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

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The discussion focuses on genetic mechanisms linked to critical illness in COVID-19, highlighting a study that identifies a causal relationship between low expression of IFNAR2 and high expression of TYK2 with life-threatening disease outcomes. It also notes that high levels of the CCR2 receptor in lung tissue are associated with severe cases of COVID-19. These findings suggest that genetic signals related to antiviral defense and inflammatory damage could be targeted with existing drugs for treatment. Additionally, a related paper discusses the use of single-cell RNA sequencing in human organoids to analyze the expression of SARS-CoV-2 entry receptors, ACE2 and TMPRSS2, revealing their roles in viral pathogenesis and potential implications for drug development. The research indicates that ACE2 is widely expressed across organoids, with notable immune responses in ACE2-positive cells, particularly in the lungs. This work underscores the importance of organoids as experimental models for understanding COVID-19 mechanisms and advancing therapeutic strategies.
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Genetic mechanisms of critical illness in Covid-19
33 pages.
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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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Popular article referring to the BA.2 variant: Popular article: (many words, little data) https://www.cnn.com/2022/02/17/health/ba-2-covid-severity/index.html Preprint article referring to the BA.2 variant: Preprint article: (At 52 pages, too many words!) https://www.biorxiv.org/content/10.1101/2022.02.14.480335v1.full.pdf [edited 1hr. after posting: Added preprint Abstract] Cheers, Tom
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