Evidence map›Paper›PMID 40595275›Full record

ArticleScientific reports2025

Rare genetic variants and severe COVID-19 in previously healthy admixed Latin American adults.

Gabriela Dias Rocha, Pablo Rafael Silveira Oliveira, Marcus Villander Barros de Oliveira Sá, Túlio de Lima Campos, Steffany Larissa Galdino Galisa, Andreia Soares Silva, Patricia Moura, Raquel Bispo de São Pedro, Natália Machado Tavares, Viviane Sampaio Boaventura and 16 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

26 authors.

Gabriela Dias Rocha *Programa de Pós-graduação em Biologia Celular e Molecular Aplicada, Instituto de Ciências Biológicas, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
Pablo Rafael Silveira Oliveira *Instituto de Biologia, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil.
Marcus Villander Barros de Oliveira SáInstituto Aggeu Magalhães, Fiocruz Pernambuco, Fundação Oswaldo Cruz, Fiocruz, Recife, Pernambuco, Brazil.
Túlio de Lima CamposInstituto Aggeu Magalhães, Fiocruz Pernambuco, Fundação Oswaldo Cruz, Fiocruz, Recife, Pernambuco, Brazil.
Steffany Larissa Galdino GalisaInstituto Aggeu Magalhães, Fiocruz Pernambuco, Fundação Oswaldo Cruz, Fiocruz, Recife, Pernambuco, Brazil.
Andreia Soares SilvaFaculdade de Enfermagem Nossa Senhora das Graças, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
Patricia MouraPrograma de Pós-graduação em Biologia Celular e Molecular Aplicada, Instituto de Ciências Biológicas, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
Raquel Bispo de São PedroInstituto de Biologia, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil.
Natália Machado TavaresInstituto Gonçalo Muniz, Fiocruz Bahia, Fundação Oswaldo Cruz, Fiocruz, Salvador, Bahia, Brazil.
Viviane Sampaio BoaventuraInstituto Gonçalo Muniz, Fiocruz Bahia, Fundação Oswaldo Cruz, Fiocruz, Salvador, Bahia, Brazil.
Sara NunesInstituto Gonçalo Muniz, Fiocruz Bahia, Fundação Oswaldo Cruz, Fiocruz, Salvador, Bahia, Brazil.
Icaro Bonyek-SilvaInstituto Federal de Educação, Ciência e Tecnologia Baiano, Xique-Xique, Bahia, Brazil.
Juliana Ribeiro CaldasUnidade de Terapia Intensiva, Hospital Ernesto Simões Filho, Salvador, Bahia, Brasil.
Eric Henrique RomaLaboratório de Imunologia e Imunogenética em Doenças Infecciosas, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Jorge Reis AlmeidaLaboratório Multiusuário de Apoio à Pesquisa em Nefrologia e Ciências Médicas (LAMAP), Faculdade de Medicina, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.
Andrea Alice SilvaLaboratório Multiusuário de Apoio à Pesquisa em Nefrologia e Ciências Médicas (LAMAP), Faculdade de Medicina, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.
Tatiana BaccinHospital Nossa Senhora da Conceição, Porto Alegre, Rio Grande do Sul, Brazil.
Andrea Cauduro de CastroHospital Nossa Senhora da Conceição, Porto Alegre, Rio Grande do Sul, Brazil.
Antônio Carlos Rosario VallinotoLaboratório de Virologia, Instituto de Ciências Biológicas, Universidade Federal do Pará (UFPA), Belém, Pará, Brazil.
Rosilene da SilvaLaboratório de Genética de Doenças Complexas, Instituto de Ciências Biológicas, Universidade Federal do Pará (UFPA), Belém, Pará, Brazil.
Eduardo José Melo Dos SantosLaboratório de Genética de Doenças Complexas, Instituto de Ciências Biológicas, Universidade Federal do Pará (UFPA), Belém, Pará, Brazil.
Cristiana Couto GarciaGrupo Integrado de Pesquisas em Biomarcadores, Instituto René Rachou, Fiocruz Minas, Fundação Oswaldo Cruz, Fiocruz, Belo Horizonte, Minas Gerais, Brazil.
Renata Dezengrini SlhessarenkoPrograma de Pós-graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Mato Grosso (UFMT), Cuiabá, Mato Grosso, Brazil.
Anderson da Costa ArmstrongLaboratório Avançado de Diagnóstico e Estudos em Saúde e Ambiente (LADESA), Colegiado de Medicina, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina, Pernambuco, Brazil.
Rodrigo Feliciano do Carmo *Programa de Pós-graduação em Biologia Celular e Molecular Aplicada, Instituto de Ciências Biológicas, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil. rodrigo.carmo@univasf.edu.br.
Luydson Richardson Silva Vasconcelos *Instituto Aggeu Magalhães, Fiocruz Pernambuco, Fundação Oswaldo Cruz, Fiocruz, Recife, Pernambuco, Brazil. luydson.vasconcelos@fiocruz.br.

