Polymorphisms in the ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) in Young Children Living in the Amazon Region and SARS-CoV-2 Infection

COVID-19 infection caused by SARS-CoV-2 continues to cause significant mortality and morbidity. ACE2 is a key regulator of the renin–angiotensin–aldosterone system (RAAS). Differences in COVID-19 severity are thought to be due to the imbalance of RAAS/ACE mutations. This retrospective study evaluate...

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Main Authors: Yan Cardoso Pimenta, Flávia Freitas de Oliveira Bonfim, Carlos Eduardo da Silva Figueiredo, Bruno Loreto de Aragão Pedroso, Mauro França Silva, Alberto Ignacio Olivares Olivares, Isabella Fernandes Delgado, José Paulo Gagliardi Leite, Marcia Terezinha Baroni de Moraes
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Tropical Medicine and Infectious Disease
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Online Access:https://www.mdpi.com/2414-6366/9/11/270
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author Yan Cardoso Pimenta
Flávia Freitas de Oliveira Bonfim
Carlos Eduardo da Silva Figueiredo
Bruno Loreto de Aragão Pedroso
Mauro França Silva
Alberto Ignacio Olivares Olivares
Isabella Fernandes Delgado
José Paulo Gagliardi Leite
Marcia Terezinha Baroni de Moraes
author_facet Yan Cardoso Pimenta
Flávia Freitas de Oliveira Bonfim
Carlos Eduardo da Silva Figueiredo
Bruno Loreto de Aragão Pedroso
Mauro França Silva
Alberto Ignacio Olivares Olivares
Isabella Fernandes Delgado
José Paulo Gagliardi Leite
Marcia Terezinha Baroni de Moraes
author_sort Yan Cardoso Pimenta
collection DOAJ
description COVID-19 infection caused by SARS-CoV-2 continues to cause significant mortality and morbidity. ACE2 is a key regulator of the renin–angiotensin–aldosterone system (RAAS). Differences in COVID-19 severity are thought to be due to the imbalance of RAAS/ACE mutations. This retrospective study evaluated the detection and genetic susceptibility to SARS-CoV-2 infection in 202 children ≤3 years of age living in the Amazon region in 2021. The angiotensin-converting enzyme ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) polymorphisms were detected by SYBR GREEN real-time PCR and PCR-RFLP/<i>Alu</i>l digestion, respectively. SARS-CoV-2 detection was performed by RT-qPCR in feces and saliva samples collected simultaneously from the same children presenting acute gastroenteritis (AGE) or acute respiratory infection (ARI). The frequency of SARS-CoV-2 detected by qRT-PCR in children was low (5.9%, 12/202), although higher in the group of children with AGE (8.9%, 9/101) than with ARI (2.9%, 3/101). Susceptibility to SARS-CoV-2 infection was not verified due to the low frequency. Homozygous II (<i>rs</i>4646994) children were the majority (87.1%, 176/202). Boys with genotype A (<i>rs</i>2285666) were more susceptible to ARI and pneumonia symptoms than AGE (OR = 3.8, 95% CI 1.4–10.3, <i>p</i> 0.007). Boys with genotype G (<i>rs</i>4646994) or the combination II + G were more susceptible to acquiring AGE. Surveillance, along with understanding their causes, is crucial to controlling ARI and COVID-19 in children living in low-income countries.
