Evidence map›Paper›PMID 42367796›Full record

ArticleFrontiers in immunology2026

Common and rare variants in complement genes as biomarkers of COVID-19 infection and severity. A lesson to learn for emerging pathogens.

María Eugenia De La Morena-Barrio, Ana Van Den Rym, Olga Escorial Sanz, Fernando Corvillo, Rosario García-Sánchez, Laura González-Sánchez, Adrián Muñoz-Barrera, Rafaela González-Montelongo, José Miguel Lorenzo-Salazar, Carlos Flores and 11 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

21 authors.

María Eugenia De La Morena-BarrioServicio de Hematología, Hospital Universitario Morales Meseguer, Centro Regional de Hemodonación, Universidad de Murcia, Instituto Murciano de Investigación Biosanitaria (IMIB)-Arrixaca, Murcia, Spain.
Ana Van Den RymInterdepartmental Group of Immunodeficiencies, Madrid, Spain.
Olga Escorial SanzEmergencias SUMMA112, Madrid, Spain.
Fernando CorvilloComplement Research Group, IdiPAZ Institute for Health Research, La Paz University Hospital, Madrid, Spain.
Rosario García-SánchezComplement Research Group, IdiPAZ Institute for Health Research, La Paz University Hospital, Madrid, Spain.
Laura González-SánchezCentro de Investigación Biomédica En Red (CIBER) de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Madrid, Spain.
Adrián Muñoz-BarreraGenomics Division, Instituto Tecnológico y de Energías Renovables (ITER), Santa Cruz de Tenerife, Spain.
Rafaela González-MontelongoGenomics Division, Instituto Tecnológico y de Energías Renovables (ITER), Santa Cruz de Tenerife, Spain.
José Miguel Lorenzo-SalazarGenomics Division, Instituto Tecnológico y de Energías Renovables (ITER), Santa Cruz de Tenerife, Spain.
Carlos FloresGenomics Division, Instituto Tecnológico y de Energías Renovables (ITER), Santa Cruz de Tenerife, Spain.
Ana de Andrés-MartínDepartment of Immunology, Ramón y Cajal Hospital, Madrid, Spain.
Carlos Rodríguez-GallegoCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Luis AllendeDepartment of Immunology, 12 de Octubre Hospital, Madrid, Spain.
Laia AlsinaClinical Immunology and Primary Immunodeficiencies Unit, Pediatric Allergy and Clinical Immunology Department, Hospital Sant Joan de Déu, Barcelona, Spain.
Silvia Sánchez-RamónClinical Immunology Department, San Carlos Clinical Hospital, Madrid, Spain.
Eduardo López-CollazoInnate Immunity Group, IdiPAZ Institute for Health Research, La Paz University Hospital, Madrid, Spain.
Margarita López-TrascasaComplement Research Group, IdiPAZ Institute for Health Research, La Paz University Hospital, Madrid, Spain.
Pilar Sánchez-CorralCentro de Investigación Biomédica En Red (CIBER) de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Madrid, Spain.
Rebeca Pérez de DiegoLaboratory of Immunogenetics of Human Diseases, IdiPAZ Institute for Health Research, La Paz University Hospital, Madrid, Spain.
Javier Corral de la CalleServicio de Hematología, Hospital Universitario Morales Meseguer, Centro Regional de Hemodonación, Universidad de Murcia, Instituto Murciano de Investigación Biosanitaria (IMIB)-Arrixaca, Murcia, Spain.
Alberto López-LeraCentro de Investigación Biomédica En Red (CIBER) de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The first wave of Coronavirus disease 2019 (COVID-19), driven by the global emergence of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), severely affected Spain with high infection and mortality rates across the country. Although numerous common and rare genetic variants affecting immune-related pathways have been associated with susceptibility to infection and severe disease, the contribution of complement system remains comparatively understudied. Methods: In this work, we analyzed the frequencies and severity associations of complotype-related common polymorphisms and rare complement variants in whole-exome sequencing data from a Spanish cohort accounting for 154 adults hospitalized due to severe COVID-19. Results: Our results indicate that the Discussion: Together, these results demonstrate that common variants in complement genes modulate susceptibility to severe COVID-19 and its clinical complications. They also identify promising, testable genetic biomarkers with potential utility not only for SARS-CoV-2, but also for preparedness against future emerging infectious threats.

Indexed as

Complement System ProteinsCOVID-19SARS-CoV-2AdultAgedBiomarkersComplement C3Complement Factor HExome SequencingFemaleGenetic Predisposition to DiseaseHumansMaleMannose-Binding Protein-Associated Serine ProteasesMiddle AgedPolymorphism, Single NucleotideBiomarkersCFH protein, humanComplement C3Complement Factor HComplement System ProteinsMannose-Binding Protein-Associated Serine ProteasesMASP2 protein, humanARDS (acute respiratory disease syndrome)complement systemCOVID- 19genetic variationinnate immunity

Identifiers

PMID42367796
PMCPMC13293796

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