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Med Hypotheses ; 145: 110343, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33086161

RESUMO

ABO blood groups is a cheap and affordable test that can be immediately retrieved from COVID-19 patients at the diagnosis. There is increasing evidence that non-O blood groups have both higher susceptibility and higher severity of COVID-19 infections. The reason behind such relationship seems elusive. Regarding susceptibility, Non-O individuals have Anti-A antibodies which can prevent viral entry across ACE-2 receptors, moreover, Non-O individuals are at higher risk of autoimmunity, hypercoagulable state, and dysbiosis resulting in an augmented tendency for vascular inflammatory sequelae of COVID-19. We can conclude, on the diagnostic level, that ABO blood groups can be potentially used for risk stratification of affected COVID-19 patients, to anticipate the deterioration of patients at higher risk for complications. On a therapeutic level, plasma from normal O blood group individuals might potentially replace the use of convalescent serum for the treatment of COVID-19.


Assuntos
Sistema ABO de Grupos Sanguíneos , Teste Sorológico para COVID-19/métodos , COVID-19/sangue , COVID-19/diagnóstico , Medição de Risco/métodos , Anticorpos/química , Autoimunidade , COVID-19/imunologia , COVID-19/terapia , Progressão da Doença , Feminino , Furina/metabolismo , Microbioma Gastrointestinal , Humanos , Imunização Passiva , Masculino , Pandemias , Trombose , Soroterapia para COVID-19
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