We found that the prenylated form (p46) of the dsRNA sensor OAS1 is associated with protection from severe COVID-19.
This is because prenylated OAS1 is associated with endomembranes (SARS-CoV-2 replicates in replicative organelles) and prenylation of OAS1 is necessary for OAS1 to sense SARS-CoV-2.
Not everybody expresses prenylated OAS1 due to a SNP. This SNP predominates in most human populations (except in people of African descent).
Because prenylation was required for anti-SARS-CoV-2 activity, we looked at OAS1 in horseshoe bats. Remarkably, ~55 mya retrotransposition disrupted the prenylation signal in these bats (preventing this pathway from sensing viruses like SARS-CoV-2)!
Because most animals express prenylated OAS1, it is possible that the absence of this defence in billions of humans (and in horseshoe bats) makes humans more susceptible to spillover from these bats than other species?
Perhaps the predominance of prenylated OAS1 in Africa has reduced the burden of COVID-19 in Africa?
A big thanks to everyone involved. Particularly the patients who participated in the study through @CCPUKstudy.
You can follow @WilsonLabCVR.
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