Evidence map›Paper›PMID 34675344›Full record

ArticleScientific reports2021

Vitamin D-related polymorphisms and vitamin D levels as risk biomarkers of COVID-19 disease severity.

Ana Teresa Freitas, Conceição Calhau, Gonçalo Antunes, Beatriz Araújo, Matilde Bandeira, Sofia Barreira, Filipa Bazenga, Sandra Braz, Daniel Caldeira, Susana Constantino Rosa Santos and 26 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04370808 (VITACOV), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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.

NCT04370808 completednot on this map

VITACOV: Vitamin D-related Polymorphisms and Vitamin D Levels as Risk Biomarkers of COVID-19 Infection Severity

TypeobservationalSponsorUniversity of LisbonRan2020 to 2021Enrolled517ConditionsCOVID-19ArmsExposure
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  3. Landscape of NFrontiers in microbiology · 2026
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  18. Vitamin D and COVID-19-Revisited.Journal of internal medicine · 2022
    Review
  19. Observational
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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

36 authors at 9 institutions in 1 country.

Ana Teresa FreitasHeartGenetics, Genetics and Biotechnology SA, Biocant Park, Cantanhede, Portugal.
Conceição CalhauNutrition and Metabolism, NOVA Medical School, Universidade Nova de Lisboa, Lisboa, Portugal.
Gonçalo AntunesHeartGenetics, Genetics and Biotechnology SA, Biocant Park, Cantanhede, Portugal.
Beatriz AraújoClinical Pathology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Matilde BandeiraRheumatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Centro Académico de Medicina de Lisboa, Lisboa, Portugal.
Sofia BarreiraRheumatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Centro Académico de Medicina de Lisboa, Lisboa, Portugal.
Filipa BazengaClinical Pathology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Sandra BrazInternal Medicine Department, Santa Maria Hospital, Centro Hospitalar Universitário Lisboa Norte, Faculdade de Medicina da Universidade de Lisboa, Lisboa, Portugal.
Daniel CaldeiraCentro Cardiovascular da Universidade de Lisboa (CCUL), CAML, Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisboa, Portugal.
Susana Constantino Rosa SantosCentro Cardiovascular da Universidade de Lisboa (CCUL), CAML, Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisboa, Portugal.
Ana FariaNutrition and Metabolism, NOVA Medical School, Universidade Nova de Lisboa, Lisboa, Portugal.
Daniel FariaINESC-ID, Instituto Superior Técnico, University of Lisbon, Lisboa, Portugal.
Marta FragaClinical Pathology Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte, EPE, Lisbon, Portugal.
Beatriz Nogueira-GarciaCardiology Department, Hospital Universitário de Santa Maria - CHULN, Lisboa, Portugal.
Lúcia GonçalvesHeartGenetics, Genetics and Biotechnology SA, Biocant Park, Cantanhede, Portugal.
Pavlo KovalchukHeartGenetics, Genetics and Biotechnology SA, Biocant Park, Cantanhede, Portugal.
Luísa LacerdaClinical Pathology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Hugo LopesHeartGenetics, Genetics and Biotechnology SA, Biocant Park, Cantanhede, Portugal.
Daniel LuísHeartGenetics, Genetics and Biotechnology SA, Biocant Park, Cantanhede, Portugal.
Fábio MedeirosInfectious Disease Department, Santa Maria Hospital - CHULN, Lisboa, Portugal.
Ana M P MeloPortuguese Infrastructure of Biological Data - BioData.pt, Lisbon, Portugal.
José Melo-CristinoClinical Pathology Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte, EPE, Lisbon, Portugal.
Ana MirandaClinical Pathology Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte, EPE, Lisbon, Portugal.
Clara PereiraHeartGenetics, Genetics and Biotechnology SA, Biocant Park, Cantanhede, Portugal.
Ana Teresa PintoCentro Cardiovascular da Universidade de Lisboa (CCUL), CAML, Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisboa, Portugal.
João PintoClinical Pathology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Helena ProençaClinical Pathology Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte, EPE, Lisbon, Portugal.
Angélica RamosClinical Pathology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
João P R RatoPortuguese Infrastructure of Biological Data - BioData.pt, Lisbon, Portugal.
Filipe RochaCentro Cardiovascular da Universidade de Lisboa (CCUL), CAML, Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisboa, Portugal.
Júlio César RochaNutrition and Metabolism, NOVA Medical School, Universidade Nova de Lisboa, Lisboa, Portugal.
André Moreira-RosárioNutrition and Metabolism, NOVA Medical School, Universidade Nova de Lisboa, Lisboa, Portugal.
Helena VazãoHeartGenetics, Genetics and Biotechnology SA, Biocant Park, Cantanhede, Portugal.
Yuliya VolovetskaClinical Pathology Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte, EPE, Lisbon, Portugal.
João-Tiago GuimarãesClinical Pathology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Fausto J PintoCentro Cardiovascular da Universidade de Lisboa (CCUL), CAML, Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisboa, Portugal. faustopinto@medicina.ulisboa.pt.
Biocant · PTCentro Hospitalar Lisboa Norte · PTHospital de São João · PTHospital de Santa Maria · PTUniversity of Lisbon · PTCentre for Health Technology and Services Research · PTInstituto de Engenharia de Sistemas e Computadores Investigação e Desenvolvimento · PTInstituto Gulbenkian de Ciência · PTUniversidade Nova de Lisboa · PT

