Human gene polymorphisms and their possible impact on the clinical outcome of SARS-CoV-2 infection

Arch Virol. 2021 Aug;166(8):2089-2108. doi: 10.1007/s00705-021-05070-6. Epub 2021 May 2.

Abstract

The SARS-CoV-2 pandemic has become one of the most serious health concerns globally. Although multiple vaccines have recently been approved for the prevention of coronavirus disease 2019 (COVID-19), an effective treatment is still lacking. Our knowledge of the pathogenicity of this virus is still incomplete. Studies have revealed that viral factors such as the viral load, duration of exposure to the virus, and viral mutations are important variables in COVID-19 outcome. Furthermore, host factors, including age, health condition, co-morbidities, and genetic background, might also be involved in clinical manifestations and infection outcome. This review focuses on the importance of variations in the host genetic background and pathogenesis of SARS-CoV-2. We will discuss the significance of polymorphisms in the ACE-2, TMPRSS2, vitamin D receptor, vitamin D binding protein, CD147, glucose-regulated protein 78 kDa, dipeptidyl peptidase-4 (DPP4), neuropilin-1, heme oxygenase, apolipoprotein L1, vitamin K epoxide reductase complex 1 (VKORC1), and immune system genes for the clinical outcome of COVID-19.

Publication types

  • Review

MeSH terms

  • ABO Blood-Group System / genetics
  • Angiotensin-Converting Enzyme 2 / genetics
  • Apolipoprotein L1 / genetics
  • Basigin / genetics
  • COVID-19 / epidemiology
  • COVID-19 / genetics*
  • COVID-19 / therapy
  • Dipeptidyl Peptidase 4 / genetics
  • Endoplasmic Reticulum Chaperone BiP
  • Heat-Shock Proteins / genetics
  • Heme Oxygenase-1 / genetics
  • Humans
  • Immunity / genetics
  • Neuropilin-1 / genetics
  • Patient Outcome Assessment
  • Polymorphism, Genetic
  • Receptors, Calcitriol / genetics
  • SARS-CoV-2
  • Serine Endopeptidases / genetics
  • Vitamin D-Binding Protein / genetics
  • Vitamin K Epoxide Reductases / genetics

Substances

  • ABO Blood-Group System
  • APOL1 protein, human
  • Apolipoprotein L1
  • BSG protein, human
  • Endoplasmic Reticulum Chaperone BiP
  • Heat-Shock Proteins
  • NRP1 protein, human
  • Receptors, Calcitriol
  • Vitamin D-Binding Protein
  • Basigin
  • Neuropilin-1
  • HMOX1 protein, human
  • Heme Oxygenase-1
  • VKORC1 protein, human
  • Vitamin K Epoxide Reductases
  • DPP4 protein, human
  • Dipeptidyl Peptidase 4
  • ACE2 protein, human
  • Angiotensin-Converting Enzyme 2
  • Serine Endopeptidases
  • TMPRSS2 protein, human