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10.1016/j.mehy.2020.110218

http://scihub22266oqcxt.onion/10.1016/j.mehy.2020.110218
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suck abstract from ncbi


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pmid33254525      Med+Hypotheses 2020 ; 144 (ä): 110218
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  • Vitamin K epoxide reductase complex subunit 1 (VKORC1) gene polymorphism as determinant of differences in Covid-19-related disease severity #MMPMID33254525
  • Janssen R; Walk J
  • Med Hypotheses 2020[Nov]; 144 (ä): 110218 PMID33254525show ga
  • Covid-19, caused by SARS-CoV-2, has major world-wide health-related and socio-economic consequences. There are large disparities in the burden of Covid-19 with an apparent lower risk of poor outcomes in East Asians compared to populations in the West. A recent study suggested that Covid-19 leads to a severe extrahepatic vitamin K insufficiency, which could lead to impaired activation of extrahepatic proteins like endothelial anticoagulant protein S in the presence of normal hepatic procoagulant activity. This would be compatible with the enhanced thrombogenicity in severe Covid-19. The same study showed that vitamin K antagonists (VKA) that inhibit vitamin K recycling, had a greater impact on procoagulant activity than on the activation of extrahepatic vitamin K-dependent proteins during SARS-CoV-2 infections. A genetic polymorphism in the vitamin K epoxide reductase complex 1, VKORC1 -1639A, is particularly prevalent in East Asia and associates with low vitamin K recycling rates. Carriage of the allele may be regarded as bioequivalent to low-dose VKA use. We speculate that VKORC1 -1639A confers protection against thrombotic complications of Covid-19 and that differences in its allele frequency are partially responsible for the differences in Covid-19 severity between East and West.
  • |Americas/epidemiology[MESH]
  • |Asia, Eastern/epidemiology[MESH]
  • |COVID-19/complications/enzymology/*genetics[MESH]
  • |Europe/epidemiology[MESH]
  • |Gene Frequency[MESH]
  • |Humans[MESH]
  • |Models, Biological[MESH]
  • |Pandemics[MESH]
  • |Polymorphism, Single Nucleotide[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]
  • |Thrombosis/etiology/genetics/prevention & control[MESH]
  • |Vitamin K Deficiency/etiology[MESH]
  • |Vitamin K Epoxide Reductases/*genetics[MESH]


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