Genetic landscape of the ACE2 coronavirus receptor

Autor: Yang, Z, MacDonald-Dunlop, E, Chen, J, Zhai, R, Li, T, Richmond, A, Klaric, L, Pirastu, N, Ning, Z, Zheng, C, Wang, Y, Huang, T, He, Y, Guo, H, Ying, K, Gustafsson, S, Prins, B, Ramisch, A, Dermitzakis, ET, Png, G, Eriksson, N, Haessler, J, Hu, X, Zanetti, D, Boutin, T, Hwang, S-J, Wheeler, E, Pietzner, M, Raffield, LM, Kalnapenkis, A, Peters, JE, Viñuela, A, Gilly, A, Elmståhl, S, Dedoussis, G, Petrie, JR, Polašek, O, Folkersen, L, Chen, Y, Yao, C, Võsa, U, Pairo-Castineira, E, Clohisey, S, Bretherick, AD, Rawlik, K, Esko, T, Enroth, S, Johansson, Å, Gyllensten, U, Langenberg, C, Levy, D, Hayward, C, Assimes, TL, Kooperberg, C, Manichaikul, AW, Siegbahn, A, Wallentin, L, Lind, L, Zeggini, E, Schwenk, JM, Butterworth, AS, Michaëlsson, K, Pawitan, Y, Joshi, PK, Baillie, JK, Mälarstig, A, Reiner, AP, Wilson, JF, Shen, X, GenOMICC Consortium and the IMI-DIRECT Consortium
Jazyk: angličtina
Rok vydání: 2022
Předmět:
ANGIOTENSIN-CONVERTING ENZYME
Cardiac & Cardiovascular Systems
GenOMICC Consortium†
DATABASE
COVID
genetic
analysis
ALPHA-1-ANTITRYPSIN DEFICIENCY
1117 Public Health and Health Services
angiotensin-converting enzyme 2
Physiology (medical)
Humans
Cardiac and Cardiovascular Systems
1102 Cardiorespiratory Medicine and Haematology
Medicinsk genetik
RISK
Kardiologi
Science & Technology
SARS-CoV-2
COVID-19
IMI-DIRECT Consortium†
1103 Clinical Sciences
COVID-19/genetics
cardiovascular diseases
Angiotensin-Converting Enzyme 2/genetics
Cross-Sectional Studies
Peripheral Vascular Disease
Cardiovascular System & Hematology
Cardiovascular System & Cardiology
TRIAL
Cardiology and Cardiovascular Medicine
Medical Genetics
Life Sciences & Biomedicine
hormones
hormone substitutes
and hormone antagonists

Genome-Wide Association Study
Receptors
Coronavirus
Zdroj: 2022, ' Genetic Landscape of the ACE2 Coronavirus Receptor ', Circulation, vol. 145, no. 18, pp. 1398-1411 . https://doi.org/10.1161/CIRCULATIONAHA.121.057888
ISSN: 0009-7322
DOI: 10.1161/CIRCULATIONAHA.121.057888
Popis: Background: SARS-CoV-2, the causal agent of COVID-19, enters human cells using the ACE2 (angiotensin-converting enzyme 2) protein as a receptor. ACE2 is thus key to the infection and treatment of the coronavirus. ACE2 is highly expressed in the heart and respiratory and gastrointestinal tracts, playing important regulatory roles in the cardiovascular and other biological systems. However, the genetic basis of the ACE2 protein levels is not well understood. Methods: We have conducted the largest genome-wide association meta-analysis of plasma ACE2 levels in >28 000 individuals of the SCALLOP Consortium (Systematic and Combined Analysis of Olink Proteins). We summarize the cross-sectional epidemiological correlates of circulating ACE2. Using the summary statistics–based high-definition likelihood method, we estimate relevant genetic correlations with cardiometabolic phenotypes, COVID-19, and other human complex traits and diseases. We perform causal inference of soluble ACE2 on vascular disease outcomes and COVID-19 severity using mendelian randomization. We also perform in silico functional analysis by integrating with other types of omics data. Results: We identified 10 loci, including 8 novel, capturing 30% of the heritability of the protein. We detected that plasma ACE2 was genetically correlated with vascular diseases, severe COVID-19, and a wide range of human complex diseases and medications. An X-chromosome cis–protein quantitative trait loci–based mendelian randomization analysis suggested a causal effect of elevated ACE2 levels on COVID-19 severity (odds ratio, 1.63 [95% CI, 1.10–2.42]; P =0.01), hospitalization (odds ratio, 1.52 [95% CI, 1.05–2.21]; P =0.03), and infection (odds ratio, 1.60 [95% CI, 1.08–2.37]; P =0.02). Tissue- and cell type–specific transcriptomic and epigenomic analysis revealed that the ACE2 regulatory variants were enriched for DNA methylation sites in blood immune cells. Conclusions: Human plasma ACE2 shares a genetic basis with cardiovascular disease, COVID-19, and other related diseases. The genetic architecture of the ACE2 protein is mapped, providing a useful resource for further biological and clinical studies on this coronavirus receptor.
Databáze: OpenAIRE