Desmoglein-2 and COVID-19 complications: insights into its role as a biomarker, pathogenesis and clinical implications

J Gen Virol. 2023 Oct;104(10). doi: 10.1099/jgv.0.001902.

Abstract

Desmoglein-2 (DSG2) has emerged as a potential biomarker for coronavirus disease 2019 (COVID-19) complications, particularly cardiac and cardiovascular involvement. The expression of DSG2 in lung tissues has been detected at elevated levels, and circulating DSG2 levels correlate with COVID-19 severity. DSG2 may contribute to myocardial injury, cardiac dysfunction and vascular endothelial dysfunction in COVID-19. Monitoring DSG2 levels could aid in risk stratification, early detection and prognostication of COVID-19 complications. However, further research is required to validate DSG2 as a biomarker. Such research will aim to elucidate its precise role in pathogenesis, establishing standardized assays for its measurement and possibly identifying therapeutic targets.

Keywords: COVID-19; SARS-CoV-2; autoantibodies; autoimmunity; biomarker; desmoglein-2.

MeSH terms

  • Biomarkers
  • COVID-19*
  • Desmoglein 2* / genetics
  • Desmoglein 2* / metabolism
  • Humans

Substances

  • Biomarkers
  • Desmoglein 2
  • DSG2 protein, human