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Genetic Predictors of Paxlovid Treatment Response: The Role of IFNAR2, OAS1, OAS3, and ACE2 in COVID-19 Clinical

Mykhailo Buchynskyi1, Iryna Kamyshna2, Iryna Halabitska3

  • 1Department of Microbiology, Virology, and Immunology, I. Horbachevsky Ternopil National Medical University, 46001 Ternopil, Ukraine.

Journal of Personalized Medicine
|April 25, 2025
PubMed
Summary
This summary is machine-generated.

Genetic variations in interferon pathway and viral entry genes influence COVID-19 patient response to Paxlovid treatment. These genetic factors may affect immune response, coagulation, and clinical outcomes, suggesting personalized treatment strategies.

Keywords:
ACE2COVID-19IFNAR2OAS1OAS3Paxlovidnirmatrelvir

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Area of Science:

  • Pharmacogenomics
  • Immunology
  • Virology

Background:

  • COVID-19 treatment response varies significantly among patients.
  • Paxlovid is a key antiviral therapy for COVID-19.
  • Genetic factors may underlie differential treatment efficacy.

Purpose of the Study:

  • To investigate the role of genetic polymorphisms in IFNAR2, OAS1, OAS3, and ACE2 genes.
  • To determine if these polymorphisms predict Paxlovid treatment response in COVID-19 patients.
  • To examine the influence of genetic variations on clinical course and laboratory parameters.

Main Methods:

  • Analysis of specific gene polymorphisms: IFNAR2 rs2236757, OAS1 rs10774671, OAS3 rs10735079, and ACE2 rs2074192.
  • Study population included COVID-19 patients treated with Paxlovid.
  • Evaluation of clinical parameters (oxygen saturation, leukocyte count, liver function) and laboratory markers.

Main Results:

  • Genetic variations in IFNAR2, OAS1, and OAS3 were associated with altered inflammatory and coagulation markers.
  • Specific genotypes correlated with changes in clinical parameters in Paxlovid-treated patients.
  • Findings suggest genetic modulation of immune and coagulation pathways during Paxlovid therapy.

Conclusions:

  • Genetic polymorphisms in key immune and viral entry genes may influence Paxlovid efficacy.
  • Individual genetic makeup could predict treatment response and clinical outcomes.
  • Results support the development of personalized medicine approaches for COVID-19 treatment.