Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19
Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the d...
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2023 |
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In: Genome Medicine - BMC, 2016, 15(2023), 1, Seite 25 |
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volume:15 ; year:2023 ; number:1 ; pages:25 |
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10.1186/s13073-023-01173-8 |
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DOAJ089021509 |
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245 | 1 | 0 | |a Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19 |
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520 | |a Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old. | ||
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650 | 4 | |a Type I interferon | |
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10.1186/s13073-023-01173-8 doi (DE-627)DOAJ089021509 (DE-599)DOAJ86e4db2aa39842caa8f2f5c9e6d95290 DE-627 ger DE-627 rakwb eng QH426-470 Daniela Matuozzo verfasserin aut Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old. Rare variants COVID-19 Immunity Type I interferon Medicine R Genetics Estelle Talouarn verfasserin aut Astrid Marchal verfasserin aut Peng Zhang verfasserin aut Jeremy Manry verfasserin aut Yoann Seeleuthner verfasserin aut Yu Zhang verfasserin aut Alexandre Bolze verfasserin aut Matthieu Chaldebas verfasserin aut Baptiste Milisavljevic verfasserin aut Adrian Gervais verfasserin aut Paul Bastard verfasserin aut Takaki Asano verfasserin aut Lucy Bizien verfasserin aut Federica Barzaghi verfasserin aut Hassan Abolhassani verfasserin aut Ahmad Abou Tayoun verfasserin aut Alessandro Aiuti verfasserin aut Ilad Alavi Darazam verfasserin aut Luis M. Allende verfasserin aut Rebeca Alonso-Arias verfasserin aut Andrés Augusto Arias verfasserin aut Gokhan Aytekin verfasserin aut Peter Bergman verfasserin aut Simone Bondesan verfasserin aut Yenan T. Bryceson verfasserin aut Ingrid G. Bustos verfasserin aut Oscar Cabrera-Marante verfasserin aut Sheila Carcel verfasserin aut Paola Carrera verfasserin aut Giorgio Casari verfasserin aut Khalil Chaïbi verfasserin aut Roger Colobran verfasserin aut Antonio Condino-Neto verfasserin aut Laura E. Covill verfasserin aut Ottavia M. Delmonte verfasserin aut Loubna El Zein verfasserin aut Carlos Flores verfasserin aut Peter K. Gregersen verfasserin aut Marta Gut verfasserin aut Filomeen Haerynck verfasserin aut Rabih Halwani verfasserin aut Selda Hancerli verfasserin aut Lennart Hammarström verfasserin aut Nevin Hatipoğlu verfasserin aut Adem Karbuz verfasserin aut Sevgi Keles verfasserin aut Christèle Kyheng verfasserin aut Rafael Leon-Lopez verfasserin aut Jose Luis Franco verfasserin aut Davood Mansouri verfasserin aut Javier Martinez-Picado verfasserin aut Ozge Metin Akcan verfasserin aut Isabelle Migeotte verfasserin aut Pierre-Emmanuel Morange verfasserin aut Guillaume Morelle verfasserin aut Andrea Martin-Nalda verfasserin aut Giuseppe Novelli verfasserin aut Antonio Novelli verfasserin aut Tayfun Ozcelik verfasserin aut Figen Palabiyik verfasserin aut Qiang Pan-Hammarström verfasserin aut Rebeca Pérez de Diego verfasserin aut Laura Planas-Serra verfasserin aut Daniel E. Pleguezuelo verfasserin aut Carolina Prando verfasserin aut Aurora Pujol verfasserin aut Luis Felipe Reyes verfasserin aut Jacques G. Rivière verfasserin aut Carlos Rodriguez-Gallego verfasserin aut Julian Rojas verfasserin aut Patrizia Rovere-Querini verfasserin aut Agatha Schlüter verfasserin aut Mohammad Shahrooei verfasserin aut Ali Sobh verfasserin aut Pere Soler-Palacin verfasserin aut Yacine Tandjaoui-Lambiotte verfasserin aut Imran Tipu verfasserin aut Cristina Tresoldi verfasserin aut Jesus Troya verfasserin aut Diederik van de Beek verfasserin aut Mayana Zatz verfasserin aut Pawel Zawadzki verfasserin aut Saleh Zaid Al-Muhsen verfasserin aut Mohammed Faraj Alosaimi verfasserin aut Fahad M. Alsohime verfasserin aut Hagit Baris-Feldman verfasserin aut Manish J. Butte verfasserin aut Stefan N. Constantinescu verfasserin aut Megan A. Cooper verfasserin aut Clifton L. Dalgard verfasserin aut Jacques Fellay verfasserin