Association between TMPRSS2 rs2070788 polymorphism and COVID-19 severity: a case-control study in multiple cities of

Arezoo Faridzadeh1,2, Mahmoud Mahmoudi1,2, Bahman Rahimlou3

  • 1Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Frontiers in Medicine
|August 27, 2024
PubMed
Abstract

Insights

The TMPRSS2 rs2070788 SNP did not influence COVID-19 susceptibility or mortality in Iranians. However, elevated IL-6 and CRP levels correlated with COVID-19 severity, while specific TMPRSS2 genotypes showed altered TNF-α and IL-1β levels.

Area of Science:

  • Genetics
  • Immunology
  • Infectious Diseases

Background:

  • Host genetic variations can influence COVID-19 outcomes.
  • The transmembrane serine protease type 2 (TMPRSS2) gene plays a role in viral entry.

Purpose of the Study:

  • To investigate the association between the TMPRSS2 rs2070788 single nucleotide polymorphism (SNP) and COVID-19 prognosis in an Iranian population.
  • To explore the relationship between this SNP and inflammatory markers in COVID-19 patients.

Main Methods:

  • A case-control study involving 756 COVID-19 patients and 59 healthy controls from Iran.
  • Genotyping of the TMPRSS2 rs2070788 SNP using T-ARMS-PCR.
  • Measurement of serum inflammatory markers: C-reactive protein (CRP), interleukin-6 (IL-6), interleukin-1β (IL-1β), and tumor necrosis factor α (TNF-α).

Main Results:

  • No significant association was found between TMPRSS2 rs2070788 SNP genotypes/alleles and COVID-19 susceptibility or mortality.
  • Increased serum levels of IL-6 and CRP were significantly associated with COVID-19 severity.
  • COVID-19 patients with the TT genotype of TMPRSS2 rs2070788 SNP exhibited elevated serum TNF-α and IL-1β compared to healthy controls.

Conclusions:

  • The TMPRSS2 rs2070788 SNP is not a significant predictor of COVID-19 severity or mortality in the Iranian population.
  • Inflammatory markers IL-6 and CRP are strongly linked to COVID-19 severity.
  • Specific TMPRSS2 genotypes may influence the inflammatory response in COVID-19 patients.