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question everything

(48,806 posts)
Thu Jul 20, 2023, 09:21 PM Jul 2023

I think that this is the paper that RFK Jr. mentioned. I have no idea how he could even follow it

Looks to me that it was more of a theoretical analysis not based on actual population data.

New insights into genetic susceptibility of COVID-19: an ACE2 and TMPRSS2 polymorphism analysis

https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-020-01673-z

In this study, we investigated genetic susceptibility to COVID-19 by examining DNA polymorphisms in ACE2 and TMPRSS2 (two key host factors of SARS-CoV-2) from ~?81,000 human genomes. We found unique genetic susceptibility across different populations in ACE2 and TMPRSS2. Specifically, ACE2 polymorphisms were found to be associated with cardiovascular and pulmonary conditions by altering the angiotensinogen-ACE2 interactions, such as p.Arg514Gly in the African/African-American population. Unique but prevalent polymorphisms (including p.Val160Met (rs12329760), an expression quantitative trait locus (eQTL)) in TMPRSS2, offer potential explanations for differential genetic susceptibility to COVID-19 as well as for risk factors, including those with cancer and the high-risk group of male patients. We further discussed that polymorphisms in ACE2 or TMPRSS2 could guide effective treatments (i.e., hydroxychloroquine and camostat) for COVID-19.

Conclusions

This comprehensive comparative genetic analysis of approximately 81,000 human genomes suggested possible associations of ACE2 and TMPRSS2 DNA polymorphisms with COVID-19 susceptibility, severity, and clinical outcomes. We found that ACE2 polymorphisms were more likely to be associated with cardiovascular and pulmonary conditions by altering the angiotensinogen-ACE2 interactions, such as p.Arg514Gly in the African/African-American population. Unique but prevalent polymorphisms in TMPRSS2, including p.Val160Met (rs12329760), may provide potential explanations for differential genetic susceptibility to COVID-19 as well as for risk factors, including cancer and the high-risk group of male patients. We highlighted that polymorphisms in ACE2 or TMPRSS2 could guide personalized treatments (i.e., hydroxychloroquine and camostat) for COVID-19. In summary, this study suggested that ACE2 or TMPRSS2 DNA polymorphisms were likely associated with genetic susceptibility to COVID-19, which calls for a human genetics initiative for fighting the COVID-19 pandemic.

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I think that this is the paper that RFK Jr. mentioned. I have no idea how he could even follow it (Original Post) question everything Jul 2023 OP
Q translated it for him. marble falls Jul 2023 #1
The short -- and correct -- answer is "he didn't." RockRaven Jul 2023 #2
and the long answer... Javaman Jul 2023 #6
The two "treatments" they note, hydroxychloroquine and camostat, aren't. Phoenix61 Jul 2023 #3
The data helps define some parameters. 58Sunliner Jul 2023 #4
Thank you for the clear and detailed explanation question everything Jul 2023 #5

58Sunliner

(4,981 posts)
4. The data helps define some parameters.
Thu Jul 20, 2023, 09:47 PM
Jul 2023

"We found that the distribution of deleterious variants in ACE2 differs among 9 populations in gnomAD (v3). Specifically, 39% (24/61) and 54% (33/61) of deleterious variants in ACE2 occur in African/African-American (AFR) and Non-Finnish European (EUR) populations, respectively (Fig. 1b). Prevalence of deleterious variants among Latino/Admixed American (AMR), East Asian (EAS), Finnish (FIN), and South Asian (SAS) populations is 2–10%, while Amish (AMI) and Ashkenazi Jewish (ASJ) populations do not appear to carry such variants in ACE2 coding regions (Fig. 1b)." That is not to say that ASJ or the Amish can't get Covid-19.
But looking at the numbers, you can see that even if you have a deleterious variant in ACE2 it has to be factored with everything else-'Various determinants of disease progression such as age, sex, virus mutations, comorbidity, lifestyle, host immune response, and genetic background variation have caused clinical variability of COVID-19. '
His original comments about it being engineered to spare the Chinese are ludicrous, of course. Many people died in China.

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