aut James R. Heath verfasserin aut Yu-Lung Lau verfasserin aut Richard P. Lifton verfasserin aut Tom Maniatis verfasserin aut Trine H. Mogensen verfasserin aut Horst von Bernuth verfasserin aut Alban Lermine verfasserin aut Michel Vidaud verfasserin aut Anne Boland verfasserin aut Jean-François Deleuze verfasserin aut Robert Nussbaum verfasserin aut Amanda Kahn-Kirby verfasserin aut France Mentre verfasserin aut Sarah Tubiana verfasserin aut Guy Gorochov verfasserin aut Florence Tubach verfasserin aut Pierre Hausfater verfasserin aut COVID Human Genetic Effort verfasserin aut COVIDeF Study Group verfasserin aut French COVID Cohort Study Group verfasserin aut CoV-Contact Cohort verfasserin aut COVID-STORM Clinicians verfasserin aut COVID Clinicians verfasserin aut Orchestra Working Group verfasserin aut Amsterdam UMC Covid-19 Biobank verfasserin aut NIAID-USUHS COVID Study Group verfasserin aut Isabelle Meyts verfasserin aut Shen-Ying Zhang verfasserin aut Anne Puel verfasserin aut Luigi D. Notarangelo verfasserin aut Stephanie Boisson-Dupuis verfasserin aut Helen C. Su verfasserin aut Bertrand Boisson verfasserin aut Emmanuelle Jouanguy verfasserin aut Jean-Laurent Casanova verfasserin aut Qian Zhang verfasserin aut Laurent Abel verfasserin aut Aurélie Cobat verfasserin aut In Genome Medicine BMC, 2016 15(2023), 1, Seite 25 (DE-627)594424275 (DE-600)2484394-5 1756994X nnns volume:15 year:2023 number:1 pages:25 https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/article/86e4db2aa39842caa8f2f5c9e6d95290 kostenfrei https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/toc/1756-994X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 1 25 |
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10.1186/s13073-023-01173-8 doi (DE-627)DOAJ089021509 (DE-599)DOAJ86e4db2aa39842caa8f2f5c9e6d95290 DE-627 ger DE-627 rakwb eng QH426-470 Daniela Matuozzo verfasserin aut Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old. Rare variants COVID-19 Immunity Type I interferon Medicine R Genetics Estelle Talouarn verfasserin aut Astrid Marchal verfasserin aut Peng Zhang verfasserin aut Jeremy Manry verfasserin aut Yoann Seeleuthner verfasserin aut Yu Zhang verfasserin aut Alexandre Bolze verfasserin aut Matthieu Chaldebas verfasserin aut Baptiste Milisavljevic verfasserin aut Adrian Gervais verfasserin aut Paul Bastard verfasserin aut Takaki Asano verfasserin aut Lucy Bizien verfasserin aut Federica Barzaghi verfasserin aut Hassan Abolhassani verfasserin aut Ahmad Abou Tayoun verfasserin aut Alessandro Aiuti verfasserin aut Ilad Alavi Darazam verfasserin aut Luis M. Allende verfasserin aut Rebeca Alonso-Arias verfasserin aut Andrés Augusto Arias verfasserin aut Gokhan Aytekin verfasserin aut Peter Bergman verfasserin aut Simone Bondesan verfasserin aut Yenan T. Bryceson verfasserin aut Ingrid G. Bustos verfasserin aut Oscar Cabrera-Marante verfasserin aut Sheila Carcel verfasserin aut Paola Carrera verfasserin aut Giorgio Casari verfasserin aut Khalil Chaïbi verfasserin aut Roger Colobran verfasserin aut Antonio Condino-Neto verfasserin aut Laura E. Covill verfasserin aut Ottavia M. Delmonte verfasserin aut Loubna El Zein verfasserin aut Carlos Flores verfasserin aut Peter K. Gregersen verfasserin aut Marta Gut verfasserin aut Filomeen Haerynck verfasserin aut Rabih Halwani verfasserin aut Selda Hancerli verfasserin aut Lennart Hammarström verfasserin aut Nevin Hatipoğlu verfasserin aut Adem Karbuz verfasserin aut Sevgi Keles verfasserin aut Christèle Kyheng verfasserin aut Rafael Leon-Lopez verfasserin aut Jose Luis Franco verfasserin aut Davood Mansouri verfasserin aut Javier Martinez-Picado verfasserin aut Ozge Metin Akcan verfasserin aut Isabelle Migeotte verfasserin aut Pierre-Emmanuel Morange verfasserin aut Guillaume Morelle verfasserin aut Andrea Martin-Nalda verfasserin aut Giuseppe Novelli verfasserin aut Antonio Novelli verfasserin aut Tayfun Ozcelik verfasserin aut Figen Palabiyik verfasserin aut Qiang Pan-Hammarström verfasserin aut Rebeca Pérez de Diego verfasserin aut Laura Planas-Serra verfasserin aut Daniel E. Pleguezuelo verfasserin aut Carolina Prando verfasserin aut Aurora Pujol verfasserin aut Luis Felipe Reyes verfasserin aut Jacques