[Skip to Content]
[Skip to Content Landing]

Molecular Underpinnings of Severe Coronavirus Disease 2019

Educational Objective
To understand the molecular underpinnings of severe COVID-19
1 Credit CME

The molecular underpinnings of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and the disease it causes, coronavirus disease 2019 (COVID-19), are poorly understood. Inherited genetic variation is an important tool to disentangle cause and consequence, which in turn can generate insights to guide therapeutic interventions to prevent or treat disease. To date, little is known about genetic susceptibility to SARS-CoV-2 infection and severe forms of COVID-19.1,2

Sign in to take quiz and track your certificates

Buy This Activity

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 Credit(s)™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Robert M. Plenge, MD, PhD, Research & Early Development, Bristol Myers Squibb, 200 Cambridgepark Dr, Cambridge, MA 02140 (robert.plenge@gmail.com).

Published Online: July 24, 2020. doi:10.1001/jama.2020.14015

Conflict of Interest Disclosures: Dr Plenge is an employee of Bristol Myers Squibb (BMS). None of the therapies mentioned in this article is a BMS product.

References
1.
Ellinghaus  D , Degenhardt  F , Bujanda  L ,  et al; Severe Covid-19 GWAS Group.  Genomewide association study of severe Covid-19 with respiratory failure.   N Engl J Med. Published online June 17, 2020. doi:10.1056/NEJMoa2020283PubMedGoogle Scholar
2.
The COVID-19 Host Genetics Initiative. Accessed July 22, 2020. www.covid19hg.org/
3.
van der Made  CI , Simons  A , Schuurs-Hoeijmakers  J ,  et al.  Presence of genetic variants among young men with severe COVID-19.   JAMA. Published online July 24, 2020. doi:10.1001.jama.2020.13719Google Scholar
4.
Vabret  N , Britton  GJ , Gruber  C ,  et al; Sinai Immunology Review Project.  Immunology of COVID-19: current state of the science.   Immunity. 2020;52(6):910-941. doi:10.1016/j.immuni.2020.05.002 PubMedGoogle ScholarCrossref
5.
Park  A , Iwasaki  A .  Type I and type III interferons: induction, signaling, evasion, and application to combat COVID-19.   Cell Host Microbe. 2020;27(6):870-878. doi:10.1016/j.chom.2020.05.008PubMedGoogle ScholarCrossref
6.
Hung  IF-N , Lung  K-C , Tso  EY-K ,  et al.  Triple combination of interferon beta-1b, lopinavir-ritonavir, and ribavirin in the treatment of patients admitted to hospital with COVID-19: an open-label, randomised, phase 2 trial.   Lancet. 2020;395(10238):1695-1704. doi:10.1016/S0140-6736(20)31042-4PubMedGoogle ScholarCrossref
7.
The RECOVERY Collaborative Group.  Dexamethasone in hospitalized patients with Covid-19: preliminary report.   N Engl J Med. Published online July 17, 2020. doi:10.1056/NEJMoa2021436Google Scholar
8.
Broad Institute. Genome Aggregation Database. Accessed July 22, 2020. https://gnomad.broadinstitute.org/
9.
Beigel  JH , Tomashek  KM , Dodd  LE ,  et al; ACTT-1 Study Group Members.  Remdesivir for the treatment of Covid-19: preliminary report.   N Engl J Med. Published online May 22, 2020. doi:10.1056/NEJMoa2007764PubMedGoogle Scholar
10.
Grein  J , Ohmagari  N , Shin  D ,  et al.  Compassionate use of remdesivir for patients with severe Covid-19.   N Engl J Med. 2020;382(24):2327-2336. doi:10.1056/NEJMoa2007016PubMedGoogle ScholarCrossref
11.
Sempowski  GD , Saunders  KO , Acharya  P , Wiehe  KJ , Haynes  BF .  Pandemic preparedness: developing vaccines and therapeutic.   Cell. 2020;181(7):1458-1463. doi:10.1016/j.cell.2020.05.041PubMedGoogle ScholarCrossref
12.
Sanders  JM , Monogue  ML , Jodlowski  TZ , Cutrell  JB .  Pharmacologic treatments for coronavirus disease 2019 (COVID-19): a review.   JAMA. 2020;323(18):1824-1836. doi:10.1001/jama.2020.6019PubMedGoogle Scholar
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

Close
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
Close
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Close
Close

Lookup An Activity

or

My Saved Searches

You currently have no searches saved.

Close

My Saved Courses

You currently have no courses saved.

Close