People with blood type O may have a lower risk of COVID-19, new studies reveal



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People with blood type O may be less vulnerable to COVID-19 and they have a reduced chance of becoming seriously ill, according to two studies published yesterday.
the investigation provides further evidence that blood type may play a role in a person’s susceptibility to infection and their likelihood of having a severe episode of disease.

The reasons for this link are unclear and more research is needed to say what implications, if any, it has for patients.

UK National Blood Service blood bags, containing different blood groups: A, B, AB and O. (SSPL via Getty Images)

Studies add to growing evidence

A Danish study found that among 7,422 people who tested positive for COVID-19, only 38.4 percent were blood type O, although, among a group of 2.2 million people who did not get tested, that blood type accounted for 41.7 percent. percent of the population.

In contrast, 44.4 percent of group A tested positive, while in the general Danish population that blood type represents 42.4 percent.

In the other study, researchers from Canada found that among 95 critically ill patients with COVID-19, a higher proportion with blood type A or AB (84 percent) required mechanical ventilation compared to patients with blood group O or B, which was 61 percent.

the Canadian The study also found that those with blood group A or AB had a longer stay in the intensive care unit, a mean of 13.5 days, compared to those with blood group O or B, who had a mean of nine days.
Test tubes with blood samples seen in a laboratory facility. (Images by SOPA / LightRocket via Gett)
“As a physician … it’s in the back of my mind when I look at patients and stratify them. But in terms of a definitive marker, we need repeat findings in many jurisdictions that show the same thing,” said Dr. Mypinder Sekhon, a intensive care physician in Vancouver General Hospital and author of the Canadian study, he said.

“If you are blood group A, you don’t need to panic. And if you are blood group O, you are not free to go to pubs and bars.”

It makes very little difference in the daily life of most people, unless you have to receive a blood transfusion.

People shouldn’t be unduly concerned about the link between blood type and COVID-19 either, said Dr. Torben Barington, lead author of the Danish paper and clinical professor at Odense University Hospital and the University of Southern Denmark.

“We don’t know if it’s some kind of group O protection, or if it’s some kind of vulnerability in the other blood groups,” said Dr. Barington.

People should not be unduly concerned about the link between blood type and COVID-19, said Dr. Torben Barington. (Images by SOPA / LightRocket via Gett)

“I think this is of scientific interest, and when we find out what the mechanism is, maybe we can proactively use it in some way regarding treatment.”

In the Danish study, researchers analyzed data on Danish individuals who were tested between February 27 and July 30, and the distribution of blood types among those people was compared with data from people who had not been tested. .

They found that blood group was not a risk factor for hospitalization or death from COVID-19.

While there are several theories, researchers still don’t know what mechanism could explain the link between different blood groups and COVID-19.

Dr Sekhon said it could be explained because people with blood type O have less key clotting factor, making them less prone to blood clotting problems. Coagulation has been one of the main drivers of the severity of COVID-19.
Dose of enoxaparin, a blood thinner used to treat blood clots associated with COVID-19. (Hearst Newspapers via Getty Imag)

Other possible explanations involve blood group antigens and how they affect the production of infection-fighting antibodies. Or it could be related to genes associated with blood types and their effect on immune system receptors.

“It’s an interesting repeated scientific observation that really justifies more mechanistic work,” he said.

‘Important research question’

The findings from the two new studies provide “more convergent evidence that blood type may play a role in a person’s susceptibility to COVID-19 infection and the possibility of having a severe attack from COVID-19, “said Dr. Amesh Adalja, a principal investigator at the Johns Hopkins University Center for Health Security in Baltimore, who was not involved in any of the studies.
A separate study, published in The New England Journal of Medicine in June, found genetic data in some COVID-19 healthy patients and people, suggesting that those with type A blood had a higher risk of becoming infected, and those with type O blood had a lower risk.

The previous genetic study, along with the two new studies in Blood Advances, “suggest that this is a real phenomenon that we are seeing,” said Dr. Adalja, whose work focuses on emerging infectious diseases.

“While we have not gotten to the point where this is ironclad, it is clearly suggestive and we have not seen anything inconsistent with this.

“The same pattern has been emerging with blood type O which tends to be the one that stands out.”

Most humans fall into one of four blood groups: A, B, AB, or O. (image alliance via Getty Image)

Dr. Adalja said that blood types and their susceptibility to various infections have been studied previously in the medical literature. For example, research suggests that people with blood type O appear to be more susceptible to norovirus infection.

As to new coronavirus that causes COVID-19, “We need to figure out the mechanism and understand it at the molecular level to be able to say with certainty how this is happening: that this is really O blood type and not something that relates to O blood type,” said Dr. Adalja.

“We’re starting to see enough now that I think it’s an important research question to answer.

“There is more science to do here, but it seems to me that there is more accumulating evidence for this hypothesis.”

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