Scientific article
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English

Lack of association between classical HLA genes and asymptomatic SARS-CoV-2 infection

Published inHuman Genetics and Genomics advances, vol. 5, no. 3, 100300
Publication date2024-07-18
First online date2024-04-26
Abstract

Human genetic studies of critical COVID-19 pneumonia have revealed the essential role of type I interferon-dependent innate immunity to SARS-CoV-2 infection. Conversely, an association between the HLA-B∗15:01 allele and asymptomatic SARS-CoV-2 infection in unvaccinated individuals was recently reported, suggesting a contribution of pre-existing T cell-dependent adaptive immunity. We report a lack of association of classical HLA alleles, including HLA-B∗15:01, with pre-omicron asymptomatic SARS-CoV-2 infection in unvaccinated participants in a prospective population-based study in the United States (191 asymptomatic vs. 945 symptomatic COVID-19 cases). Moreover, we found no such association in the international COVID Human Genetic Effort cohort (206 asymptomatic vs. 574 mild or moderate COVID-19 cases and 1,625 severe or critical COVID-19 cases). Finally, in the Human Challenge Characterisation study, the three HLA-B∗15:01 individuals infected with SARS-CoV-2 developed symptoms. As with other acute primary infections studied, no classical HLA alleles favoring an asymptomatic course of SARS-CoV-2 infection were identified.

Keywords
  • COVID-19
  • HLA
  • Association
  • Asymptomatic infection
  • Population stratification
  • Humans
  • COVID-19 / genetics
  • COVID-19 / immunology
  • SARS-CoV-2 / immunology
  • Male
  • Female
  • Asymptomatic Infections
  • Alleles
  • HLA Antigens / genetics
  • Middle Aged
  • Adult
  • Prospective Studies
  • Aged
  • Genetic Predisposition to Disease
Citation (ISO format)
MARCHAL, Astrid et al. Lack of association between classical HLA genes and asymptomatic SARS-CoV-2 infection. In: Human Genetics and Genomics advances, 2024, vol. 5, n° 3, p. 100300. doi: 10.1016/j.xhgg.2024.100300
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Journal ISSN2666-2477
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