遺伝的変異がSARS-CoV-2リスクを高める可能性 (Genetic Mutation Linked to Higher SARS-CoV-2 Risk)

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2025-01-14 カリフォルニア大学リバーサイド校(UCR)

カリフォルニア大学リバーサイド校の研究により、PTPN2遺伝子の機能喪失変異がSARS-CoV-2感染リスクを高めることが判明しました。この変異はACE2受容体の発現を増加させ、ウイルス侵入を促進します。しかし、JAK阻害剤トファシチニブがACE2発現を抑制し、感染リスクを軽減できることが示されました。この知見は、新たな治療法や感染症対策の発展に寄与し、特に遺伝的にリスクが高い人々に有益です。

<関連情報>

トファシチニブはPTPN2遺伝子のIBDリスク変異によるSARS-CoV-2感染感受性の上昇を抑制する Tofacitinib Mitigates the Increased SARS-CoV-2 Infection Susceptibility Caused by an IBD Risk Variant in the PTPN2 Gene

Marianne R. Spalinger∙ Golshid Sanati1 ∙ Pritha Chatterjee∙ … ∙ Xiwei Wu∙ Brigid S. Boland∙ Declan F. McCole
Cellular and Molecular Gastroenterology and Hepatology  Published:January 3, 2025
DOI:https://doi.org/10.1016/j.jcmgh.2024.101447

Graphical abstract

遺伝的変異がSARS-CoV-2リスクを高める可能性 (Genetic Mutation Linked to Higher SARS-CoV-2 Risk)

Abstract

Background
Coronavirus disease (COVID-19), caused by SARS-CoV-2, triggered a global pandemic with severe medical and socioeconomic consequences. While fatality rates are higher among the elderly and those with underlying comorbidities, host factors that promote susceptibility to SARS-CoV-2 infection and severe disease are poorly understood. Although individuals with certain autoimmune/inflammatory disorders show increased susceptibility to viral infections, there is incomplete knowledge of SARS-CoV-2 susceptibility in these diseases. The aim of our study was to investigate whether the autoimmunity risk gene, PTPN2, which also confers elevated risk to develop inflammatory bowel disease (IBD), affects susceptibility to SARS-CoV-2 viral uptake.

Methods
Using samples from PTPN2 genotyped IBD patients, PTPN2-deficient mice, and human intestinal and lung epithelial cell lines, we investigated how PTPN2 affects expression of the SARS-CoV-2 receptor ACE2, and uptake of virus-like particles expressing the SARS-CoV2 spike protein and live SARS-CoV-2 virus.

Results
We report that the autoimmune PTPN2 loss-of-function risk variant rs1893217 promotes expression of the SARS-CoV-2 receptor, ACE2, and increases cellular entry of SARS-CoV-2 spike protein and live virus. Elevated ACE2 expression and viral entry were mediated by increased JAK-STAT signalling, and were reversed by the JAK inhibitor, tofacitinib.

Conclusion
Collectively, our findings uncover a novel risk biomarker for increased expression of the SARS-CoV-2 receptor and viral entry, and identify a clinically approved therapeutic agent to mitigate this risk.

医療・健康
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