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Nasopharyngeal Shedding of Severe Acute Respiratory Syndrome—Associated Coronavirus Is Associated with Genetic Polymorphisms

Identifieur interne : 001093 ( Pmc/Checkpoint ); précédent : 001092; suivant : 001094

Nasopharyngeal Shedding of Severe Acute Respiratory Syndrome—Associated Coronavirus Is Associated with Genetic Polymorphisms

Auteurs : Wei-Ju Chen [Taïwan] ; Jyh-Yuan Yang [Taïwan] ; Jih-Hui Lin [Taïwan] ; Cathy S. J. Fann [Taïwan] ; Valeriy Osyetrov [Taïwan] ; Chwan-Chuen King [Taïwan] ; Yi-Ming Arthur Chen ; Hsiao-Ling Chang [Taïwan] ; Hung-Wei Kuo [Taïwan] ; Fong Liao [Taïwan] ; Mei-Shang Ho [Taïwan]

Source :

RBID : PMC:7107974

Abstract

Abstract

Background. A high initial or peak severe acute respiratory syndrome (SARS)—associated coronavirus (SARS-CoV) load in nasopharyngeal specimens was shown to be associated with a high mortality rate. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive.

Methods. The nationwide SARS database in Taiwan was analyzed, and genotyping of 281 single-nucleotide polymorphisms (SNPs) of 65 genes was performed for 94 patients with SARS, to identify SNPs for which distribution between patients with or without detectable nasopharyngeal shedding of SARS-CoV was biased.

Results. Titers of SARS-CoV shed in nasopharyngeal specimens varied widely, ranging from nondetectable to 108 SARS-CoV RNA copies/mL, and they were correlated positively with a high mortality rate (P < .0001, by trend test) and with early death (i.e., death occurring within 2 weeks of the onset of illness) (P = .0015, by trend test). Virus shedding was found to be higher among male patients (P = .0014, by multivariate logistic regression) and among older patients (P = .015, by multivariate logistic regression). Detectable nasopharyngeal shedding of SARS-CoV was associated with polymorphic alleles of interleukins 18 (P = .014) and 1A (P = .031) and a member of NFκB complex (reticuloendotheliosis viral oncogene homolog B [RelB]) (P = .034), all of which are proinflammatory in nature, as well as the procoagulation molecule fibrinogen-like protein 2 (P = .008).

Conclusion. The SARS-CoV load is a determinant of clinical outcomes of SARS, and it is associated with polymorphisms of genes involved in innate immunity, which might be regulated in an age- and sex-dependent manner. The findings of the present study provided leads to genes involved in the host response to SARS-CoV infection; if substantiated with functional studies, these findings may be applicable to other newly emerged respiratory viruses (e.g., the influenza pandemic strain).


Url:
DOI: 10.1086/503843
PubMed: 16652313
PubMed Central: 7107974


Affiliations:


