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Male carriers of HLA-C*04:01 have increased risk of cardiac injury in COVID-19

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Item Type:Article
Title:Male carriers of HLA-C*04:01 have increased risk of cardiac injury in COVID-19
Creators Name:Suwalski, P., Violano, M., Müller, M., Patriki, D., Thibeault, C., Quedenau, C., Wang, X., Karadeniz, Z., Saccomanno, J., Doehn, J.M., Hübner, R.H., Hinzmann, B., Beer, H.J., Wiggli, B., Siemann, S., Suttorp, N., Witzenrath, M., Hippenstiel, S., Skurk, C., Poller, W., Sander, L.E., Kurth, F., Borodina, T., Guettouche, T., Landmesser, U. and Heidecker, B.
Abstract:Identification of factors that lead to the severe clinical course of COVID-19 is crucial for timely allocation of resources. The purpose of this study was to evaluate possible sex differences in cardiac injury associated with HLA-C*04:01. High sensitivity troponin T on admission (hs-TnTa) and maximum high sensitivity troponin T (hs-TnTmax) were used to assess for cardiac injury in patients with COVID-19 (n = 435). We tested for the association of elevated hs-TnT with HLA-C* 04:01 and evaluated for potential sex-specific differences. An association between hs-TnTa and the severity of clinical course was identified. In addition, our study revealed that hs-TnTmax was higher in men who were carriers of HLA-C*04:01 compared to men without the risk allele. Male carriers of HLA-C*04:01 with COVID-19 developed higher hs-TnTmax, suggesting a larger extent of cardiac injury. This association suggests the presence of different pathomechanisms in COVID-19 based on sex.
Keywords:Genetic, HLA, HLA-C, HLA-C*04:01, COVID-19, Troponin T, hs-TnT
Source:Journal of Cardiovascular Aging
ISSN:2768-5993
Publisher:OAE Publishing
Volume:2
Number:3
Page Range:33
Date:27 June 2022
Official Publication:https://doi.org/10.20517/jca.2022.19

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