Association of Sickle Cell Trait with Risk and Mortality of COVID-19: Results from the United Kingdom Biobank

Am J Trop Med Hyg. 2021 Jun 15;105(2):368-371. doi: 10.4269/ajtmh.20-1657.

Abstract

Sickle cell trait (SCT) carriers inherit one copy of the Glu6Val mutation in the hemoglobin gene and is particularly common in Black individuals (5-10%). Considering the roles of hemoglobin in immune responses and the higher risk for coronavirus disease (COVID-19) among Black individuals, we tested whether Black SCT carriers were at increased risk for COVID-19 infection and mortality according to the United Kingdom Biobank. Among Black individuals who were tested for COVID-19, we found similar infection rates among SCT carriers (14/72; 19.7%) and noncarriers (167/791; 21.1%), but higher COVID-19 mortality rates among SCT carriers (4/14; 28.6%) than among noncarriers (21/167; 12.6%) (odds ratio [OR], 3.04; 95% confidence interval [CI], 0.69-11.82; P = 0.12). Notably, SCT carriers with preexisting diabetes had significantly higher COVID-19 mortality (4/4; 100%) than those without diabetes (0/10; 0%; (OR, 90.71; 95% CI, 5.66-infinite; P = 0.0005). These findings suggest that Black SCT carriers with preexisting diabetes are at disproportionally higher risk for COVID-19 mortality. Confirmation by larger studies is warranted.

MeSH terms

  • Adult
  • Aged
  • Biological Specimen Banks / statistics & numerical data*
  • Black People / statistics & numerical data*
  • COVID-19 / epidemiology
  • COVID-19 / ethnology
  • COVID-19 / mortality*
  • Diabetes Complications / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Odds Ratio
  • Population
  • Preexisting Condition Coverage / statistics & numerical data
  • Risk Factors
  • Sickle Cell Trait / complications*
  • Sickle Cell Trait / epidemiology
  • Sickle Cell Trait / ethnology
  • United Kingdom