Evidence map›Paper›PMID 35395388›Full record

ArticleClinical immunology (Orlando, Fla.)2022

Protective HLA alleles against severe COVID-19: HLA-A*68 as an ancestral protection allele in Tapachula-Chiapas, Mexico.

Susana Hernández-Doño, Roberto Alejandro Sánchez-González, Ma Guadalupe Trujillo-Vizuet, Fabiola Yeseline Zamudio-Castellanos, Rafael García-Silva, Pedro Bulos-Rodríguez, Carlos A Vazquez-Guzmán, Ximena Cárdenas-Ramos, Diana de León Rodríguez, Fabiola Elías and 5 more

Open access · greenAbstract read
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  4. Narrative Review Explaining the Role ofInfectious disease reports · 2024
    Review
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  8. Association of human leukocyte antigen class I and class II alleles and haplotypes in COVID-19 infection in a western Indian population.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2023
    Article
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  11. Review
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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

15 authors at 4 institutions in 1 country.

Susana Hernández-DoñoDepartment of Transplantation, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Roberto Alejandro Sánchez-GonzálezResearch Laboratory, Hospital Regional de Alta Especialidad Ciudad Salud, Tapachula, Chiapas, Mexico.
Ma Guadalupe Trujillo-VizuetResearch Laboratory, Hospital Regional de Alta Especialidad Ciudad Salud, Tapachula, Chiapas, Mexico.
Fabiola Yeseline Zamudio-CastellanosResearch Laboratory, Hospital Regional de Alta Especialidad Ciudad Salud, Tapachula, Chiapas, Mexico.
Rafael García-SilvaDepartment of Transplantation, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Pedro Bulos-RodríguezDepartment of Internal Medicine, Hospital Regional de Alta Especialidad Ciudad Salud, Tapachula, Chiapas, Mexico.
Carlos A Vazquez-GuzmánDepartment of Internal Medicine, Hospital Regional de Alta Especialidad Ciudad Salud, Tapachula, Chiapas, Mexico.
Ximena Cárdenas-RamosFacultad de Medicina Humana Campus IV, Universidad Autónoma de Chiapas, Mexico.
Diana de León RodríguezFacultad de Medicina Humana Campus IV, Universidad Autónoma de Chiapas, Mexico; Becario de la Dirección General de Calidad y Educación en Salud, Secretaría de Salud, Mexico.
Fabiola ElíasFacultad de Medicina Humana Campus IV, Universidad Autónoma de Chiapas, Mexico.
Sergio Domínguez-ArrevillagaResearch Laboratory, Hospital Regional de Alta Especialidad Ciudad Salud, Tapachula, Chiapas, Mexico.
José Manuel Pérez-TiradoHospital Regional de Alta Especialidad Ciudad Salud, Tapachula, Chiapas, Mexico.
Olga Lidia Vera-LastraDepartment of Internal Medicine, Hospital de Especialidades, Centro Médico la Raza, Mexico City, México.
Julio GranadosDepartment of Transplantation, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Jesús Sepúlveda-DelgadoResearch Division, Hospital Regional de Alta Especialidad Ciudad Salud, Tapachula, Chiapas, Mexico; Department of Internal Medicine, Hospital General de Zona Nueva Frontera, IMSS, Tapachula, Chiapas, México. Electronic address: jesussepulveda@redmexdei.mx.
Hospitales Regionales de Alta Especialidad · MXAutonomous University of Chiapas · MXInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXHospital de Especialidades · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HLA is a polymorphic antigen presenter which has provided valuable information on the susceptibility of populations to viruses. Therefore, the study of HLA can reveal specific susceptibility or resistance alleles to severe COVID-19 in an ethnically dependent manner. This pilot study investigated HLA alleles associated with COVID-19 severity in Tapachula, Chiapas, Mexico. A total of 146 Mexican Mestizos were typed for HLA class I and II using PCR-SSP. The patients were classified according to the outcome (death or improvement) and the infection's severity (mild or severe). In addition, a group of exposed uninfected individuals was included. HLA-A*68 was found to be a protective allele against the severe infection and fatal outcome; pC = 0.03, OR = 0.4, 95% CI =0.20-0.86, and pC =0.009, OR = 0.3, 95% CI =0.13-0.71 respectively. HLA-DRB1*03 also appears to be a protective factor against fatal outcome pC = 0.009, OR = 0.1, 95%IC = 0.01-0.66; however, the low frequency of this allele in the studied population limits the statistical power. The severity and fatal outcome of COVID-19 patients in Tapachula, Chiapas depend more on the lack of resistance than susceptibility HLA alleles.

Indexed as

COVID-19HLA-A AntigensAllelesGene FrequencyGenetic Predisposition to DiseaseHLA-DRB1 ChainsHumansMexicoPilot ProjectsHLA-A*68 antigenHLA-A AntigensHLA-DRB1 ChainsCOVID-19HLAMéxicoMHCSARS-CoV-2

Identifiers

PMID35395388
PMCPMC8982524
OpenAlexW4223560486

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.