PMID- 36613859 OWN - NLM STAT- MEDLINE DCOM- 20230111 LR - 20231106 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 1 DP - 2022 Dec 27 TI - Impact on the Clinical Evolution of Patients with COVID-19 Pneumonia and the Participation of the NFE2L2/KEAP1 Polymorphisms in Regulating SARS-CoV-2 Infection. LID - 10.3390/ijms24010415 [doi] LID - 415 AB - In patients with severe pneumonia due to COVID-19, the deregulation of oxidative stress is present. Nuclear erythroid factor 2 (NRF2) is regulated by KEAP1, and NRF2 regulates the expression of genes such as NFE2L2-KEAP1, which are involved in cellular defense against oxidative stress. In this study, we analyzed the participation of the polymorphisms of NFE2L2 and KEAP1 genes in the mechanisms of damage in lung disease patients with SARS-CoV-2 infection. Patients with COVID-19 and a control group were included. Organ dysfunction was evaluated using SOFA. SARS-CoV-2 infection was confirmed and classified as moderate or severe by ventilatory status and by the Berlin criteria for acute respiratory distress syndrome. SNPs in the gene locus for NFE2L2, rs2364723C>G, and KEAP1, rs9676881A>G, and rs34197572C>T were determined by qPCR. We analyzed 110 individuals with SARS-CoV-2 infection: 51 with severe evolution and 59 with moderate evolution. We also analyzed 111 controls. Significant differences were found for rs2364723 allele G in severe cases vs. controls (p = 0.02); for the rs9676881 allele G in moderate cases vs. controls (p = 0.04); for the rs34197572 allele T in severe cases vs. controls (p = 0.001); and in severe vs. moderate cases (p = 0.004). Our results showed that NFE2L2 rs2364723C>G allele G had a protective effect against severe COVID-19, while KEAP1 rs9676881A>G allele G and rs34197572C>T minor allele T were associated with more aggressive stages of COVID-19. FAU - Soto, Maria Elena AU - Soto ME AUID- ORCID: 0000-0003-1332-2888 AD - Department of Immunology, Instituto Nacional de Cardiologia "Ignacio Chavez", Juan Badiano No. 1. Col. Seccion XVI., Mexico City 14380, Mexico. AD - Cardiovascular Line in American British Cowdray (ABC) Medical Center, I.A.P. ABC I.A.P. ABC Sur 136 No. 116 Col. Las Americas, Mexico City 01120, Mexico. FAU - Fuentevilla-Alvarez, Giovanny AU - Fuentevilla-Alvarez G AUID- ORCID: 0000-0002-1819-8444 AD - Department of Physiology, Instituto Nacional de Cardiologia "Ignacio Chavez", Juan Badiano No. 1. Col. Seccion XVI., Mexico City 14380, Mexico. AD - Department of Biochemistry, Escuela Nacional de Ciencias Biologicas, Instituto Politecnico Nacional (IPN), Manuel Carpio y Plutarco Elias Calles, Col. Miguel Hidalgo, Mexico City 11350, Mexico. FAU - Palacios-Chavarria, Adrian AU - Palacios-Chavarria A AUID- ORCID: 0000-0003-2299-1581 AD - Critical Care Unit of the Temporal COVID-19 Unit, Citibanamex Center Av. del Conscripto 311, Lomas de Sotelo, Hipodromo de las Americas, Miguel Hidalgo, Mexico City 11200, Mexico. FAU - Vazquez, Rafael Ricardo Valdez AU - Vazquez RRV AD - Critical Care Unit of the Temporal COVID-19 Unit, Citibanamex Center Av. del Conscripto 311, Lomas de Sotelo, Hipodromo de las Americas, Miguel Hidalgo, Mexico City 11200, Mexico. FAU - Herrera-Bello, Hector AU - Herrera-Bello H AD - Critical Care Unit of the Temporal COVID-19 Unit, Citibanamex Center Av. del Conscripto 311, Lomas de Sotelo, Hipodromo