Evidence map›Paper›PMID 34050837›Full record

ArticleJournal of clinical immunology2021

MHC Haplotyping of SARS-CoV-2 Patients: HLA Subtypes Are Not Associated with the Presence and Severity of COVID-19 in the Israeli Population.

Shay Ben Shachar, Noam Barda, Sigal Manor, Sapir Israeli, Noa Dagan, Shai Carmi, Ran Balicer, Bracha Zisser, Yoram Louzoun

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. HLA-B*15:01-positive severe COVID-19 patients lack CD8Proceedings of the National Academy of Sciences of the United States of America · 2025
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  8. Narrative Review Explaining the Role ofInfectious disease reports · 2024
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  11. The molecular mechanisms of CD8Frontiers in immunology · 2024
    Review
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  13. Article
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Shay Ben ShacharSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Noam BardaClalit Research Institute, Ramat Gan, Israel.
Sigal ManorEzer Mizion Bone Marrow Donor Registry, Petah Tikva, Israel.
Sapir IsraeliDepartment of Mathematics, Bar Ilan University, Ramat Gan, Israel.
Noa DaganClalit Research Institute, Ramat Gan, Israel.
Shai CarmiBraun School of Public Health and Community Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Ran BalicerClalit Research Institute, Ramat Gan, Israel.
Bracha ZisserEzer Mizion Bone Marrow Donor Registry, Petah Tikva, Israel.
Yoram LouzounDepartment of Mathematics, Bar Ilan University, Ramat Gan, Israel. louzouy@math.biu.ac.il.ORCID 0000-0003-1714-6148
Bar-Ilan University · ILHarvard University · USClalit Health Services · ILHebrew University of Jerusalem · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HLA haplotypes were found to be associated with increased risk for viral infections or disease severity in various diseases, including SARS. Several genetic variants are associated with COVID-19 severity. Studies have proposed associations, based on a very small sample and a large number of tested HLA alleles, but no clear association between HLA and COVID-19 incidence or severity has been reported. We conducted a large-scale HLA analysis of Israeli individuals who tested positive for SARS-CoV-2 infection by PCR. Overall, 72,912 individuals with known HLA haplotypes were included in the study, of whom 6413 (8.8%) were found to have SARS-CoV-2 by PCR. A total of 20,937 subjects were of Ashkenazi origin (at least 2/4 grandparents). One hundred eighty-one patients (2.8% of the infected) were hospitalized due to the disease. None of the 66 most common HLA loci (within the five HLA subgroups: A, B, C, DQB1, DRB1) was found to be associated with SARS-CoV-2 infection or hospitalization in the general Israeli population. Similarly, no association was detected in the Ashkenazi Jewish subset. Moreover, no association was found between heterozygosity in any of the HLA loci and either infection or hospitalization. We conclude that HLA haplotypes are not a major risk/protecting factor among the Israeli population for SARS-CoV-2 infection or severity. Our results suggest that if any HLA association exists with the disease it is very weak, and of limited effect on the pandemic.

Indexed as

GenotypeAdultAllelesCase-Control StudiesCohort StudiesCOVID-19EthnicityFemaleGenetic Association StudiesHaplotypesHistocompatibility TestingHLA AntigensHospitalizationHumansIsraelMaleHLA AntigensAshkenaziassociationHLAhospitalizationIsraelSARS-CoV-2

Identifiers

PMID34050837
PMCPMC8164405
OpenAlexW3113745946

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.