Inconsistent trends regarding the association between ABO blood groups and susceptibility to SARS-CoV-2 infections

Abstract

ABO antigens, produced from the ABO gene, are known to impact host interactions with various viruses. One characteristic is the host’s susceptibility to viral infections. Host interaction with viral particles is altered by the blood type-determined combination of ABO antigens on the cellular surface. SARS-CoV-2 is a novel strain of the coronavirus family known to have structural similarities with SARS-CoV. Considering ABO antigens’ association with SARS-CoV, studies have examined their relationship with SARS-CoV-2 as well. We reviewed current perspectives on the relationship between host susceptibility to SARS-CoV-2 infections and ABO antigens by examining cohort studies observing proportional differences between patients of varying blood types. While many studies indicated a higher risk of type A patients and a lower risk for type O patients, trends tended to vary per population. Consequently, we investigated the differences in study design between cohort studies that produced the variation in trends. Additionally, we examined genome-wide association studies that indicate a genetic association between the variables. We present the need for a standardized calculation method determining the significance of each blood group in its relationship with SARS-CoV-2 susceptibility per cohort.