Scientific article
Meta-analysis
OA Policy
English

Mapping the human genetic architecture of COVID-19

ContributorsCOVID-19 Host Genetics Initiative
Published inNature, vol. 600, no. 7889, p. 472-477
Publication date2021-12
First online date2021-07-08
Abstract

The genetic make-up of an individual contributes to the susceptibility and response to viral infection. Although environmental, clinical and social factors have a role in the chance of exposure to SARS-CoV-2 and the severity of COVID-191,2 , host genetics may also be important. Identifying host-specific genetic factors may reveal biological mechanisms of therapeutic relevance and clarify causal relationships of modifiable environmental risk factors for SARS-CoV-2 infection and outcomes. We formed a global network of researchers to investigate the role of human genetics in SARS-CoV-2 infection and COVID-19 severity. Here we describe the results of three genome-wide association meta-analyses that consist of up to 49,562 patients with COVID-19 from 46 studies across 19 countries. We report 13 genome-wide significant loci that are associated with SARS-CoV-2 infection or severe manifestations of COVID-19. Several of these loci correspond to previously documented associations to lung or autoimmune and inflammatory diseases3-7 . They also represent potentially actionable mechanisms in response to infection. Mendelian randomization analyses support a causal role for smoking and body-mass index for severe COVID-19 although not for type II diabetes. The identification of novel host genetic factors associated with COVID-19 was made possible by the community of human genetics researchers coming together to prioritize the sharing of data, results, resources and analytical frameworks. This working model of international collaboration underscores what is possible for future genetic discoveries in emerging pandemics, or indeed for any complex human disease.

Keywords
  • Female
  • Humans
  • Male
  • Autoimmunity / genetics
  • Body Mass Index
  • COVID-19 / genetics
  • COVID-19 / virology
  • Critical Illness
  • Genetic Loci / genetics
  • Genetic Predisposition to Disease
  • Genome-Wide Association Study
  • Geographic Mapping
  • Hospitalization
  • Host-Pathogen Interactions / genetics
  • Inflammation / complications
  • Information Dissemination
  • Multifactorial Inheritance
  • Racial Groups / genetics
  • SARS-CoV-2 / pathogenicity
  • Smoking
Funding
  • Medical Research Council [MR/L501542/1]
  • Medical Research Council [MR/R026408/1]
  • Medical Research Council [G1001253]
  • Medical Research Council [MR/M009203/1]
  • Medical Research Council [MC_PC_19025]
  • NIMH NIH HHS [F31 MH124306]
  • Medical Research Council [MR/S020039/1]
  • Medical Research Council [MC_UU_12014/12]
  • Medical Research Council [MC_UU_12014/10]
  • Medical Research Council [MR/P011705/2]
  • Medical Research Council [MR/S006753/1]
  • Medical Research Council [MC_UP_A090_1006]
  • Medical Research Council [G0901254]
  • Medical Research Council [MR/P011705/1]
  • Medical Research Council [MC_UU_00007/10]
  • Medical Research Council [MC_UU_12014/8]
  • NIAMS NIH HHS [K12 AR084232]
  • Medical Research Council [MC_UU_00007/15]
  • Wellcome Trust [210561/Z/18/Z]
  • Medical Research Council [MR/K01417X/1]
  • Parkinson's UK [G-0907]
  • Medical Research Council [MR/S032304/1]
  • NIGMS NIH HHS [R01 GM133169]
  • Medical Research Council [G0701075]
  • Medical Research Council [MC_UU_12008/1]
  • NHLBI NIH HHS [R01 HL142302]
  • Parkinson's UK [G-1307]
  • Medical Research Council [MC_PC_20004]
  • Medical Research Council [MC_UU_00011/1]
  • NHGRI NIH HHS [T32 HG000040]
  • Medical Research Council [MC_PC_14089]
  • Medical Research Council [MR/N02995X/1]
  • Medical Research Council [MC_EX_MR/M009203/1]
  • NIMH NIH HHS [K01 MH121659]
  • Medical Research Council [MR/J004758/1]
  • Medical Research Council [MC_PC_19026]
  • NHGRI NIH HHS [R01 HG009120]
  • Medical Research Council [MC_PC_19059]
  • National Institute for Health Research (NIHR) [NIHR300380]
  • Novo Nordisk Foundation Center for Protein Research [PI Søren Brunak]
  • Health Research Board [CTN-2021-010]
  • The Francis Crick Institute [10827]
  • Rosetrees [M733]
Citation (ISO format)
COVID-19 Host Genetics Initiative. Mapping the human genetic architecture of COVID-19. In: Nature, 2021, vol. 600, n° 7889, p. 472–477. doi: 10.1038/s41586-021-03767-x
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Identifiers
Additional URL for this publicationhttps://www.nature.com/articles/s41586-021-03767-x
Journal ISSN0028-0836
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