Evidence map›Paper›PMID 34889978›Full record

ArticleHuman genetics2022

Common, low-frequency, rare, and ultra-rare coding variants contribute to COVID-19 severity.

Chiara Fallerini, Nicola Picchiotti, Margherita Baldassarri, Kristina Zguro, Sergio Daga, Francesca Fava, Elisa Benetti, Sara Amitrano, Mirella Bruttini, Maria Palmieri and 32 more

Abstract read
In one paragraph

Article in Human genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Article
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  11. Article
  12. Review
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  14. TLRs: Innate Immune Sentries against SARS-CoV-2 Infection.International journal of molecular sciences · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

42 authors.

Chiara Fallerini *Department of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Nicola Picchiotti *University of Siena, DIISM-SAILAB, Siena, Italy.
Margherita Baldassarri *Department of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Kristina ZguroDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Sergio DagaDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Francesca FavaDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Elisa BenettiDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Sara AmitranoGenetica Medica, Azienda Ospedaliero-Universitaria Senese, Siena, Italy.
Mirella BruttiniDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Maria PalmieriDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Susanna CrociDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Mirjam ListaDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Giada BeligniDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Floriana ValentinoDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Ilaria MeloniDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Marco TanfoniUniversity of Siena, DIISM-SAILAB, Siena, Italy.
Francesca MinnaiIstituto di Tecnologie Biomediche-Consiglio Nazionale delle Ricerche, Segrate, MI, Italy.
Francesca ColomboIstituto di Tecnologie Biomediche-Consiglio Nazionale delle Ricerche, Segrate, MI, Italy.
Enrico CabriPharmacogenomics Unit, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Maddalena FratelliPharmacogenomics Unit, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Chiara GabbiDepartment of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden.
Stefania MantovaniDepartment of Medicine, Clinical Immunology and Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Elisa FrullantiDepartment of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Marco GoriUniversity of Siena, DIISM-SAILAB, Siena, Italy.
Francis P CrawleyGood Clinical Practice Alliance-Europe (GCPA) and Strategic Initiative for Developing Capacity in Ethical Review (SIDCER), Leuven, Belgium.
Guillaume Butler-LaporteLady Davis Institute, Jewish General Hospital, McGill University, Montreal, QC, Canada.
Brent RichardsLady Davis Institute, Jewish General Hospital, McGill University, Montreal, QC, Canada.
Hugo ZebergDepartment of Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Miklos LipcseyAnaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Michael HultströmAnaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Kerstin U LudwigInstitute of Human Genetics, School of Medicine and University Hospital Bonn, University of Bonn, Bonn, Germany.
Eva C SchulteInstitute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, 80336, Munich, Germany.
Erola Pairo-CastineiraMRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, Western General Hospital, University of Edinburgh, Crewe Road, Edinburgh, EH4 2XU, UK.
John Kenneth BaillieMRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, Western General Hospital, University of Edinburgh, Crewe Road, Edinburgh, EH4 2XU, UK.
Axel SchmidtInstitute of Human Genetics, School of Medicine and University Hospital Bonn, University of Bonn, Bonn, Germany.
Robert FrithiofAnaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
WES/WGS Working Group Within the HGI
GenOMICC Consortium
GEN-COVID Multicenter Study
Francesca Mari *Department of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.
Alessandra Renieri *Department of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy. alessandra.renieri@unisi.it.ORCID http://orcid.org/0000-0002-0846-9220
Simone Furini *Department of Medical Biotechnologies, Med Biotech Hub and Competence Center, University of Siena, Siena, Italy.

Funding

Center for Sepsis Control and Care BBS/E/D/10002070Center for Sepsis Control and Care BBS/E/D/20002172Center for Sepsis Control and Care BBS/E/D/30002275CIHR C18281/A29019Italian Ministry of University and Research ID n. 2020-2016_RIC_3Medical Research Council MC_PC_19025Medical Research Council MC_PC_19059Medical Research Council MC_PC_20004Medical Research Council MC_UU_00007/15Medical Research Council MC_UU_12008/1Medical Research Council MR/S006753/1MIUR Italian D.L. n.18 March 17, 2020)Wellcome Trust
6 · The paper itself

Abstract

The combined impact of common and rare exonic variants in COVID-19 host genetics is currently insufficiently understood. Here, common and rare variants from whole-exome sequencing data of about 4000 SARS-CoV-2-positive individuals were used to define an interpretable machine-learning model for predicting COVID-19 severity. First, variants were converted into separate sets of Boolean features, depending on the absence or the presence of variants in each gene. An ensemble of LASSO logistic regression models was used to identify the most informative Boolean features with respect to the genetic bases of severity. The Boolean features selected by these logistic models were combined into an Integrated PolyGenic Score that offers a synthetic and interpretable index for describing the contribution of host genetics in COVID-19 severity, as demonstrated through testing in several independent cohorts. Selected features belong to ultra-rare, rare, low-frequency, and common variants, including those in linkage disequilibrium with known GWAS loci. Noteworthily, around one quarter of the selected genes are sex-specific. Pathway analysis of the selected genes associated with COVID-19 severity reflected the multi-organ nature of the disease. The proposed model might provide useful information for developing diagnostics and therapeutics, while also being able to guide bedside disease management.

Indexed as

Exome SequencingGenetic Predisposition to DiseasePhenotypeSeverity of Illness IndexAdultAgedAged, 80 and overCohort StudiesCOVID-19FemaleGermanyHumansItalyMaleMiddle AgedPolymorphism, Single Nucleotide

Identifiers

PMID34889978
PMCPMC8661833

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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.