论文标题

血型会影响Covid-19的感染模式吗?

Does blood type affect the COVID-19 infection pattern?

论文作者

Miotto, Mattia, Di Rienzo, Lorenzo, Gosti, Giorgio, Milanetti, Edoardo, Ruocco, Giancarlo

论文摘要

在众多表征Covid-19大流行的许多方面中,两个似乎特别具有挑战性:(i)在病毒传染性和致命性程度上的巨大地理差异在流行病进展的不同阶段中发现,以及(ii)感染者血液类型在病毒感染和疾病进展中的潜在作用。最近的假设可以阐明这两个方面。具体而言,已经提出,在受试者转移中,SARS-COV-2在其capsid上保守了源主体的红细胞抗原。因此,这些保守的抗原可能会在接收受试者中引起免疫反应,该受试者先前已经获得了源抗原的特定抗体。该假设意味着血型依赖性感染率。因此,血型分布的强烈地理依赖性可能是流行病中观察到的异质性的起源的因素之一。在这里,我们提出了一个流行病学确定性模型,其中考虑了基于血液类型的感染规则,并将我们的模型结果与退出的全球感染进展数据进行比较。我们发现了一个整体良好的一致性,这加强了以下假设,即血型确实在Covid-19感染中起作用。

Among the many aspects that characterize the COVID-19 pandemic, two seem particularly challenging to understand: (i) the great geographical differences in the degree of virus contagiousness and lethality which were found in the different phases of the epidemic progression, and (ii) the potential role of the infected people's blood type in both the virus infectivity and the progression of the disease. A recent hypothesis could shed some light on both aspects. Specifically, it has been proposed that in the subject-to-subject transfer SARS-CoV-2 conserves on its capsid the erythrocytes' antigens of the source subject. Thus these conserved antigens can potentially cause an immune reaction in a receiving subject that has previously acquired specific antibodies for the source subject antigens. This hypothesis implies a blood type-dependent infection rate. The strong geographical dependence of the blood type distribution could be, therefore, one of the factors at the origin of the observed heterogeneity in the epidemics spread. Here, we present an epidemiological deterministic model where the infection rules based on blood types are taken into account and compare our model outcomes with the exiting worldwide infection progression data. We found an overall good agreement, which strengthens the hypothesis that blood types do play a role in the COVID-19 infection.

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