机构:[1]Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China华中科技大学同济医学院附属同济医院[2]National Medical Center for Major Public Health Events, Huazhong University of Science and Technology, Wuhan, China[3]Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China[4]Ministry of Education Key Laboratory of Environment and Health, State Key Laboratory of Environmental Health (Incubating),School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China[5]Hepatic Disease Institute,Hubei Key Laboratory of Theoretical and Applied Research of Liver and Kidney in Traditional Chinese Medicine, Hubei Provincial Hospital ofTraditional Chinese Medicine, Wuhan, China[6]Hubei Provincial Academy of Traditional Chinese Medicine, Wuhan, China[7]School of PublicHealth (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China深圳医学信息中心中国医学科学院阜外医院深圳医院[8]Department of Hematology, Union Hospital, Tongji Medical College,Huazhong University of Science and Technology, Wuhan, China华中科技大学同济医学院附属协和医院[9]The Third People’s Hospital of Shenzhen, National Clinical Research Center forInfectious Disease, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China[10]Department ofLaboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China华中科技大学同济医学院附属同济医院[11]Department ofOccupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China[12]Hubei Provincial Center for Disease Control and Prevention, Wuhan, China[13]College of Life Sciences, University of ChineseAcademy of Sciences, Beijing, China[14]Department of Emergency, Union Hospital, Tongji Medical College, Huazhong University of Science andTechnology, Wuhan, China华中科技大学同济医学院附属协和医院[15]Department of Pediatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China华中科技大学同济医学院附属协和医院[16]Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, MA, USA[17]Department of Statistics, HarvardUniversity, Cambridge, MA, USA[18]Broad Institute of MIT and Harvard, Cambridge, MA, USA[19]School of Medicine, South China University ofTechnology, Guangzhou, China
COVID-19 has caused numerous infections with diverse clinical symptoms. To identify human genetic variants contributing to the clinical development of COVID-19, we genotyped 1457 (598/859 with severe/mild symptoms) and sequenced 1141 (severe/mild: 474/667) patients of Chinese ancestry. We further incorporated 1401 genotyped and 948 sequenced ancestry-matched population controls, and tested genome-wide association on 1072 severe cases versus 3875 mild or population controls, followed by trans-ethnic meta-analysis with summary statistics of 3199 hospitalized cases and 897,488 population controls from the COVID-19 Host Genetics Initiative. We identified three significant signals outside the well-established 3p21.31 locus: an intronic variant in FOXP4-AS1 (rs1853837, odds ratio OR = 1.28, P = 2.51 x 10(-10), allele frequencies in Chinese/European AF = 0.345/0.105), a frameshift insertion in ABO (rs8176719, OR = 1.19, P = 8.98 x 10(-9), AF = 0.422/0.395) and a Chinese-specific intronic variant in MEF2B (rs74490654, OR = 8.73, P = 1.22 x 10(-8), AF = 0.004/0). These findings highlight an important role of the adaptive immunity and the ABO blood-group system in protection from developing severe COVID-19. Chaolong Wang and colleagues report a large genome-wide association study for COVID-19 severity in Chinese individuals. By meta-analysis with European data, they identify 3 loci associated with severe disease that suggest key roles for the adaptive immune system and the ABO blood group system in development of severe COVID-19.
基金:
Wuhan Municipal Health Commission [EG20B03]; Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81973148, 82003561, 32000398, 31900487]; Natural Science Foundation of Guangdong ProvinceNational Natural Science Foundation of Guangdong Province [2017A030306026]; Guangdong-Hong Kong Joint Laboratory on Immunological and Genetic Kidney Diseases [2019B121205005]
第一作者机构:[1]Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China[2]National Medical Center for Major Public Health Events, Huazhong University of Science and Technology, Wuhan, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China[2]National Medical Center for Major Public Health Events, Huazhong University of Science and Technology, Wuhan, China[3]Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology,Wuhan, China[4]Ministry of Education Key Laboratory of Environment and Health, State Key Laboratory of Environmental Health (Incubating),School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China[10]Department ofLaboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
推荐引用方式(GB/T 7714):
Wu Peng,Ding Lin,Li Xiaodong,et al.Trans-ethnic genome-wide association study of severe COVID-19[J].COMMUNICATIONS BIOLOGY.2021,4(1):doi:10.1038/s42003-021-02549-5.
APA:
Wu, Peng,Ding, Lin,Li, Xiaodong,Liu, Siyang,Cheng, Fanjun...&Wang, Chaolong.(2021).Trans-ethnic genome-wide association study of severe COVID-19.COMMUNICATIONS BIOLOGY,4,(1)
MLA:
Wu, Peng,et al."Trans-ethnic genome-wide association study of severe COVID-19".COMMUNICATIONS BIOLOGY 4..1(2021)