Evidence map›Paper›PMID 34737427›Full record

ArticleNature genetics2021

Identification of LZTFL1 as a candidate effector gene at a COVID-19 risk locus.

Damien J Downes, Amy R Cross, Peng Hua, Nigel Roberts, Ron Schwessinger, Antony J Cutler, Altar M Munis, Jill Brown, Olga Mielczarek, Carlos E de Andrea and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Nature genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 1 pooled it
13.1field-weighted citation impact, top 1% 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

97 citing papers in PubMed, 1 synthesis or guideline pooled it, 183 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Variant-to-gene mapping identifiesbioRxiv : the preprint server for biology · 2026
    Article
  9. Article
  10. Viral Prognosis Using Proteomics.Advances in experimental medicine and biology · 2026
    Review
  11. Article
  12. Association ofLife (Basel, Switzerland) · 2025
    Article
  13. Is Enhancer Function Driven by Protein-Protein Interactions? From Bacteria to Leukemia.BioEssays : news and reviews in molecular, cellular and developmental biology · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

37 more citing papers are in PubMed but not listed here.

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

20 authors at 5 institutions in 2 countries.

Damien J DownesDepartment of Medicine, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-5034-0869
Amy R Cross *Nuffield Department of Surgical Sciences, Transplantation Research and Immunology Group,University of Oxford, Oxford, UK.
Peng Hua *Department of Medicine, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-3774-5033
Nigel RobertsDepartment of Medicine, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-5091-3604
Ron SchwessingerDepartment of Medicine, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-7829-8503
Antony J CutlerNuffield Department of Medicine, Wellcome Centre for Human Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-9617-9994
Altar M MunisDepartment of Medicine, Gene Medicine Group, Nuffield Division of Clinical Laboratory Sciences, Radcliffe University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-9218-3032
Jill BrownDepartment of Medicine, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-8884-2047
Olga MielczarekNuffield Department of Medicine, Wellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
Carlos E de AndreaDepartment of Pathology, Clínica Universidad de Navarra, Pamplona, Spain.
Ignacio MeleroDivision of Immunology and Immunotherapy, Centre for Applied Medical Research, University of Navarra, Pamplona, Spain.
COvid-19 Multi-omics Blood ATlas (COMBAT) Consortium
Deborah R GillDepartment of Medicine, Gene Medicine Group, Nuffield Division of Clinical Laboratory Sciences, Radcliffe University of Oxford, Oxford, UK.
Stephen C HydeDepartment of Medicine, Gene Medicine Group, Nuffield Division of Clinical Laboratory Sciences, Radcliffe University of Oxford, Oxford, UK.
Julian C KnightNuffield Department of Medicine, Wellcome Centre for Human Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-0377-5536
John A ToddNuffield Department of Medicine, Wellcome Centre for Human Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-2740-8148
Stephen N SansomKennedy Institute of Rheumatology, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-4569-8513
Fadi IssaNuffield Department of Surgical Sciences, Transplantation Research and Immunology Group,University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-8279-7732
James O J DaviesDepartment of Medicine, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK. james.davies@imm.ox.ac.uk.ORCID http://orcid.org/0000-0002-4108-4357
Jim R HughesDepartment of Medicine, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK. jim.hughes@imm.ox.ac.uk.ORCID http://orcid.org/0000-0002-8955-7256
University of Oxford · GBCentre for Human Genetics · GBNational Health Service · GBClinica Universidad de Navarra · ESUniversidad de Navarra · ES

Funding

Chinese Academy of Medical Sciences (CAMS) 2018-I2M-2-002Juvenile Diabetes Research Foundation (Juvenile Diabetes Research Foundation Ltd) 4-SRA-2017-473-A-NMedical Research Council MC_UU_12009/15Medical Research Council MR/R008108/1RCUK | Medical Research Council (MRC) MC_UU_00016/14RCUK | Medical Research Council (MRC) MR/R008108Wellcome Trust 204969/Z/16/ZWellcome Trust 211122/Z/18/ZWellcome Trust (Wellcome) 098931/Z/12/ZWellcome Trust (Wellcome) 106130/Z/14/ZWellcome Trust (Wellcome) 107212/Z/15/ZWellcome Trust (Wellcome) 110579/Z/15/ZWellcome Trust (Wellcome) 203141/Z/16/ZWellcome Trust (Wellcome) 203728/Z/16/ZWellcome Trust (Wellcome) 211122/Z/18/ZWellcome Trust (Wellcome) WT204969/Z/16/Z
6 · The paper itself

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) disease (COVID-19) pandemic has caused millions of deaths worldwide. Genome-wide association studies identified the 3p21.31 region as conferring a twofold increased risk of respiratory failure. Here, using a combined multiomics and machine learning approach, we identify the gain-of-function risk A allele of an SNP, rs17713054G>A, as a probable causative variant. We show with chromosome conformation capture and gene-expression analysis that the rs17713054-affected enhancer upregulates the interacting gene, leucine zipper transcription factor like 1 (LZTFL1). Selective spatial transcriptomic analysis of lung biopsies from patients with COVID-19 shows the presence of signals associated with epithelial-mesenchymal transition (EMT), a viral response pathway that is regulated by LZTFL1. We conclude that pulmonary epithelial cells undergoing EMT, rather than immune cells, are likely responsible for the 3p21.31-associated risk. Since the 3p21.31 effect is conferred by a gain-of-function, LZTFL1 may represent a therapeutic target.

Indexed as

Epithelial-Mesenchymal TransitionPolymorphism, Single NucleotideCase-Control StudiesChromosomes, Human, Pair 3COVID-19Epithelial CellsFemaleGenome-Wide Association StudyHumansLungMaleSARS-CoV-2Transcription FactorsLZTFL1 protein, humanTranscription Factors

Identifiers

PMID34737427
PMCPMC7611960
OpenAlexW3210769714

What OpenQuestion holds

Textmetadata
LicenceTDM
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.