Presenter of 1 Presentation
GENOMIC CHARACTERIZATION OF HOST FACTORS RELATED TO SARS-COV-2 INFECTION IN PEOPLE WITH DEMENTIA AND CONTROL POPULATIONS: THE GR@ACE/DEGESCO STUDY.
Abstract
Aims
Emerging studies have suggested several chromosomal regions as potential host genetic factors involved in the susceptibility to SARS-CoV-2 infection and disease outcome. We nested a COVID-19 genome-wide association study using the GR@ACE/DEGESCO study searching for susceptibility factors associated with COVID-19 disease.
Methods
To this end, we compared 221 COVID-19 confirmed cases with 17,035 individuals in whom COVID-19 disease status was unknown. Because the APOE locus has been suggested as a potential modifier of COVID-19 disease, we added sensitivity analyses stratifying by dementia status or by disease severity. We then performed a meta-analysis with the publicly available data from the COVID-19 Host Genetics Initiative.
Results
We confirmed the existence of the 3p21.31 region (LZTFL1, SLC6A20, OR=3.03[1.24-7.45], p=0.015) implicated in susceptibility to SARS-CoV-2 infection and TYK2 gene (OR=4.96[2.02-12.20], p=4.85×10-04) might be involved in COVID-19 severity. Meta-analysis supported the existence of other loci previously suggested for susceptibility to SARS-CoV-2 infection. In contrast, we were not be able to observe any evidence of statistically significant association, a compatible point effect nor consistent effect direction in the COVID-19 fatal outcome analysis adjusted by age and dementia status for APOE locus, in the stratified analyses using dementia-only or in non-dementia strata (Figure 1).
Conclusions
In conclusion, we confirmed the 3p21.31 region (LZTFL1, SLC6A20) and TYK2 gene as a genetic susceptibility locus involved in SARS-CoV-2 infection using an independent Spanish dataset. With COVID-19 HGI meta-analysis other suggested regions were reinforced. In contrast, our Dementia-only GWAS study did not support APOE locus involvement in SARS-CoV-2 pathobiology or COVID-19 prognosis.