Funding

Brazilian Coordination for the Improvement of Higher Education Personnel (CAPES, Brazil acronym in Portuguese) Finance Code 001Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) 401235/2020-3Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) 444181/2023-7Foundation for the Support of Science and Technology of the State of Pernambuco (FACEPE, Brazil acronym in Portuguese) APQ-0422-2.02/19Foundation for the Support of Science and Technology of the State of Pernambuco (FACEPE, Brazil acronym in Portuguese) IBPG-1553-2.02/22Fundação de Apoio à Fundação Oswaldo Cruz (FIOTEC), INOVA FIOCRUZ Program VPPCB-005-FIO-20-2-21Fundação de Apoio à Fundação Oswaldo Cruz (FIOTEC), INOVA FIOCRUZ Program VPPCB-005-FIO-20-2-57-30Scientific productivity scholarship grant from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) 309750/2020-2Scientific productivity scholarship grant from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) 311048/2022-6Scientific productivity scholarship grant from Foundation for the Support of Science and Technology of the State of Pernambuco (FACEPE, Brazil acronym in Portuguese) BPP-0032-2.02/24
6 · The paper itself

Abstract

Rare genetic variants that affect host defense against SARS-CoV-2 may contribute to COVID-19 progression, helping to explain severe or fatal cases in young and middle-aged patients. This study aimed to identify rare genetic variants potentially implicated in life-threatening COVID-19 in a cohort of Brazilian patients aged 18 to 60, with no prior history of health issues, who required intensive care unit admission (n = 161). Whole genome sequencing was performed, followed by a prioritization approach for rare variants in loci previously associated with severe COVID-19. A total of 104 rare and potentially deleterious variants were identified in 79 genes. Ultra-rare variants in MUC5AC, IFNA10, ZNF778, and PTOV1 were the most frequently observed. We report 17 novel variants, including those likely pathogenic or indicating strong loss-of-function (LoF) intolerance. Patients carrying prioritized rare variants had a significantly higher incidence of acute respiratory distress syndrome (ARDS) (p = 0.027, OR = 2.59). Additionally, patients with variants in highly LoF-intolerant genes had a fourfold higher risk of death (p = 0.0084, OR = 4.04). To date, this is the first genomic analysis of previously healthy young and middle-aged Latin American patients with severe COVID-19. Our findings highlight the importance of identifying population-specific genetic risk factors.

Indexed as

COVID-19Genetic VariationSARS-CoV-2AdolescentAdultBrazilFemaleGenetic Predisposition to DiseaseHumansLatin AmericaMaleMiddle AgedRespiratory Distress SyndromeSeverity of Illness IndexWhole Genome SequencingYoung AdultCOVID-19Rare variantsSARS-CoV-2SeverityWhole genome sequencing

Identifiers

PMID40595275
PMCPMC12218055

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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.