Evidence map›Paper›PMID 32835126›Full record

ArticleObesity medicine2020

Association of high level gene expression of ACE2 in adipose tissue with mortality of COVID-19 infection in obese patients.

Sammy Al-Benna

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Obesity medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04802044 (COVID-19, Aging, and Cardiometabolic Risk Factors), which is not on this map. Cited by 115 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04802044 unknown statusnot on this map

COVID-19, Aging, and Cardiometabolic Risk Factors (CARAMEL) Study: Integrating Aging, Cardiovascular, Metabolic, and Immunological Studies to Unravel COVID-19 Pathophysiology

TypeobservationalSponsorIndonesia UniversityRan2020 to 2023Enrolled440ConditionsCovid19, Obesity, Diabetes Mellitus, Aging
3 · Its place in the literature

Who cites it

115 citing papers in PubMed, 3 syntheses or guidelines pooled it, 182 citations in OpenAlex.

  1. Pooled it
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  8. ACE2 gene expression in skin and subcutaneous tissues of free flaps.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025
    Article
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  14. The Functions of SARS-CoV-2 Receptors in Diabetes-Related Severe COVID-19.International journal of molecular sciences · 2024
    Review
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  20. How market integration impacts human disease ecology.Evolution, medicine, and public health · 2024
    Article

55 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Sammy Al-BennaDivision of Plastic and Reconstructive Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Academic Hospital, Francie van Zijl Drive, PO Box 241, Cape Town, 8000, South Africa.
Stellenbosch University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObese patients have an increased risk of COVID-19 critical illness leading to ICU admission or death compared to normal weight individuals. SARS-CoV-2 binding to angiotensin-converting enzyme 2 (ACE2) receptor is a critical step mediate virus entry into target cells. Articles have alluded that the level of ACE2 gene expression in adipose tissue is higher than lung tissue, but a PubMed search found no results in articles to demonstrate this. The aim of this study was to investigate ACE2 gene expression in adipose tissue and lung tissue using a public database. MATERIAL AND

methodsA search of a public gene expression database to investigate ACE2 gene expression in human tissues.

resultsACE2 gene expression was present in both visceral and subcutaneous adipose tissues. The gene expression profile demonstrated that ACE2 gene expression was higher in human visceral and subcutaneous adipose tissues than human lung tissue.

conclusionThis study demonstrates that ACE2 gene expression is higher in visceral and subcutaneous adipose tissue than that in lung tissue, a major target tissue affected by SARS-CoV-2 infection. This suggests a mechanism by which excess adiposity may drive greater infection severity in patients with COVID-19.

Indexed as

ACE2, angiotensin converting enzyme-2ACE, angiotensin converting enzymeAdipose tissueAngiotensin converting enzyme 2 receptorAT(1–7), angiotensin (1–7)AT1, angiotensin 1AT2, angiotensin 2CoronavirusCOVID-19COVID-19, Coronavirus disease 2019SARS CoV-2, severe acute respiratory syndrome coronavirus-2SARS CoV, severe acute respiratory syndrome coronavirusSevere acute respiratory syndrome coronavirus 2

Identifiers

PMID32835126
PMCPMC7368415
OpenAlexW3043611403

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.