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Systematic Review on Covid 19 Susceptibility and ACE2 Polymorphism

SYSTEMATIC REVIEW ON COVID 19 SUSCEPTIBILITY AND ACE2 POLYMORPHISM


ABSTRACT

The study reviewed the COVID-19 Susceptibility and ACE2 Polymorphism. In achieving this aim, the following specific objectives were laid out to investigate the factors instigating the genetic susceptibility to COVID-19, and assess the genetic aspects of COVID-19 Susceptibility and ACE2 Polymorphism. While COVID-19 pandemic continues to spread worldwide, researchers have linked patterns of traits to poor disease outcomes. Risk factors for COVID-19 include asthma, elderly age, being pregnant, having any underlying diseases such as cardiovascular disease, diabetes, obesity, and experiencing lifelong systemic racism. Recently, connections to certain genes have also been found, although the susceptibility has not yet been established. The findings uses the angiotens in converting enzyme 2 (ACE2) receptor for cell entry. Previous studies have shown that people with ACE2 polymorphism who have type 2 transmembrane serine proteases (TMPRSS2) are at high risk of SARS-CoV-2 infection. Also, two studies have shown that males are more likely to become infected with SARS-CoV-2 than females. Combing through the genome, several genes related to immune system’s response were related to the severity and susceptibility to the COVID-19. In conclusion, a correlation was found between the ACE2 levels and the susceptibility to SARS-CoV-2 infection. This study will be of immense benefit to researchers who intend to know more on this study and can also be used by non-researchers to build more on their research work.


CHAPTER ONE

1.1 Introduction

The current rampant coronavirus infection in humans, commonly known as COVID-19, a pandemic that may cause mortality in humans, has been declared a global emergency by the World Health Organization (WHO). COVID-19 is considered a zoonotic infectious disease that can spread amongst humans or animals to human (Zhou et al., 2020); when transmitted by humans, it could lead to serious respiratory conditions (Abdelhafiz et al., 2020 and Chandi et al., 2020). The key clinical signs and symptoms include fatigue, a fever of 39 degrees and above, dry cough, dyspnoea, fatigue, and myalgia, and in some severe cases, COVID-19 infection can cause kidney failure, severe pneumonia and acute respiratory syndrome, and even death (Abdelhafiz et al., 2020).

As a prelude to other parts of this study, this chapter will discuss the background upon which this study was initiated, the statement of problems that led to this study, the Aim and Objectives of the study. Others are Significance of the study, Scope of work, Research hypothesis and questions, Limitations of the Study and Definition of technical terms.


1.2 Background of Study

Several studies have noted that the majority of people in sub-Saharan African are noncompliant with proposed health and safety measures recommended by the World Health Organization (WHO) and respective country health departments. In most sub-Saharan African countries, noncompliance is attributable to ignorance and misinformation, thereby raising questions about people’s knowledge, attitudes, perception, and practices towards COVID-19 in these settings. This situation is particularly of concern for governments and public health experts. Thus, this scoping review is aimed at mapping evidence on the knowledge, attitudes, perceptions, and preventive practices (KAP) towards COVID-19 in sub-Saharan Africa (SSA).

The morbidity and mortality rates due to the pandemic are increasing rapidly worldwide, with the USA most affected by the disease. The source COVID-19 is not absolutely clear; however, the disease may be transmitted by either by COVID-19-positive individuals or from a contaminated environment. In this review, we focused on how the COVID-19 virus is transmitted in the community. An extensive literature search was conducted using specific keywords and criteria. Based on the published report, it is concluded that COVID-19 is primarily transmitted human-to-human via oral and respiratory aerosols and droplets with the virus-contaminated environment play a lesser role in the propagation of disease. Healthcare providers and the elderly with comorbidities are especially susceptible to the infection.

Therefore, in Nigeria where the research was carried out, the activities that was conducted is to know the Systematic Review on Covid 19 Susceptibility and ACE2 Polymorphism.


