id author title date pages extension mime words sentences flesch summary cache txt cord-292519-dod8k0xa Goldstein, Mark R Does apolipoprotein E genotype predict COVID-19 severity? 2020-04-27 .txt text/plain 696 36 46 A challenge facing the medical community caring for coronavirus disease 2019 (COVID-19) patients is predicting who will eventually progress to severe illness and even death, which is usually from acute respiratory distress syndrome (ARDS) [1] . We hypothesize that the apolipoprotein E4 (apoE4) genotype may predict the propensity to manifest rapid and severe illness with COVID-19. Of interest, apoE4 has also been associated with some of the comorbid risk factors associated with severe COVID-19, such as atherosclerosis and hypertension [4, 8] . Therefore, it is possible that having one or two copies of apoE4 predisposes one to be at high risk to progress to severe illness from SARS-CoV-2, by virtue of a sequence of robust innate immune response, followed by cytokine storm, and resulting ARDS. Apolipoprotein (apo) E4 enhances HIV-1 cell entry in vitro, and the APOE ε4/ε4 genotype accelerates HIV disease progression ./cache/cord-292519-dod8k0xa.txt ./txt/cord-292519-dod8k0xa.txt