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PMC:7107974

Le document en format XML

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<name sortKey="Liao, Fong" sort="Liao, Fong" uniqKey="Liao F" first="Fong" last="Liao">Fong Liao</name>
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<name sortKey="Chen, Wei Ju" sort="Chen, Wei Ju" uniqKey="Chen W" first="Wei-Ju" last="Chen">Wei-Ju Chen</name>
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<author>
<name sortKey="Yang, Jyh Yuan" sort="Yang, Jyh Yuan" uniqKey="Yang J" first="Jyh-Yuan" last="Yang">Jyh-Yuan Yang</name>
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<nlm:aff id="aff2">
<institution>Center for Disease Control</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
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<wicri:regionArea>Taipei</wicri:regionArea>
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<name sortKey="Lin, Jih Hui" sort="Lin, Jih Hui" uniqKey="Lin J" first="Jih-Hui" last="Lin">Jih-Hui Lin</name>
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<nlm:aff id="aff2">
<institution>Center for Disease Control</institution>
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<addr-line>Taipei, Taiwan</addr-line>
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<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Taipei</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fann, Cathy S J" sort="Fann, Cathy S J" uniqKey="Fann C" first="Cathy S. J." last="Fann">Cathy S. J. Fann</name>
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<nlm:aff id="aff1">
<institution>Institute of Biomedical Science, Academia Sinica</institution>
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<addr-line>Taipei, Taiwan</addr-line>
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<name sortKey="Osyetrov, Valeriy" sort="Osyetrov, Valeriy" uniqKey="Osyetrov V" first="Valeriy" last="Osyetrov">Valeriy Osyetrov</name>
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<nlm:aff id="aff1">
<institution>Institute of Biomedical Science, Academia Sinica</institution>
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<addr-line>Taipei, Taiwan</addr-line>
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<name sortKey="King, Chwan Chuen" sort="King, Chwan Chuen" uniqKey="King C" first="Chwan-Chuen" last="King">Chwan-Chuen King</name>
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<institution>Graduate Institute of Epidemiology, National Taiwan University</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
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<name sortKey="Chen, Yi Ming Arthur" sort="Chen, Yi Ming Arthur" uniqKey="Chen Y" first="Yi-Ming Arthur" last="Chen">Yi-Ming Arthur Chen</name>
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<name sortKey="Chang, Hsiao Ling" sort="Chang, Hsiao Ling" uniqKey="Chang H" first="Hsiao-Ling" last="Chang">Hsiao-Ling Chang</name>
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<institution>Center for Disease Control</institution>
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<addr-line>Taipei, Taiwan</addr-line>
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<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Taipei</wicri:regionArea>
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<name sortKey="Kuo, Hung Wei" sort="Kuo, Hung Wei" uniqKey="Kuo H" first="Hung-Wei" last="Kuo">Hung-Wei Kuo</name>
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<institution>Center for Disease Control</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
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<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Taipei</wicri:regionArea>
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<name sortKey="Liao, Fong" sort="Liao, Fong" uniqKey="Liao F" first="Fong" last="Liao">Fong Liao</name>
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<institution>Institute of Biomedical Science, Academia Sinica</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
</nlm:aff>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Taipei</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ho, Mei Shang" sort="Ho, Mei Shang" uniqKey="Ho M" first="Mei-Shang" last="Ho">Mei-Shang Ho</name>
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<institution>Institute of Biomedical Science, Academia Sinica</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
</nlm:aff>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Taipei</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff3">
<institution>Graduate Institute of Epidemiology, National Taiwan University</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
</nlm:aff>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Taipei</wicri:regionArea>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
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<series>
<title level="j">Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America</title>
<idno type="ISSN">1058-4838</idno>
<idno type="eISSN">1537-6591</idno>
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<title>Abstract</title>
