Copyright: © 2026 by the authors. Licensee: Pirogov University.
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ORIGINAL RESEARCH

Platelet receptor gene polymorphisms and altered platelet aggregation in patients with COVID-19 and type 2 diabetes mellitus

Osikov MV1,2 , Antonov VN2,3 , Zotov SO1,3
About authors

1 South Ural State Medical University, Chelyabinsk, Russia

2 Chelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia

3 Regional Clinical Hospital No. 3, Chelyabinsk, Russia

Correspondence should be addressed: Semen O. Zotov
Vorovsky, 64, Chelyabinsk, 454092, Russia; ur.xednay@7002znemes

About paper

Author contribution: Osikov MV, Antonov VN — study planning; Zotov SO — literature review, data acquisition, analysis, and interpretation.

Compliance with ethical standards: the study was approved by the Ethics Committee of the South Ural State Medical University (protocol No. 4 dated May 24, 2021, protocol No. 2 dated March 5, 2026). All patients submitted the informed consent.

Received: 2026-05-18 Accepted: 2026-07-15 Published online: 2026-07-28
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Fig. Hemostasis indicators in patients with COVID-19-DAD and T2D, carriers of the hemostasis factor gene mutant polymorphisms: rs5918 of the gene ITGB3 (А); rs1126643 of the gene ITGA2 (B); rs6065 of the gene GP1BA (C). V (inducer) — rate of induced platelet aggregation; * — significant differences (p < 0.05) from carriers of the “wild type” genotype; # — from carriers of heterozygote
Table 1. Main clinical, laboratory, and instrumental indicators of the studied groups at admission
Note: * — significant (p < 0.05) differences from group 1.
Table 2. Genotype abundance when analyzing polymorphisms of the genes ITGB3, GP1B1 и ITGA2 in individuals with COVID-19-DAD and T2D
Note: * — significant (p < 0.05) differences from group 1; # — from group 2; 0 — wild type genotype; I — heterozygote; II — mutant homozygote.
Table 3. Characteristics of patients with COVID-19-DAD and T2D based on the abundance of ITGB3, GP1B1, and ITGA2 polymorphisms
Note: * — significant (p < 0.05) differences; I — heterozygote; II — mutant homozygote.
Table 4**. Induced platelet aggregation in individuals with COVID-19-DAD and T2D depending on the ITGB3, ITGA2, and GP1B1 polymorphisms on day 7, Ме(Q25; Q75)
Note: * — significant (p < 0.05) differences from the homozygous non-mutant variant within the group based on the Kruskal‒Wallis test with the Dunn’s test; # — from the heterozygous variant within the group; 0 — wild type genotype; I — heterozygote; II — mutant homozygote.