Funding

Fundação para a Ciência e Tecnologia Research 4 Covid-19 Apoio especial a projetos de implementação rápida para soluções inovadoras de resposta à pandemia de COVID-19
6 · The paper itself

Abstract

Vitamin D is a fundamental regulator of host defences by activating genes related to innate and adaptive immunity. Previous research shows a correlation between the levels of vitamin D in patients infected with SARS-CoV-2 and the degree of disease severity. This work investigates the impact of the genetic background related to vitamin D pathways on COVID-19 severity. For the first time, the Portuguese population was characterized regarding the prevalence of high impact variants in genes associated with the vitamin D pathways. This study enrolled 517 patients admitted to two tertiary Portuguese hospitals. The serum concentration of 25 (OH)D, was measured in the hospital at the time of patient admission. Genetic variants, 18 variants, in the genes AMDHD1, CYP2R1, CYP24A1, DHCR7, GC, SEC23A, and VDR were analysed. The results show that polymorphisms in the vitamin D binding protein encoded by the GC gene are related to the infection severity (p = 0.005). There is an association between vitamin D polygenic risk score and the serum concentration of 25 (OH)D (p = 0.04). There is an association between 25 (OH)D levels and the survival and fatal outcomes (p = 1.5e-4). The Portuguese population has a higher prevalence of the DHCR7 RS12785878 variant when compared with its prevalence in the European population (19% versus 10%). This study shows a genetic susceptibility for vitamin D deficiency that might explain higher severity degrees in COVID-19 patients. These results reinforce the relevance of personalized strategies in the context of viral diseases.Trial registration: NCT04370808.

Indexed as

Polymorphism, GeneticAgedBiomarkersCholestanetriol 26-MonooxygenaseCOVID-19Cytochrome P450 Family 2FemaleGenetic Predisposition to DiseaseHospitalizationHumansMaleMiddle AgedOxidoreductases Acting on CH-CH Group DonorsPortugalPrevalenceSeverity of Illness Index25-hydroxyvitamin D7-dehydrocholesterol reductaseBiomarkersCholestanetriol 26-MonooxygenaseCYP24A1 protein, humanCYP2R1 protein, humanCytochrome P450 Family 2GC protein, humanOxidoreductases Acting on CH-CH Group DonorsSEC23A protein, humanVesicular Transport ProteinsVitamin DVitamin D3 24-HydroxylaseVitamin D-Binding Protein

Identifiers

PMID34675344
PMCPMC8531279
OpenAlexW3205503255

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Registered trials

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.