<p>
<bold>
<italic>Background</italic>
</bold>
. A high initial or peak severe acute respiratory syndrome (SARS)—associated coronavirus (SARS-CoV) load in nasopharyngeal specimens was shown to be associated with a high mortality rate. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive.</p>
<p>
<bold>
<italic>Methods</italic>
</bold>
. The nationwide SARS database in Taiwan was analyzed, and genotyping of 281 single-nucleotide polymorphisms (SNPs) of 65 genes was performed for 94 patients with SARS, to identify SNPs for which distribution between patients with or without detectable nasopharyngeal shedding of SARS-CoV was biased.</p>
<p>
<bold>
<italic>Results</italic>
</bold>
. Titers of SARS-CoV shed in nasopharyngeal specimens varied widely, ranging from nondetectable to 10
<sup>8</sup>
SARS-CoV RNA copies/mL, and they were correlated positively with a high mortality rate (
<italic>P</italic>
< .0001, by trend test) and with early death (i.e., death occurring within 2 weeks of the onset of illness) (
<italic>P</italic>
= .0015, by trend test). Virus shedding was found to be higher among male patients (
<italic>P</italic>
= .0014, by multivariate logistic regression) and among older patients (
<italic>P</italic>
= .015, by multivariate logistic regression). Detectable nasopharyngeal shedding of SARS-CoV was associated with polymorphic alleles of interleukins 18 (
<italic>P</italic>
= .014) and 1A (
<italic>P</italic>
= .031) and a member of NFκB complex (reticuloendotheliosis viral oncogene homolog B [
<italic>RelB</italic>
]) (
<italic>P</italic>
= .034), all of which are proinflammatory in nature, as well as the procoagulation molecule fibrinogen-like protein 2 (
<italic>P</italic>
= .008).</p>
<p>
<bold>
<italic>Conclusion</italic>
</bold>
. The SARS-CoV load is a determinant of clinical outcomes of SARS, and it is associated with polymorphisms of genes involved in innate immunity, which might be regulated in an age- and sex-dependent manner. The findings of the present study provided leads to genes involved in the host response to SARS-CoV infection; if substantiated with functional studies, these findings may be applicable to other newly emerged respiratory viruses (e.g., the influenza pandemic strain).</p>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Clin Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Clin. Infect. Dis</journal-id>
<journal-id journal-id-type="hwp">cid</journal-id>
<journal-id journal-id-type="publisher-id">cid</journal-id>
<journal-title-group>
<journal-title>Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America</journal-title>
</journal-title-group>
<issn pub-type="ppub">1058-4838</issn>
<issn pub-type="epub">1537-6591</issn>
<publisher>
<publisher-name>The University of Chicago Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">16652313</article-id>
<article-id pub-id-type="pmc">7107974</article-id>
<article-id pub-id-type="doi">10.1086/503843</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles and Commentaries</subject>
<subj-group subj-group-type="category-toc-heading">
<subject>Major Articles</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Nasopharyngeal Shedding of Severe Acute Respiratory Syndrome—Associated Coronavirus Is Associated with Genetic Polymorphisms</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Wei-Ju</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Jyh-Yuan</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lin</surname>
<given-names>Jih-Hui</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fann</surname>
<given-names>Cathy S. J.</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Osyetrov</surname>
<given-names>Valeriy</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>King</surname>
<given-names>Chwan-Chuen</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Yi-Ming Arthur</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chang</surname>
<given-names>Hsiao-Ling</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kuo</surname>
<given-names>Hung-Wei</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liao</surname>
<given-names>Fong</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ho</surname>
<given-names>Mei-Shang</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff3">3</xref>
<xref ref-type="aff" rid="aff4">4</xref>
<xref ref-type="corresp" rid="cor1"></xref>
<pmc-comment>homs@ibms.sinica.edu.tw</pmc-comment>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<institution>Institute of Biomedical Science, Academia Sinica</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
</aff>
<aff id="aff2">
<label>2</label>
<institution>Center for Disease Control</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
</aff>
<aff id="aff3">
<label>3</label>
<institution>Graduate Institute of Epidemiology, National Taiwan University</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
</aff>
<aff id="aff4">
<label>1</label>
<institution>Institute of Public Health, National Yang-Ming University</institution>
,
<addr-line>Taipei, Taiwan</addr-line>
</aff>
<author-notes>
