Low levels of soluble DPP4 among Saudis may have constituted a risk factor for MERS endemicity

Most of the cases of Middle East respiratory syndrome coronavirus (MERS-CoV) were reported in Saudi Arabia. Dipeptidyl peptidase-4 (DPP4) was identified as the receptor for the virus. The level of soluble DPP4 (sDPP4) was found to be reduced in MERS-CoV infected patients while high levels of sDPP4 w...

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Main Authors: Khaled R. Alkharsah, Salma Ali Aljaroodi, Jawad Ur Rahman, Awatif N. Alnafie, Reem Al Dossary, Reem Y. Aljindan, Amani M. Alnimr, Jamal Hussen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9004781/?tool=EBI
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author Khaled R. Alkharsah
Salma Ali Aljaroodi
Jawad Ur Rahman
Awatif N. Alnafie
Reem Al Dossary
Reem Y. Aljindan
Amani M. Alnimr
Jamal Hussen
author_facet Khaled R. Alkharsah
Salma Ali Aljaroodi
Jawad Ur Rahman
Awatif N. Alnafie
Reem Al Dossary
Reem Y. Aljindan
Amani M. Alnimr
Jamal Hussen
author_sort Khaled R. Alkharsah
collection DOAJ
description Most of the cases of Middle East respiratory syndrome coronavirus (MERS-CoV) were reported in Saudi Arabia. Dipeptidyl peptidase-4 (DPP4) was identified as the receptor for the virus. The level of soluble DPP4 (sDPP4) was found to be reduced in MERS-CoV infected patients while high levels of sDPP4 were suggested to be protective against MERS-CoV in animal models. We investigated whether the Saudi population has lower levels of sDPP4 which makes them more susceptible to MERS-CoV infection and, therefore, could explain the larger number of cases from the country. Blood samples were collected from 219 Saudi blood donors and 200 blood donors from other ethnic groups. The plasma level of sDPP4 was measured by ELISA and the following SNPs in the DPP4 gene; rs35128070, rs1861978, rs79700168, and rs17574, were genotyped by TaqMan SNP genotyping assay. The average level of plasma sDDP4 was significantly lower in Saudis than other Arabs and non-Arabs (P value 0.0003 and 0.012, respectively). The genotypes AG of rs35128070 and GT of rs1861978 were significantly associated with lower sDPP4 among Saudis (P value 0.002 for each). While both genotypes AA and AG of rs79700168 and rs17574 were associated with significantly lower average sDPP4 level in Saudis compared to other ethnic groups (P value 0.031 and 0.032, and 0.027 and 0.014, respectively). Herein, we report that the Saudi population has lower levels of plasma sDPP4 than other ethnic groups, which is associated with genetic variants in the DPP4 gene. This may have contributed to increase the susceptibility of the Saudi population to MERS-CoV infection and could be a factor in the long-lasting persistence of the virus in the country.
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spelling doaj.art-716dcdc23c1e4c8183a015c013f4786b2022-12-22T00:14:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01174Low levels of soluble DPP4 among Saudis may have constituted a risk factor for MERS endemicityKhaled R. AlkharsahSalma Ali AljaroodiJawad Ur RahmanAwatif N. AlnafieReem Al DossaryReem Y. AljindanAmani M. AlnimrJamal HussenMost of the cases of Middle East respiratory syndrome coronavirus (MERS-CoV) were reported in Saudi Arabia. Dipeptidyl peptidase-4 (DPP4) was identified as the receptor for the virus. The level of soluble DPP4 (sDPP4) was found to be reduced in MERS-CoV infected patients while high levels of sDPP4 were suggested to be protective against MERS-CoV in animal models. We investigated whether the Saudi population has lower levels of sDPP4 which makes them more susceptible to MERS-CoV infection and, therefore, could explain the larger number of cases from the country. Blood samples were collected from 219 Saudi blood donors and 200 blood donors from other ethnic groups. The plasma level of sDPP4 was measured by ELISA and the following SNPs in the DPP4 gene; rs35128070, rs1861978, rs79700168, and rs17574, were genotyped by TaqMan SNP genotyping assay. The average level of plasma sDDP4 was significantly lower in Saudis than other Arabs and non-Arabs (P value 0.0003 and 0.012, respectively). The genotypes AG of rs35128070 and GT of rs1861978 were significantly associated with lower sDPP4 among Saudis (P value 0.002 for each). While both genotypes AA and AG of rs79700168 and rs17574 were associated with significantly lower average sDPP4 level in Saudis compared to other ethnic groups (P value 0.031 and 0.032, and 0.027 and 0.014, respectively). Herein, we report that the Saudi population has lower levels of plasma sDPP4 than other ethnic groups, which is associated with genetic variants in the DPP4 gene. This may have contributed to increase the susceptibility of the Saudi population to MERS-CoV infection and could be a factor in the long-lasting persistence of the virus in the country.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9004781/?tool=EBI
spellingShingle Khaled R. Alkharsah
Salma Ali Aljaroodi
Jawad Ur Rahman
Awatif N. Alnafie
Reem Al Dossary
Reem Y. Aljindan
Amani M. Alnimr
Jamal Hussen
Low levels of soluble DPP4 among Saudis may have constituted a risk factor for MERS endemicity
PLoS ONE
title Low levels of soluble DPP4 among Saudis may have constituted a risk factor for MERS endemicity
title_full Low levels of soluble DPP4 among Saudis may have constituted a risk factor for MERS endemicity
title_fullStr Low levels of soluble DPP4 among Saudis may have constituted a risk factor for MERS endemicity
title_full_unstemmed Low levels of soluble DPP4 among Saudis may have constituted a risk factor for MERS endemicity
title_short Low levels of soluble DPP4 among Saudis may have constituted a risk factor for MERS endemicity
title_sort low levels of soluble dpp4 among saudis may have constituted a risk factor for mers endemicity
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9004781/?tool=EBI
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