2. Association of nasopharyngeal ace2 and tmprss2 expression to severity of COVID-19

Ha Van Đai1, Vu Phuong Nhung, Nguyen Thi Thanh Tam, Le Thi Ngoc, Nguyen Hai Ha, Pham Ngoc Thach, Nguyen Thi Thanh Hai
1 Bệnh viện Bệnh Nhiệt đới Trung Ương

Main Article Content

Abstract

ACE2 is a cellular membrane-bound receptor enzyme that facilitates the entry of SARS-CoV-2 virus into the cell through binding to the spike (S) protein on their surface. Spike (S) protein is cleaved by cellular transmembrane protease serine 2 (TMPRSS2) at the S1/S2 and S'2 sites that facilitate the process of viral and host membrane fusion and invasion. Thus, the level of expression of these host cell proteins may augment the virus invasion that impacts clinical symptoms. The clinical and paraclinical characteristics of the 297 COVID-19 patients were accessed. Representative 52 nasopharyngeal fluid samples randomly selected from typical severe and mild patients, respectively, were relatively compared for RNA- expression of ACE2 and TMPRSS2 by using realtime-PCR with specific primers. The resuls showed that TMPRSS2 but not ACE2 gene expression in the nasopharyngeal mucosa and some paraclinical indicators such as CRP, PCT, Ferritin, D-Dimer, LDH may predict the severity of COVID-19 patients but further study is required with larger sample sizes.

Article Details

References

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