, of whom 123 (16.3%) were G6PD deficient. There was no difference between groups regarding the risks of hospitalization (P = 0.740) or invasive mechanical ventilation (P = 0.31), but the risk of death was greater in patients with normal G6PD levels (P = 0.022). Only 29 of 116 participants (25%) carried the African G6PDd genotype. Of 30 participants tested as G6PD deficient during disease, only 11 (36.7%) results agreed 1 year after discharge. In conclusion, this study does not demonstrate an association of G6PDd with severity of COVID-19. Limitations of the test for detecting enzyme levels during COVID-19 illness were demonstrated by genotyping and retesting after the disease period. Care must be taken when screening for G6PDd in patients with acute COVID-19.
Related Concept Videos
Overview of Carbohydrate Metabolism
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Hypoglycemia and Glucagon
Hormones Regulating Blood Glucose
In addition to accelerating glucose uptake and utilization, insulin has...
Diabetes Mellitus: Type 2 and Gestational
Glucose Homeostasis: Regulation of Blood Glucose
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
Glucose Transporters
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:

