SELP Asp603Asn and severe thrombosis in COVID-19 males.
Anti-selectin P monoclonal antibodies
COVID-19
P-selectin
Thromboembolism
Thrombus
Venous thromboembolism
Journal
Journal of hematology & oncology
ISSN: 1756-8722
Titre abrégé: J Hematol Oncol
Pays: England
ID NLM: 101468937
Informations de publication
Date de publication:
16 08 2021
16 08 2021
Historique:
received:
01
06
2021
accepted:
03
08
2021
entrez:
17
8
2021
pubmed:
18
8
2021
medline:
25
8
2021
Statut:
epublish
Résumé
Thromboembolism is a frequent cause of severity and mortality in COVID-19. However, the etiology of this phenomenon is not well understood. A cohort of 1186 subjects, from the GEN-COVID consortium, infected by SARS-CoV-2 with different severity was stratified by sex and adjusted by age. Then, common coding variants from whole exome sequencing were mined by LASSO logistic regression. The homozygosity of the cell adhesion molecule P-selectin gene (SELP) rs6127 (c.1807G > A; p.Asp603Asn) which has been already associated with thrombotic risk is found to be associated with severity in the male subcohort of 513 subjects (odds ratio = 2.27, 95% Confidence Interval 1.54-3.36). As the SELP gene is downregulated by testosterone, the odd ratio is increased in males older than 50 (OR 2.42, 95% CI 1.53-3.82). Asn/Asn homozygotes have increased D-dimers values especially when associated with poly Q ≥ 23 in the androgen receptor (OR 3.26, 95% CI 1.41-7.52). These results provide a rationale for the repurposing of antibodies against P-selectin as adjuvant therapy in rs6127 male homozygotes especially if older than 50 or with an impaired androgen receptor.
Identifiants
pubmed: 34399825
doi: 10.1186/s13045-021-01136-9
pii: 10.1186/s13045-021-01136-9
pmc: PMC8365289
doi:
Substances chimiques
P-Selectin
0
SELP protein, human
0
Types de publication
Letter
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
123Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2021. The Author(s).
Références
Tang N, Li D, Wang X, et al. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost. 2020. https://doi.org/10.1111/jth.14768 .
doi: 10.1111/jth.14768
pubmed: 32619329
pmcid: 9906401
Fallerini C, Daga S, Mantovani S, et al. Association of toll-like receptor 7 variants with life-threatening COVID-19 disease in males: findings from a nested case-control study. Elife. 2021;2(10):e67569. https://doi.org/10.7554/eLife.67569 .
doi: 10.7554/eLife.67569
Severe Covid-19 GWAS Group, Ellinghaus D, Degenhardt F, et al. Genomewide Association Study of Severe Covid-19 with Respiratory Failure. N Engl J Med. 2020;383(16):1522–34. https://doi.org/10.1056/NEJMoa2020283 .
doi: 10.1056/NEJMoa2020283
Baldassarri M, Picchiotti N, Fava F, et al. Shorter androgen receptor polyQ alleles protect against life-threatening COVID-19 disease in European males. EBioMedicine. 2021;65:103246. https://doi.org/10.1016/j.ebiom.2021.103246 .
doi: 10.1016/j.ebiom.2021.103246
pubmed: 33647767
pmcid: 7908850
Blann AD, Nadar SK, Lip GYH, et al. The adhesion molecule P-selectin and cardiovascular disease. Eur Heart J. 2003;24:2166–79.
doi: 10.1016/j.ehj.2003.08.021
pubmed: 14659768
Merten M, Thiagarajan P. P-selectin in arterial thrombosis. Z Kardiol. 2004;93(11):855–63. https://doi.org/10.1007/s00392-004-0146-5 .
doi: 10.1007/s00392-004-0146-5
pubmed: 15568145
Bongiovanni D, Klug M, Lazareva O, et al. SARS-CoV-2 infection is associated with a pro-thrombotic platelet phenotype. Cell Death Dis. 2021;12(1):50. https://doi.org/10.1038/s41419-020-03333-9 .
doi: 10.1038/s41419-020-03333-9
pubmed: 33414384
pmcid: 7790351
Manne BK, Denorme F, Middleton EA, et al. Platelet gene expression and function in patients with COVID-19. Blood. 2020;136(11):1317–29. https://doi.org/10.1182/blood.2020007214 .
doi: 10.1182/blood.2020007214
pubmed: 32573711
Ay C, Jungbauer LV, Kaider A, et al. P-selectin gene haplotypes modulate soluble P-selectin concentrations and contribute to the risk of venous thromboembolism. Thromb Haemost. 2008;99(5):899–904. https://doi.org/10.1160/TH07-11-0672 .
doi: 10.1160/TH07-11-0672
pubmed: 18449419
Tregouet DA, Barbaux S, Escolano S, et al. Specific haplotypes of the P-selectin gene are associated with myocardial infarction. Hum Mol Genet. 2002;11(17):2015–23. https://doi.org/10.1093/hmg/11.17.2015 .
doi: 10.1093/hmg/11.17.2015
pubmed: 12165563
Zhang S, Liu Y, Wang X, et al. SARS-CoV-2 binds platelet ACE2 to enhance thrombosis in COVID-19. J Hematol Oncol. 2020;13:120. https://doi.org/10.1186/s13045-020-00954-7 .
doi: 10.1186/s13045-020-00954-7
pubmed: 32887634
pmcid: 7471641
Karolczak K, Konieczna L, Kostka T, et al. Testosterone and dihydrotestosterone reduce platelet activation and reactivity in older men and women. Aging (Albany NY). 2018;10(5):902–29. https://doi.org/10.18632/aging.101438 .
doi: 10.18632/aging.101438
pubmed: 29723157
Agrati C, Bordoni V, Sacchi A, et al. Elevated P-selectin in severe Covid-19: considerations for therapeutic options. Mediterr J Hematol Infect Dis. 2021;13(1):e2021016. https://doi.org/10.4084/MJHID.2021.016 .
doi: 10.4084/MJHID.2021.016
pubmed: 33747397
pmcid: 7938922