Hindustan Times (Jalandhar)

Blood group A most at risk of Covid, O relatively safe: Study

Those with blood group A+ may be most vulnerable; those with O are relatively safe

- Binayak Dasgupta letters@hindustant­imes.com

NEWDELHI: Blood groups may be a key factor in making people susceptibl­e to developing severe respirator­y problems during a Covid-19 infection, according to a study of 1,600 patients in hot spot cities in Italy and Spain that suggested those with blood group A positive were most at risk while those with O were protected to some degree.

The study, published on preprint server medRxiv, is yet to be peer reviewed. The researcher­s carried out a genome-wide associatio­n analysis to determine what genes were common among those that developed a severe respirator­y illness after being infected with Sars-Cov-2.

The study could offer insight into why the disease behaves unpredicta­bly: the symptoms range from being virtually nonexisten­t, resembling flu, or, in most severe cases, leaving people unable to breathe.

NEWDELHI: Blood groups may be a key factor in making people susceptibl­e to developing severe respirator­y problems during a Covid-19 infection, according to a study of 1,600 patients in hot spot cities in Italy and Spain that suggested those with blood group A positive were most at risk while those with O were protected to some degree.

The study, published on preprint server medRxiv, is yet to be peer reviewed. The researcher­s carried out a genome-wide associatio­n analysis to determine what genes were common among those that developed a severe respirator­y illness after being infected by Sars-Cov-2.

The researcher­s detected at least a couple of significan­t “associatio­ns”, including one that “located at the ABO blood group locus and a blood-groupspeci­fic analysis showed higher risk for A-positive individual­s and a protective effect for blood group O”, they said in the paper.

The ABO blood group locus refers to a set of genes that determine which blood group an individual has.

The study could offer scientists more insight into why the disease behaves unpredicta­bly across humans: the symptoms range from being virtually nonexisten­t, resembling a flu, or, in most severe cases, leaving people unable to breathe.

“Respirator­y failure is a key feature of severe Covid-19 and a critical driver of mortality, but for reasons poorly defined affects less than 10% of SarsCoV-2 infected patients,” the researcher­s said.

The variations in symptoms have often defied age and gender trends that largely suggest older men may be more vulnerable to the virus. There have been a signumber nificant number of young people who have succumbed to the illness.

The study covered 1,610 patients from hot spot cities in Italy and Spain who had developed severe symptoms after contractin­g the virus. The team of researcher­s included clinicians at the European Covid-19 epicentres in Italy and Spain and available German and Norwegian scientists. The analysis also used samples from 2,205 blood donors with no evidence of a Covid-19 infection for the genomic comparison.

The researcher­s noted that their findings corroborat­e publicly available results from the Covid-19 Host Genetics Consortium, where similar associatio­ns have been noticed among Covid-19 affected cases versus a population-based sample.

The findings in connection with the blood groups also associate with another Covid-19 symptom seen among people who develop serious illness: blood clotting. “Genetic variation at the ABO locus has previously been associated with a of procoagula­nt markers such as von Willebrand factor and Factor VIII, and the potential relationsh­ip between our genetic findings and the significan­t coagulopat­hy that is observed in severe Covid-19 warrants further attention,” the researcher­s wrote.

Genome-wide associatio­n studies are among the key strategies researcher­s deploy to understand a disease. The genome, simply put, determines how a human body is made up at a cellular level and the functions it carries out, whether to make or repair new cells.

These findings could help efforts to tailor therapies that at present are only mildly effective in treating Covid-19 patients.

“There is usually a strong relationsh­ip between blood group and disease. But it is very difficult at this stage to determine this particular correlatio­n unless there is a very huge study,” said Dr RN Makroo, a specialist in molecular biology. “The distributi­on of blood groups in population also needs to be accounted for,” he added.

THE STUDY COULD

OFFER SCIENTISTS MORE INSIGHT INTO WHY THE DISEASE BEHAVES UNPREDICTA­BLY ACROSS HUMANS

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