Evidence map›Paper›PMID 40887632›Full record

ArticleHuman genomics2025

Carrying APOL1 G1 allele is associated with cardiovascular complications during COVID-19 in an admixed population.

Nathan A Cadore, Bibiana S de O Fam, Giovanna C Giudicelli, Thayne W Kowalski, Renan C Sbruzzi, Marcos A Castro E Silva, Marilea F Feira, Célia Mariana B de Souza, Dirceu R da Silva, Osvaldo Artigalás and 7 more

Erratum issuedAbstract read
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Article in Human genomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Nathan A CadoreLaboratory of Genomic Medicine, Center of Experimental Research, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.ORCID http://orcid.org/0000-0001-6007-7147
Bibiana S de O FamLaboratory of Genomic Medicine, Center of Experimental Research, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Giovanna C GiudicelliLaboratory of Genomic Medicine, Center of Experimental Research, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Thayne W KowalskiLaboratory of Genomic Medicine, Center of Experimental Research, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Renan C SbruzziLaboratory of Genomic Medicine, Center of Experimental Research, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Marcos A Castro E SilvaDepartment of Experimental Sciences and Health, Institute of Evolutionary Biology, IBE - CSIC/Universitat Pompeu Fabra), Universitat Pompeu Fabra, Barcelona, Spain.
Marilea F FeiraLaboratory of Genomic Medicine, Center of Experimental Research, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Célia Mariana B de SouzaLaboratory of Genomic Medicine, Center of Experimental Research, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Dirceu R da SilvaNephrology Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Osvaldo ArtigalásMedical Genetics Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Renan B LemesDepartment of Genetics and Evolutionary Biology, University of São Paulo, São Paulo, Brazil.
Maíra R RodriguesDepartment of Genetics and Evolutionary Biology, University of São Paulo, São Paulo, Brazil.
Kelly NunesDepartment of Genetics and Evolutionary Biology, University of São Paulo, São Paulo, Brazil.
Alexandre C PereiraHeart Institute, University of São Paulo Medical School, São Paulo, Brazil.
Lygia V PereiraDepartment of Genetics and Evolutionary Biology, University of São Paulo, São Paulo, Brazil.
Tábita HünemeierDepartment of Genetics and Evolutionary Biology, University of São Paulo, São Paulo, Brazil.
Fernanda S L ViannaLaboratory of Genomic Medicine, Center of Experimental Research, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil. fvianna@hcpa.edu.br.ORCID http://orcid.org/0000-0001-6339-4869

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88887.518451/2020-00
6 · The paper itself

Abstract

backgroundThe APOL1 G1 and G2 alleles were selected in the Sub-Saharan African population by conferring resistance to trypanosome infection. However, these alleles are associated with kidney diseases, and their role in cardiovascular complications remains uncertain. A second hit mediated by an inflammatory state is necessary for APOL1-mediated phenotypes. Thus, this cross-sectional study investigates the association of APOL1 alleles with COVID-19 outcomes such as cardiovascular complications and kidney injury in an admixed population. Whole-genome sequencing was performed for 485 patients with different outcomes from a Biobank in Southern Brazil.

resultsCOVID-19 individuals presented median age of 51 years, 281 were hospitalized, and 10.9% had CKD previous to the infection. Global ancestry inference revealed 12.8% of African ancestry. The G1 allele frequency was 2.7% and G2 allele was 1.2%. Local ancestry inference evidenced African ancestry in the locus of APOL1 alleles. The G1 allele frequency was higher among patients with severe outcomes. The presence of this allele was associated with kidney injury (OR = 2.78; 95% CI = 1.04-7.42; p = 0.041) using a minimally adjusted model and cardiovascular complications with a minimally (OR = 4.61; 95% CI = 1.61-13.19; p = 0.004) and fully adjusted model (OR = 4.59; 95% CI = 1.41-14.96; p = 0.011). Four individuals carried two alleles (three G1/G1 and one G1/G2) and three of them progressed to severe COVID-19 developing kidney injury.

conclusionAPOL1 risk alleles are present in the Brazilian population due to genetic admixture and the G1 allele was associated with COVID-19 outcomes.

Indexed as

Apolipoprotein L1Cardiovascular DiseasesCOVID-19AdultAgedAllelesBrazilCross-Sectional StudiesFemaleGene FrequencyGenetic Predisposition to DiseaseHumansMaleMiddle AgedSARS-CoV-2Whole Genome SequencingAPOL1 protein, humanApolipoprotein L1

Identifiers

PMID40887632
PMCPMC12398974

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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.