Furin is a
protease that plays a key role in the
infection cycle of SARS-CoV-2 by cleaving the
viral proteins during the virus particle assembly. In addition,
Furin regulates several physiological processes related to cardio-metabolic traits.
DNA variants in the
FURIN gene are candidates to regulate the risk of developing these traits as well as the susceptibility to severe
COVID-19. We genotyped two functional
FURIN variants (rs6224/rs4702) in 428
COVID-19 patients in the intensive care unit. The association with death (N = 106) and
hypertension, diabetes, and hyperlipidaemia was statistically evaluated. The risk of death was associated with age,
hypertension, and
hypercholesterolemia. The two
FURIN alleles linked to higher expression (rs6224 T and rs4702 A) were significantly increased in the death cases (odds ratio= 1.40 and 1.43). Homozygosis for the two high expression genotypes (rs6224 TT and rs4702 AA) and for the T-A haplotype was associated with an increased risk of
hypercholesterolemia. In the multiple logistic regression both,
hypercholesterolemia and the TT + AA genotype were significantly associated with death. In conclusion, besides its association with
hypercholesterolemia,
FURIN variants might be independent risk factors for the risk of death among
COVID-19 patients.