Genetic mechanisms of critical illness in Covid-19 - Nature Magazine

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SUMMARY

The discussion focuses on the genetic mechanisms underlying critical illness in Covid-19, highlighting key findings from a Nature Magazine article. It establishes a causal link between low expression of IFNAR2 and high expression of TYK2 with life-threatening disease, while also identifying the chemotactic receptor CCR2 as a significant factor in severe Covid-19 cases. The findings suggest that these genetic signals are related to antiviral defense mechanisms and inflammatory organ damage, indicating potential for targeted treatments using existing drugs.

PREREQUISITES
  • Understanding of genetic expression and its impact on disease
  • Familiarity with transcriptome-wide association studies
  • Knowledge of antiviral defense mechanisms, specifically IFNAR2 and TYK2
  • Awareness of single-cell RNA sequencing techniques
NEXT STEPS
  • Research the role of IFNAR2 and TYK2 in antiviral responses
  • Explore transcriptome-wide association studies in respiratory diseases
  • Investigate the therapeutic potential of CCR2 inhibitors in Covid-19 treatment
  • Learn about single-cell RNA sequencing applications in viral pathogenesis
USEFUL FOR

Researchers in genetics, virologists, healthcare professionals, and anyone involved in Covid-19 treatment and drug development will benefit from this discussion.

Tom.G
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Genetic mechanisms of critical illness in Covid-19
33 pages.
Free PDF download at:
https://www.nature.com/articles/s41586-020-03065-y_reference.pdf

"...we found evidence in support of a causal link from low expression of IFNAR2, and high expression of TYK2, to life-threatening disease; transcriptome-wide association in lung tissue revealed that high expression of the monocyte/macrophage chemotactic receptor CCR2 is associated with severe Covid-19. Our results identify robust genetic signals relating to key host antiviral defence mechanisms, and mediators of inflammatory organ damage in Covid-19. Both mechanisms may be amenable to targeted treatment with existing drugs."

Cheers,
Tom
 
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A somewhat related paper.

Single‐cell RNA sequencing analysis of SARS‐CoV‐2 entry receptors in human organoids
https://onlinelibrary.wiley.com/doi/10.1002/jcp.30054
Abstract: Coronavirus disease‐2019 (COVID‐19) is a global pandemic and caused by severe acute respiratory syndrome Coronavirus 2 (SARS‐CoV‐2), which has resulted in millions of deaths worldwide. Reports denote SARS‐CoV‐2 uses angiotensin‐converting enzyme 2 (ACE2), transmembrane serine protease 2 (TMPRSS2) as its primary entry point into the host cell. However, understanding the biology behind this viral replication, disease mechanism and drug discovery efforts are limited due to the lack of a suitable experimental model. Here, we used single‐cell RNA sequencing data of human organoids to analyze expressions of ACE2 and TMPRSS2, in addition to an array of RNA receptors to examine their role in SARS‐CoV‐2 pathogenesis. ACE2 is abundant in all organoids, except the prostate and brain, and TMPRSS2 is omnipresent. Innate immune pathways are upregulated in ACE2(+) cells of all organoids, except the lungs. Besides this, the expression of low‐density lipoprotein receptor is highly enriched in ACE2(+) cells in intestinal, lung, and retinal organoids, with the highest expression in lung organoids. Collectively, this study demonstrates that the organoids can be used as an experimental platform to explore this novel virus disease mechanism and for drug development.
This paper is about using RNA-sequencing to understanding "the virus disease mechanism and for drug development". It would seem relevant in understanding the effect of B.1.1.7 variant.

Thanks to @Ygggdrasil for pointing to this thread.
 
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