2021
DOI: 10.14348/molcells.2021.2249
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Regional TMPRSS2 V197M Allele Frequencies Are Correlated with COVID-19 Case Fatality Rates

Abstract: Coronavirus disease, COVID-19 (coronavirus disease 2019), caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), has a higher case fatality rate in European countries than in others, especially East Asian ones. One potential explanation for this regional difference is the diversity of the viral infection efficiency. Here, we analyzed the allele frequencies of a nonsynonymous variant rs12329760 (V197M) in the TMPRSS2 gene, a key enzyme essential for viral infection and found a significant assoc… Show more

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Cited by 12 publications
(8 citation statements)
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“…It has also been predicted that rs12329760 could affect the stability of TMPRSS2 protease and have a protective effect on patients 28 . The frequency of rs12329760 is higher in East Asia than in European countries, and the elevated frequency is associated with a lower fatality rate 29 . In Madrid, a sequencing analysis of 23 cases of familial multiple sclerosis has shown that TMPRSS2 synonymous variants rs61735792 and rs61735794 were significantly associated with infection, whereas ACE2 and furin were not significantly associated with SARS-COV-2 infection 30 .…”
Section: Introductionmentioning
confidence: 95%
“…It has also been predicted that rs12329760 could affect the stability of TMPRSS2 protease and have a protective effect on patients 28 . The frequency of rs12329760 is higher in East Asia than in European countries, and the elevated frequency is associated with a lower fatality rate 29 . In Madrid, a sequencing analysis of 23 cases of familial multiple sclerosis has shown that TMPRSS2 synonymous variants rs61735792 and rs61735794 were significantly associated with infection, whereas ACE2 and furin were not significantly associated with SARS-COV-2 infection 30 .…”
Section: Introductionmentioning
confidence: 95%
“…We identified five residues (173, 260, 263, 360 and 412 – numbering from the human TMPRSS2 sequence) that were significantly detected under positive selection by at least two independent methods (Table 1, Figure 3B). Of note, position 197, which is polymorphic in human TMPRSS2 (rs12329760, V197M) and may be associated with COVID-19 severity ((Jeon et al, 2021) p-value around 10 -5 above the 10 -8 significance threshold commonly used in GWAS multiple testing), encoded for a conserved valine in all non-human primate sequences. Because the SARS-CoV-2 – TMPRSS2 interface is currently unknown, only in silico molecular docking studies have predicted the substrate binding region (Brooke and Prischi, 2020; Hoffmann et al, 2020; Rangel et al, 2020; SENAPATI et al, 2021).…”
Section: Resultsmentioning
confidence: 99%
“…In fact, a substantial association between the COVID-19 case fatality and a nonsynonymous mutation in the TMPRSS2 V197M allele has been demonstrated. In East Asian countries, this was linked to decreased case fatality rates [ 44 ].…”
Section: Discussionmentioning
confidence: 99%