Evidence map›Paper›PMID 33386398›Full record

ArticleAmerican journal of hypertension2021

SARS-CoV-2 Receptor ACE2 Gene Is Associated with Hypertension and Severity of COVID 19: Interaction with Sex, Obesity, and Smoking.

Pavel Hamet, Zdenka Pausova, Redha Attaoua, Camil Hishmih, Mounsif Haloui, Jean Shin, Tomas Paus, Michal Abrahamowicz, Daniel Gaudet, Lara Santucci and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of hypertension, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  15. The effect of ACE2 receptor, IFN-γ, and TNF-α polymorphisms on the severity and prognosis of the disease in SARS-CoV-2 infection.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2023
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  20. Lifestyle and Dietary Habits Change Before and During Quarantine and Subsequent Weight Gain.Journal of community hospital internal medicine perspectives · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Pavel HametCentre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Quebec, Canada.
Zdenka PausovaThe Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Redha AttaouaCentre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Quebec, Canada.
Camil HishmihCentre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Quebec, Canada.
Mounsif HalouiCentre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Quebec, Canada.
Jean ShinThe Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Tomas PausClinical Lipidology and Rare Lipid Disorders Unit, Department of Medicine, Université de Montréal Community Gene Medicine Center, Lipid Clinic Chicoutimi Hospital and ECOGENE-21 Clinical and Translational Research Center, Chicoutimi, Quebec, Canada.
Michal AbrahamowiczClinical Lipidology and Rare Lipid Disorders Unit, Department of Medicine, Université de Montréal Community Gene Medicine Center, Lipid Clinic Chicoutimi Hospital and ECOGENE-21 Clinical and Translational Research Center, Chicoutimi, Quebec, Canada.
Daniel GaudetDepartment of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Lara SantucciCentre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Quebec, Canada.
Theodore A KotchenDepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Allen W CowleyDepartment of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Julie HussinMontreal Heart Institute, Quebec, Canada.
Johanne TremblayCentre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Quebec, Canada.
Centre Hospitalier de l’Université de Montréal · CAUniversité du Québec à Chicoutimi · CAMedical College of Wisconsin · USUniversity of Toronto · CAMontreal Heart Institute · CA

Funding

SCOR-MOLECULAR GENTICS OF HYPERTENSIONP50HL054998 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI JACOB, HOWARD J · 1996 to 2005
$8.1M
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NHLBI NIH HHS P50 HL054998
6 · The paper itself

Abstract

backgroundAngiotensin-converting enzyme 2 (ACE2) has been identified as the entry receptor for coronaviruses into human cells, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that causes coronavirus disease 2019 (COVID-19). Since hypertension (HT) is a leading comorbidity in non-survivors of COVID-19, we tested for association between ACE2 gene and HT in interaction with specific pre-existing conditions known to be associated with COVID-19 severity.

methodsGenetic analysis of ACE2 gene was conducted in French-Canadian (FC) and British populations.

resultsIn FC individuals, the T allele of the single nucleotide polymorphism rs2074192 of ACE2 gene was a risk factor for HT in adult obese males [odds ratio (OR) = 1.39, 95% confidence interval (CI) 1.06-1.83)] and even more so in obese males who smoked (OR = 1.67, CI: 1.24-2.55), but not in lean males, non-smoker males or females. The T allele was significantly associated with severity of HT and with earlier penetrance of HT in obese smoking males. Significant interaction between the T allele and obesity was present in both sexes. The association of ACE2 (rs233575) genotype with blood pressure was also seen in adolescents but the interaction with obesity was present only in females. Several variants in ACE2 gene were found to be associated with HT in obese, smoking males in British individuals of the UK Biobank. In addition, we observed more severe outcomes to COVID-19 in association with ACE2 risk alleles in obese, smoking males.

conclusionsThis is the first report that ACE2 variants are associated with earlier penetrance and more severe HT and with more severe outcomes of COVID-19 in obese smoking males.

Indexed as

COVID-19HypertensionObesityAdolescentAngiotensin-Converting Enzyme 2Blood PressureCanadaComorbidityFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedPolymorphism, Single NucleotideSARS-CoV-2Severity of Illness IndexACE2 protein, humanAngiotensin-Converting Enzyme 2ACE2blood pressureCOVID-19hypertensionobesitySARS–CoV-2sexsmoking

Identifiers

PMID33386398
PMCPMC7799248
OpenAlexW3114254168

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.