RT Journal Article SR Electronic T1 Transmembrane protease serine 2 (TMPRSS2) rs75603675, comorbidity, and sex are the primary predictors of COVID-19 severity JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202201396 DO 10.26508/lsa.202201396 VO 5 IS 10 A1 Villapalos-García, Gonzalo A1 Zubiaur, Pablo A1 Rivas-Durán, Rebeca A1 Campos-Norte, Pilar A1 Arévalo-Román, Cristina A1 Fernández-Rico, Marta A1 García-Fraile Fraile, Lucio A1 Fernández-Campos, Paula A1 Soria-Chacartegui, Paula A1 Fernández de Córdoba-Oñate, Sara A1 Delgado-Wicke, Pablo A1 Fernández-Ruiz, Elena A1 González-Álvaro, Isidoro A1 Sanz, Jesús A1 Abad-Santos, Francisco A1 de los Santos, Ignacio YR 2022 UL https://www.life-science-alliance.org/content/5/10/e202201396.abstract AB By the end of December 2021, coronavirus disease 2019 (COVID-19) produced more than 271 million cases and 5.3 million deaths. Although vaccination is an effective strategy for pandemic control, it is not yet equally available in all countries. Therefore, identification of prognostic biomarkers remains crucial to manage COVID-19 patients. The aim of this study was to evaluate predictors of COVID-19 severity previously proposed. Clinical and demographic characteristics and 120 single-nucleotide polymorphisms were analyzed from 817 patients with COVID-19, who attended the emergency department of the Hospital Universitario de La Princesa during March and April 2020. The main outcome was a modified version of the 7-point World Health Organization (WHO) COVID-19 severity scale (WHOCS); both in the moment of the first hospital examination (WHOCS-1) and of the severest WHOCS score (WHOCS-2). The TMPRSS2 rs75603675 genotype (OR = 2.140), dyslipidemia (OR = 2.289), sex (OR = 0.586), and the Charlson Comorbidity Index (OR = 1.126) were identified as the main predictors of disease severity. Consequently, these variables might influence COVID-19 severity and could be used as predictors of disease development.