Blood Type Linked with COVID-19 Respiratory Failure
Respiratory failure and COVID-19
Since the first case of COVID-19 in Wuhan, China during late 2019, the virus has rapidly made its way all around the world. In Europe, Spain and Italy were among some of the countries hit hardest with a reported 60,000 coronavirus related deaths by the end of May. The main cause of coronavirus related deaths have been linked to patients who are more susceptible to respiratory failure. Other factors that put patients at high risk include older age, gender, and other underlying conditions. (See Who's at Risk) The Experiment
To further investigate the relationship between COVID-19 and susceptibility to respiratory failure, Tom Karlsen of the University of Oslo in Norway, conducted a study (posted June 2, currently undergoing peer-review) involving 1,980 patients from five COVID-19 hotspots throughout Spain and Italy. All of these patients experienced severe COVID-19 infections and were hospitalized due to respiratory failure. DNA samples were collected from 775 patients and 950 controls (participants without COVID-19) from Spain and 835 patients and 1,255 controls from Italy. About 8.6 million single-nucleotide polymorphisms (SNPs) were analyzed to identify the most significant genetic variations that associate with severe respiratory failure after COVID-19 infection. Results
The results highlighted two loci (positions on a chromosome where specific gene(s) is located) on chromosomes 3 and 9. On chromosome 3, a cluster of genes were found to be potentially linked to COVID-19. One of these genes, SLC6A20, encodes an amino acid transporter that interacts with ACE2, the main receptor COVID-19 uses to enter human cells. Two other genes in this cluster have been shown to regulate T-cell function during viral infections. T-cells are cells used by the immune system to fight off viruses such as COVID-19.
The second locus on chromosome 9 was found to be the locus that encodes blood type. Results showed that people with blood type A were at a higher risk for respiratory failure due to COVID-19 while those with blood type O were at a decreased risk. People with blood type A were 1.5 times more likely to be hospitalized with severe respiratory symptoms compared to other blood types. People with blood type O had two-thirds the odds of being hospitalized compared to other blood types.
Image of gene cluster locus on chromosome 3 and ABO locus on chromosome 9.
Conclusion
The findings of this study show two significant loci related to severe COVID-19 respiratory failure susceptibility. Of the two loci, the ABO locus on chromosome 9 determines blood type. People with blood type A are found to be at an increased risk of respiratory failure while those with blood type O are at a decreased risk of respiratory failure. This project is one of the first steps in evaluating what may be driving COVID-19 and what the genetic associations mean.
Sources
1. Ellinghaus, David, et al. “The ABO Blood Group Locus and a Chromosome 3 Gene Cluster Associate with SARS-CoV-2 Respiratory Failure in an Italian-Spanish Genome-Wide Association Analysis.” MedRxiv, Cold Spring Harbor Laboratory Press, 2 June 2020, www.medrxiv.org/content/10.1101/2020.05.31.20114991v1.article-info.
2. Olena, Abby. “Two Genetic Regions Linked with Severe COVID-19.” The Scientist Magazine®, 8 June 2020, www.the-scientist.com/news-opinion/two-genetic-regions-linked-with-severe-covid-19-67619.
3. Robertson, Sally. “Blood Group Type May Affect Susceptibility to COVID-19 Respiratory Failure.” News Medical Life Sciences, 4 June 2020, www.news-medical.net/news/20200603/Blood-group-type-may-affect-susceptibility-to-COVID-19-respiratory-failure.aspx.
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