1. Angiotensin-Converting Enzyme 2 (G8790A) Gene Polymorphism as a Risk Factor for COVID-19 in Egyptian Children and Adolescents.
- Author
-
Ibraheem AAA, Saleh SA, Emam AA, Yousef AA, Abdulhay M, Haridi MK, Wahba AA, Al-Fahham MM, Selim DM, Razek SA, Sorour EI, Abouzied ESHF, Ismail AH, Mohamed SA, Soliman AA, Shehata H, Arab F, Rashad MLM, Hafez SFM, Abdelkhalek K, Ibrahim DM, Ashraf B, Saleh ASE, Fouad RA, Omar WE, Nabil RM, Ramadan RA, El-Sehsah EM, Afify MR, Bawazir Y, Mustafa M, Daghistani Y, Thabit RA, Salah W, Almoraie LM, Aljamei HM, Hummdi LA, Arishi EA, Salem HF, Massoud YM, Khalil DM, Raouf BMA, Elmikaty HA, El-Gaaly SAA, Fakhreldin AR, and Hashem MIA
- Subjects
- Humans, Child, Egypt, Adolescent, Male, Female, Case-Control Studies, Prospective Studies, Risk Factors, Genotype, Polymorphism, Single Nucleotide, Child, Preschool, Severity of Illness Index, Alleles, Polymorphism, Genetic, COVID-19 genetics, Angiotensin-Converting Enzyme 2 genetics, Genetic Predisposition to Disease, SARS-CoV-2
- Abstract
Objective: Recently, angiotensin-converting enzyme 2 (ACE2) gene has emerged as a potential candidate gene for susceptibility to SARS-CoV-2 infection. We investigated whether ACE2 G8790A (rs2285666) polymorphism could be a genetic marker for susceptibility to COVID-19 and disease severity in Egyptian children and adolescents., Methods: This was a prospective case-control study included 580 cases diagnosed with COVID-19, and 580 matched control children and adolescents. The ACE2 G8790A (rs2285666) polymorphism was genotyped using polymerase chain reaction (PCR) and ACE2 serum level was measured by ELISA., Results: The ACE2 A/A genotype and A-allele were significantly more represented in cases with COVID-19 as compared to control group (44% vs. 30%; OR = 2.83; [95% CI: 1.27-2.63]; p = 0.006; for the A/A genotype) and (65% vs. 51%; OR = 1.9; [95% CI: 1.06-1.72]; p = 0.01; for the A-allele). The presence of ACE2 G/G genotype was an independent risk factor for severe disease (adjusted OR: 2.08; [95% CI: 1.57-6.78]; p = 0.003)., Conclusion: The ACE2 G8790A (rs2285666) polymorphism may confer susceptibility to COVID-19 in Egyptian children and adolescents. The ACE2 G/G genotype and G-allele was associated with lower ACE2 serum levels and may constitute independent risk factors for disease severity., (© 2025 Wiley Periodicals LLC.)
- Published
- 2025
- Full Text
- View/download PDF