Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
0-94 |
Sentence |
denotes |
Modelling suggests ABO histo-incompatibility may substantially reduce SARS-CoV-2 transmission. |
T2 |
95-218 |
Sentence |
denotes |
Several independent datasets suggest blood type A is over-represented and type O under-represented among COVID-19 patients. |
T3 |
219-439 |
Sentence |
denotes |
However, blood group antigens appear not to be conventional susceptibility factors in that they do not affect disease severity, and the relative risk to non-O individuals is attenuated when population prevalence is high. |
T4 |
440-716 |
Sentence |
denotes |
Here, I model a scenario in which ABO transfusion incompatibility reduces the chance of a patient transmitting the virus to an incompatible recipient - thus in Western populations type A and AB individuals are "super-recipients" while type O individuals are "super-spreaders". |
T5 |
717-930 |
Sentence |
denotes |
This results in an offset in the timing of the epidemic among individuals of different blood types, and an increased relative risk to type A/AB patients that is most pronounced during early stages of the epidemic. |
T6 |
931-1049 |
Sentence |
denotes |
However, once the majority of any given population is infected, the relative risk to each blood type approaches unity. |
T7 |
1050-1256 |
Sentence |
denotes |
Published data on COVID-19 prevalence from regions in the early stages of the SARS-CoV-2 epidemic suggests that if this model holds true, ABO incompatibility reduces virus transmissibility by at least 60 %. |
T8 |
1257-1535 |
Sentence |
denotes |
Exploring the implications of this model for vaccination strategies shows that paradoxically, targeted vaccination of either high-susceptibility type A/AB or "super-spreader" type O individuals is less effective than random vaccination at blocking community spread of the virus. |
T9 |
1536-1633 |
Sentence |
denotes |
Instead, the key is to maintain blood type diversity among the remaining susceptible individuals. |
T10 |
1634-1797 |
Sentence |
denotes |
Given the good agreement between this model and observational data on disease prevalence, the underlying biochemistry urgently requires experimental investigation. |