1.3 Statement of Problems

The intermediate source of origin and transfer to humans is not known, however, the rapid human to human transfer has been confirmed widely. There is no clinically approved antiviral drug or vaccine available to be used against COVID-19. However, few broad-spectrum antiviral drugs have been evaluated against COVID-19 in clinical trials, resulted in clinical recovery.

While COVID‑19 pandemic continues to spread worldwide, researchers have linked patterns of traits to poor disease outcomes. Risk factors for COVID‑19 include asthma, elderly age, being pregnant, having any underlying diseases such as cardiovascular disease, diabetes, obesity, and experiencing lifelong systemic racism. Recently, con‑ nections to certain genes have also been found, although the susceptibility has not yet been established.


1.4 Aim and Objectives of Study

The aim of the study is to review the Covid 19 Susceptibility and ACE2 Polymorphism. In achieving this aim, the following specific objectives were laid out as follows:

  1. To investigate the factors instigating the genetic susceptibility to COVID-19.
  2. To assess the genetic aspects of COVID-19 Susceptibility and ACE2 Polymorphism.
  3. To find out the relationship between COVID-19 Susceptibility and ACE2 Polymorphism

1.5 Research Questions

The study came up with research questions so as to be able to ascertain the above stated objectives. The specific research questions for the study are stated below as follows:

  • Is there any relationship between COVID-19 Susceptibility and ACE2 Polymorphism?
  • What are the factors instigating the genetic susceptibility to COVID-19?
  • What are the genetic aspects of COVID-19 Susceptibility and ACE2 Polymorphism?

1.6 Research Hypothesis

In order to pursue the objective of this study, the following generalized statements have been designed to guide and aids in obtaining the result for the experiment to be conducted. For this work, the null hypothesis will be represented with H0 while the alternative hypothesis will be represented with hypothesis H1.

Hypothesis One

  • H0: There is no significant relationship between COVID-19 Susceptibility and ACE2 Polymorphism
  • H1: There is a significant relationship between COVID-19 Susceptibility and ACE2 Polymorphism

Hypothesis Two

  • H0: There are no significant factors instigating the genetic susceptibility to COVID-19
  • H1: There are significant factors instigating the genetic susceptibility to COVID-19

1.7 Significance of Study

This study will be of immense benefit to researchers who intend to know more on this study and can also be used by non-researchers to build more on their research work. This study contributes to knowledge and could serve as a guide for other study.


1.8 Scope of Study

The study focuses on the Systematic Review on COVID-19 Susceptibility and ACE2 Polymorphism in Nigeria.


1.9 Limitations of the Study

During the course of this study, many things militated against its completion, some of which are:

  1. Time Constraint: The time frame given to accomplish this project was very short due to school academic calendar and it was carried out under pressure which made the researcher not to implement some necessary features.
  2. Research material: availability of research material is a major setback to the scope of the study.
  3. Frequent power failure: This made the researcher append more money on fuel to ensure sustainable power.

CHAPTER TWO

2.0 Literature Review

2.1 Introduction

The review of relevant literature is the main topic of this chapter. A literature review covers theoretical and methodological contributions to a certain issue in addition to the state of knowledge at the time of writing. It provides information about the state of the art in relation to the subject you are writing about. It examines the body of work on the chosen subject. The literature evaluation in this study comprises the …


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TABLE OF CONTENTS

PRELIMINARY PAGES


CHAPTER ONE

INTRODUCTION


    • 1.1 Introduction
    • 1.2 Background …

    CHAPTER TWO

    LITERATURE REVIEW

    • 2.1 Introduction

    CHAPTER THREE

    MATERIALS AND METHODS

    • 3.1 Introduction

    CHAPTER FOUR

    RESULTS AND DISCUSSION

    • 4.1 Introduction
    • 4.2 Results
    • 4.3 Discussion of Findings

    CHAPTER FIVE

    SUMMARY, CONCLUSION AND RECOMMENDATION

    • 5.1 Introduction
    • 5.2 Summary
    • 5.3 Conclusion
    • 5.4 Recommendation

    REFERENCES


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