de las Americas, Miguel Hidalgo, Mexico City 11200, Mexico. FAU - Moreno-Castaneda, Lidia AU - Moreno-Castaneda L AD - Critical Care Unit of the Temporal COVID-19 Unit, Citibanamex Center Av. del Conscripto 311, Lomas de Sotelo, Hipodromo de las Americas, Miguel Hidalgo, Mexico City 11200, Mexico. FAU - Torres-Paz, Yazmin Estela AU - Torres-Paz YE AD - Department of Physiology, Instituto Nacional de Cardiologia "Ignacio Chavez", Juan Badiano No. 1. Col. Seccion XVI., Mexico City 14380, Mexico. FAU - Gonzalez-Moyotl, Nadia Janet AU - Gonzalez-Moyotl NJ AUID- ORCID: 0000-0003-0672-5048 AD - Department of Physiology, Instituto Nacional de Cardiologia "Ignacio Chavez", Juan Badiano No. 1. Col. Seccion XVI., Mexico City 14380, Mexico. FAU - Perez-Torres, Idalia AU - Perez-Torres I AD - Department of Genetic, Hospital Infantil de Mexico "Federico Gomez", Doctor Marquez 162, Col. Doctores, Mexico City 06720, Mexico. FAU - Aisa-Alvarez, Alfredo AU - Aisa-Alvarez A AD - Critical Care Unit of the Temporal COVID-19 Unit, Citibanamex Center Av. del Conscripto 311, Lomas de Sotelo, Hipodromo de las Americas, Miguel Hidalgo, Mexico City 11200, Mexico. AD - Critical Care in American British Cowdray (ABC) Medical Center, I.A.P. ABC I.A.P. ABC Sur 136 No. 116 Col. Las Americas, Mexico City 01120, Mexico. FAU - Manzano-Pech, Linaloe AU - Manzano-Pech L AD - Department of Cardiovascular Biomedicine, Instituto Nacional de Cardiologia "Ignacio Chavez", Juan Badiano No. 1. Col. Seccion XVI., Mexico City 14380, Mexico. FAU - Perez-Torres, Israel AU - Perez-Torres I AUID- ORCID: 0000-0001-6510-2954 AD - Department of Cardiovascular Biomedicine, Instituto Nacional de Cardiologia "Ignacio Chavez", Juan Badiano No. 1. Col. Seccion XVI., Mexico City 14380, Mexico. FAU - Huesca-Gomez, Claudia AU - Huesca-Gomez C AD - Department of Physiology, Instituto Nacional de Cardiologia "Ignacio Chavez", Juan Badiano No. 1. Col. Seccion XVI., Mexico City 14380, Mexico. FAU - Gamboa, Ricardo AU - Gamboa R AUID- ORCID: 0000-0001-9102-4240 AD - Department of Physiology, Instituto Nacional de Cardiologia "Ignacio Chavez", Juan Badiano No. 1. Col. Seccion XVI., Mexico City 14380, Mexico. LA - eng GR - 312167/Consejo Nacional de Ciencia y Tecnologia/ PT - Journal Article DEP - 20221227 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (KEAP1 protein, human) RN - 0 (Kelch-Like ECH-Associated Protein 1) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) SB - IM MH - Humans MH - *COVID-19/genetics MH - Genetic Predisposition to Disease MH - *Kelch-Like ECH-Associated Protein 1/genetics/metabolism MH - *NF-E2-Related Factor 2/genetics/metabolism MH - SARS-CoV-2 PMC - PMC9820269 OTO - NOTNLM OT - COVID-19 OT - KEAP1 OT - NFE2L2 OT - SARS-CoV-2 OT - inflammation OT - pathogenesis OT - single nucleotide polymorphism COIS- The authors declare no conflict of interest. EDAT- 2023/01/09 06:00 MHDA- 2023/01/11 06:00 PMCR- 2022/12/27 CRDT- 2023/01/08 01:22 PHST- 2022/10/21 00:00 [received] PHST- 2022/12/08 00:00 [revised] PHST- 2022/12/13 00:00 [accepted] PHST- 2023/01/08 01:22 [entrez] PHST- 2023/01/09 06:00 [pubmed] PHST- 2023/01/11 06:00 [medline] PHST- 2022/12/27 00:00 [pmc-release] AID - ijms24010415 [pii] AID - ijms-24-00415 [pii] AID - 10.3390/ijms24010415 [doi] PST - epublish SO - Int J Mol Sci. 2022 Dec 27;24(1):415. doi: 10.3390/ijms24010415.