<corresp id="cor1">Reprints or correspondence: Dr. Mei-Shang Ho, IBMS, Academia Sinica, Taipei, 11529 Taiwan (
<email>homs@ibms.sinica.edu.tw</email>
).</corresp>
</author-notes>
<pub-date pub-type="ppub">
<day>1</day>
<month>6</month>
<year>2006</year>
</pub-date>
<pub-date pub-type="epub" iso-8601-date="2006-06-01">
<day>1</day>
<month>6</month>
<year>2006</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>6</month>
<year>2006</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the . </pmc-comment>
<volume>42</volume>
<issue>11</issue>
<fpage>1561</fpage>
<lpage>1569</lpage>
<history>
<date date-type="received">
<day>5</day>
<month>12</month>
<year>2005</year>
</date>
<date date-type="accepted">
<day>1</day>
<month>2</month>
<year>2006</year>
</date>
</history>
<permissions>
<copyright-statement>© 2006 by the Infectious Diseases Society of America</copyright-statement>
<copyright-year>2006</copyright-year>
<license>
<license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p>
</license>
</permissions>
<self-uri xlink:href="42-11-1561.pdf"></self-uri>
<abstract>
<title>Abstract</title>
<p>
<bold>
<italic>Background</italic>
</bold>
. A high initial or peak severe acute respiratory syndrome (SARS)—associated coronavirus (SARS-CoV) load in nasopharyngeal specimens was shown to be associated with a high mortality rate. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive.</p>
<p>
<bold>
<italic>Methods</italic>
</bold>
. The nationwide SARS database in Taiwan was analyzed, and genotyping of 281 single-nucleotide polymorphisms (SNPs) of 65 genes was performed for 94 patients with SARS, to identify SNPs for which distribution between patients with or without detectable nasopharyngeal shedding of SARS-CoV was biased.</p>
<p>
<bold>
<italic>Results</italic>
</bold>
. Titers of SARS-CoV shed in nasopharyngeal specimens varied widely, ranging from nondetectable to 10
<sup>8</sup>
SARS-CoV RNA copies/mL, and they were correlated positively with a high mortality rate (
<italic>P</italic>
< .0001, by trend test) and with early death (i.e., death occurring within 2 weeks of the onset of illness) (
<italic>P</italic>
= .0015, by trend test). Virus shedding was found to be higher among male patients (
<italic>P</italic>
= .0014, by multivariate logistic regression) and among older patients (
<italic>P</italic>
= .015, by multivariate logistic regression). Detectable nasopharyngeal shedding of SARS-CoV was associated with polymorphic alleles of interleukins 18 (
<italic>P</italic>
= .014) and 1A (
<italic>P</italic>
= .031) and a member of NFκB complex (reticuloendotheliosis viral oncogene homolog B [
<italic>RelB</italic>
]) (
<italic>P</italic>
= .034), all of which are proinflammatory in nature, as well as the procoagulation molecule fibrinogen-like protein 2 (
<italic>P</italic>
= .008).</p>
<p>
<bold>
<italic>Conclusion</italic>
</bold>
. The SARS-CoV load is a determinant of clinical outcomes of SARS, and it is associated with polymorphisms of genes involved in innate immunity, which might be regulated in an age- and sex-dependent manner. The findings of the present study provided leads to genes involved in the host response to SARS-CoV infection; if substantiated with functional studies, these findings may be applicable to other newly emerged respiratory viruses (e.g., the influenza pandemic strain).</p>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Taïwan</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Chen, Yi Ming Arthur" sort="Chen, Yi Ming Arthur" uniqKey="Chen Y" first="Yi-Ming Arthur" last="Chen">Yi-Ming Arthur Chen</name>
</noCountry>
<country name="Taïwan">
<noRegion>
<name sortKey="Chen, Wei Ju" sort="Chen, Wei Ju" uniqKey="Chen W" first="Wei-Ju" last="Chen">Wei-Ju Chen</name>
</noRegion>
<name sortKey="Chang, Hsiao Ling" sort="Chang, Hsiao Ling" uniqKey="Chang H" first="Hsiao-Ling" last="Chang">Hsiao-Ling Chang</name>
<name sortKey="Fann, Cathy S J" sort="Fann, Cathy S J" uniqKey="Fann C" first="Cathy S. J." last="Fann">Cathy S. J. Fann</name>
<name sortKey="Ho, Mei Shang" sort="Ho, Mei Shang" uniqKey="Ho M" first="Mei-Shang" last="Ho">Mei-Shang Ho</name>
<name sortKey="Ho, Mei Shang" sort="Ho, Mei Shang" uniqKey="Ho M" first="Mei-Shang" last="Ho">Mei-Shang Ho</name>
<name sortKey="King, Chwan Chuen" sort="King, Chwan Chuen" uniqKey="King C" first="Chwan-Chuen" last="King">Chwan-Chuen King</name>
<name sortKey="Kuo, Hung Wei" sort="Kuo, Hung Wei" uniqKey="Kuo H" first="Hung-Wei" last="Kuo">Hung-Wei Kuo</name>
<name sortKey="Liao, Fong" sort="Liao, Fong" uniqKey="Liao F" first="Fong" last="Liao">Fong Liao</name>
<name sortKey="Lin, Jih Hui" sort="Lin, Jih Hui" uniqKey="Lin J" first="Jih-Hui" last="Lin">Jih-Hui Lin</name>
<name sortKey="Osyetrov, Valeriy" sort="Osyetrov, Valeriy" uniqKey="Osyetrov V" first="Valeriy" last="Osyetrov">Valeriy Osyetrov</name>
<name sortKey="Yang, Jyh Yuan" sort="Yang, Jyh Yuan" uniqKey="Yang J" first="Jyh-Yuan" last="Yang">Jyh-Yuan Yang</name>
</country>
</tree>
</affiliations>
</record>

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Data generation: Tue Apr 28 14:49:16 2020. Site generation: Sat Mar 27 22:06:49 2021