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Pediatr Pulmonol . Angiotensin-Converting Enzyme 2 (G8790A) Gene Polymorphism as a Risk Factor for COVID-19 in Egyptian Children and Adolescents

tetano

Editor, Senior Moderator
Pediatr Pulmonol


. 2025 Jan;60(1):e27479.
doi: 10.1002/ppul.27479. Angiotensin-Converting Enzyme 2 (G8790A) Gene Polymorphism as a Risk Factor for COVID-19 in Egyptian Children and Adolescents

Ahmed A A Ibraheem[SUP] 1 [/SUP], Sarah A Saleh[SUP] 2 [/SUP], Ahmed A Emam[SUP] 1 [/SUP], Aly A Yousef[SUP] 3 [/SUP], Mohamed Abdulhay[SUP] 3 [/SUP], Mohammed K Haridi[SUP] 4 [/SUP], Ali A Wahba[SUP] 5 [/SUP], Marwa M Al-Fahham[SUP] 6 [/SUP], Dalia M Selim[SUP] 6 [/SUP], Suzan A Razek[SUP] 6 [/SUP], Ehab I Sorour[SUP] 7 [/SUP], El Sayed H F Abouzied[SUP] 7 [/SUP], Ahmed H Ismail[SUP] 8 [/SUP], Soma A Mohamed[SUP] 9 [/SUP], Attia A Soliman[SUP] 1 [/SUP], Hassan Shehata[SUP] 1 [/SUP], Faika Arab[SUP] 1 [/SUP], Marwa L M Rashad[SUP] 1 [/SUP], Sahbaa F M Hafez[SUP] 1 [/SUP], Khalil Abdelkhalek[SUP] 2 [/SUP], Dina M Ibrahim[SUP] 2 [/SUP], Bassem Ashraf[SUP] 10 [/SUP], Ahmed S E Saleh[SUP] 11 [/SUP], Rania A Fouad[SUP] 12 13 [/SUP], Walaa E Omar[SUP] 13 [/SUP], Rehab M Nabil[SUP] 14 [/SUP], Raghdaa A Ramadan[SUP] 15 [/SUP], Eman M El-Sehsah[SUP] 16 [/SUP], Mona R Afify[SUP] 17 [/SUP], Yasser Bawazir[SUP] 18 [/SUP], Mohammad Mustafa[SUP] 19 [/SUP], Yassir Daghistani[SUP] 19 [/SUP], Rawan A Thabit[SUP] 20 [/SUP], Wed Salah[SUP] 21 [/SUP], Laila M Almoraie[SUP] 22 [/SUP], Hanan Maas Aljamei[SUP] 23 [/SUP], Laila Ahmed Hummdi[SUP] 23 [/SUP], Emtenan Ali Arishi[SUP] 24 [/SUP], Hanan F Salem[SUP] 25 [/SUP], Yasmine M Massoud[SUP] 26 [/SUP], Dalia M Khalil[SUP] 27 [/SUP], Batoul M Abdel Raouf[SUP] 6 [/SUP], Hani A Elmikaty[SUP] 28 [/SUP], Sonya A A El-Gaaly[SUP] 29 [/SUP], Ahmed R Fakhreldin[SUP] 30 [/SUP], Mustafa I A Hashem[SUP] 1 [/SUP]



Affiliations
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.

Keywords: adolescents; angiotensin converting enzyme‐2; children; coronavirus disease 2019 (COVID‐19); gene polymorphism.

 
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