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spelling doaj-art-695890bbf2134dc08bef0c8178a8d5872025-08-20T02:04:41ZengMDPI AGTropical Medicine and Infectious Disease2414-63662024-11-0191127010.3390/tropicalmed9110270Polymorphisms in the ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) in Young Children Living in the Amazon Region and SARS-CoV-2 InfectionYan Cardoso Pimenta0Flávia Freitas de Oliveira Bonfim1Carlos Eduardo da Silva Figueiredo2Bruno Loreto de Aragão Pedroso3Mauro França Silva4Alberto Ignacio Olivares Olivares5Isabella Fernandes Delgado6José Paulo Gagliardi Leite7Marcia Terezinha Baroni de Moraes8Laboratory of Comparative and Environmental Virology, Oswald °Cruz Institute, Oswald °Cruz Foundation, Fiocruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro 21040-360, RJ, BrazilLaboratory of Comparative and Environmental Virology, Oswald °Cruz Institute, Oswald °Cruz Foundation, Fiocruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro 21040-360, RJ, BrazilLaboratory of Comparative and Environmental Virology, Oswald °Cruz Institute, Oswald °Cruz Foundation, Fiocruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro 21040-360, RJ, BrazilLaboratory of Comparative and Environmental Virology, Oswald °Cruz Institute, Oswald °Cruz Foundation, Fiocruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro 21040-360, RJ, BrazilLaboratory of Comparative and Environmental Virology, Oswald °Cruz Institute, Oswald °Cruz Foundation, Fiocruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro 21040-360, RJ, BrazilSecretaria Estadual de Saúde de Roraima, SESAU/RR, Rua Madrid, 180-Aeroporto, Boa Vista 69310-043, RR, BrazilPost-Graduate Program in Sanitary Surveillance, National Institute for Quality Control in Health, Oswald °Cruz Foundation, Fiocruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro 21040-360, RJ, BrazilLaboratory of Comparative and Environmental Virology, Oswald °Cruz Institute, Oswald °Cruz Foundation, Fiocruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro 21040-360, RJ, BrazilLaboratory of Comparative and Environmental Virology, Oswald °Cruz Institute, Oswald °Cruz Foundation, Fiocruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro 21040-360, RJ, BrazilCOVID-19 infection caused by SARS-CoV-2 continues to cause significant mortality and morbidity. ACE2 is a key regulator of the renin–angiotensin–aldosterone system (RAAS). Differences in COVID-19 severity are thought to be due to the imbalance of RAAS/ACE mutations. This retrospective study evaluated the detection and genetic susceptibility to SARS-CoV-2 infection in 202 children ≤3 years of age living in the Amazon region in 2021. The angiotensin-converting enzyme ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) polymorphisms were detected by SYBR GREEN real-time PCR and PCR-RFLP/<i>Alu</i>l digestion, respectively. SARS-CoV-2 detection was performed by RT-qPCR in feces and saliva samples collected simultaneously from the same children presenting acute gastroenteritis (AGE) or acute respiratory infection (ARI). The frequency of SARS-CoV-2 detected by qRT-PCR in children was low (5.9%, 12/202), although higher in the group of children with AGE (8.9%, 9/101) than with ARI (2.9%, 3/101). Susceptibility to SARS-CoV-2 infection was not verified due to the low frequency. Homozygous II (<i>rs</i>4646994) children were the majority (87.1%, 176/202). Boys with genotype A (<i>rs</i>2285666) were more susceptible to ARI and pneumonia symptoms than AGE (OR = 3.8, 95% CI 1.4–10.3, <i>p</i> 0.007). Boys with genotype G (<i>rs</i>4646994) or the combination II + G were more susceptible to acquiring AGE. Surveillance, along with understanding their causes, is crucial to controlling ARI and COVID-19 in children living in low-income countries.https://www.mdpi.com/2414-6366/9/11/270COVID-19SARS-CoV-2susceptibilityangiotensin-converting enzyme
spellingShingle Yan Cardoso Pimenta
Flávia Freitas de Oliveira Bonfim
Carlos Eduardo da Silva Figueiredo
Bruno Loreto de Aragão Pedroso
Mauro França Silva
Alberto Ignacio Olivares Olivares
Isabella Fernandes Delgado
José Paulo Gagliardi Leite
Marcia Terezinha Baroni de Moraes
Polymorphisms in the ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) in Young Children Living in the Amazon Region and SARS-CoV-2 Infection
Tropical Medicine and Infectious Disease
COVID-19
SARS-CoV-2
susceptibility
angiotensin-converting enzyme
title Polymorphisms in the ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) in Young Children Living in the Amazon Region and SARS-CoV-2 Infection
title_full Polymorphisms in the ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) in Young Children Living in the Amazon Region and SARS-CoV-2 Infection
title_fullStr Polymorphisms in the ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) in Young Children Living in the Amazon Region and SARS-CoV-2 Infection
title_full_unstemmed Polymorphisms in the ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) in Young Children Living in the Amazon Region and SARS-CoV-2 Infection
title_short Polymorphisms in the ACE I/D (<i>rs</i>4646994) and ACE2 G8790A (<i>rs</i>2285666) in Young Children Living in the Amazon Region and SARS-CoV-2 Infection
title_sort polymorphisms in the ace i d i rs i 4646994 and ace2 g8790a i rs i 2285666 in young children living in the amazon region and sars cov 2 infection
topic COVID-19
SARS-CoV-2
susceptibility
angiotensin-converting enzyme
url https://www.mdpi.com/2414-6366/9/11/270
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