G. Rivière verfasserin aut Carlos Rodriguez-Gallego verfasserin aut Julian Rojas verfasserin aut Patrizia Rovere-Querini verfasserin aut Agatha Schlüter verfasserin aut Mohammad Shahrooei verfasserin aut Ali Sobh verfasserin aut Pere Soler-Palacin verfasserin aut Yacine Tandjaoui-Lambiotte verfasserin aut Imran Tipu verfasserin aut Cristina Tresoldi verfasserin aut Jesus Troya verfasserin aut Diederik van de Beek verfasserin aut Mayana Zatz verfasserin aut Pawel Zawadzki verfasserin aut Saleh Zaid Al-Muhsen verfasserin aut Mohammed Faraj Alosaimi verfasserin aut Fahad M. Alsohime verfasserin aut Hagit Baris-Feldman verfasserin aut Manish J. Butte verfasserin aut Stefan N. Constantinescu verfasserin aut Megan A. Cooper verfasserin aut Clifton L. Dalgard verfasserin aut Jacques Fellay verfasserin aut James R. Heath verfasserin aut Yu-Lung Lau verfasserin aut Richard P. Lifton verfasserin aut Tom Maniatis verfasserin aut Trine H. Mogensen verfasserin aut Horst von Bernuth verfasserin aut Alban Lermine verfasserin aut Michel Vidaud verfasserin aut Anne Boland verfasserin aut Jean-François Deleuze verfasserin aut Robert Nussbaum verfasserin aut Amanda Kahn-Kirby verfasserin aut France Mentre verfasserin aut Sarah Tubiana verfasserin aut Guy Gorochov verfasserin aut Florence Tubach verfasserin aut Pierre Hausfater verfasserin aut COVID Human Genetic Effort verfasserin aut COVIDeF Study Group verfasserin aut French COVID Cohort Study Group verfasserin aut CoV-Contact Cohort verfasserin aut COVID-STORM Clinicians verfasserin aut COVID Clinicians verfasserin aut Orchestra Working Group verfasserin aut Amsterdam UMC Covid-19 Biobank verfasserin aut NIAID-USUHS COVID Study Group verfasserin aut Isabelle Meyts verfasserin aut Shen-Ying Zhang verfasserin aut Anne Puel verfasserin aut Luigi D. Notarangelo verfasserin aut Stephanie Boisson-Dupuis verfasserin aut Helen C. Su verfasserin aut Bertrand Boisson verfasserin aut Emmanuelle Jouanguy verfasserin aut Jean-Laurent Casanova verfasserin aut Qian Zhang verfasserin aut Laurent Abel verfasserin aut Aurélie Cobat verfasserin aut In Genome Medicine BMC, 2016 15(2023), 1, Seite 25 (DE-627)594424275 (DE-600)2484394-5 1756994X nnns volume:15 year:2023 number:1 pages:25 https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/article/86e4db2aa39842caa8f2f5c9e6d95290 kostenfrei https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/toc/1756-994X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 1 25 |
allfields_unstemmed |
10.1186/s13073-023-01173-8 doi (DE-627)DOAJ089021509 (DE-599)DOAJ86e4db2aa39842caa8f2f5c9e6d95290 DE-627 ger DE-627 rakwb eng QH426-470 Daniela Matuozzo verfasserin aut Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old. Rare variants COVID-19 Immunity Type I interferon Medicine R Genetics Estelle Talouarn verfasserin aut Astrid Marchal verfasserin aut Peng Zhang verfasserin aut Jeremy Manry verfasserin aut Yoann Seeleuthner verfasserin aut Yu Zhang verfasserin aut Alexandre Bolze verfasserin aut Matthieu Chaldebas verfasserin aut Baptiste Milisavljevic verfasserin aut Adrian Gervais verfasserin aut Paul Bastard verfasserin aut Takaki Asano verfasserin aut Lucy Bizien verfasserin aut Federica Barzaghi verfasserin aut Hassan Abolhassani verfasserin aut Ahmad Abou Tayoun verfasserin aut Alessandro Aiuti verfasserin aut Ilad Alavi Darazam verfasserin aut Luis M. Allende verfasserin aut Rebeca Alonso-Arias verfasserin aut Andrés Augusto Arias verfasserin aut Gokhan Aytekin verfasserin aut Peter Bergman verfasserin aut Simone Bondesan verfasserin aut Yenan T. Bryceson verfasserin aut Ingrid G. Bustos verfasserin aut Oscar Cabrera-Marante verfasserin aut Sheila Carcel verfasserin aut Paola Carrera verfasserin aut Giorgio Casari verfasserin aut Khalil Chaïbi verfasserin aut Roger Colobran verfasserin aut Antonio Condino-Neto verfasserin aut Laura E. Covill verfasserin aut Ottavia M. Delmonte verfasserin aut Loubna El Zein verfasserin aut Carlos Flores verfasserin aut Peter K. Gregersen verfasserin aut Marta Gut verfasserin aut Filomeen Haerynck verfasserin aut Rabih Halwani verfasserin aut Selda Hancerli verfasserin aut Lennart Hammarström verfasserin aut Nevin Hatipoğlu verfasserin aut Adem Karbuz verfasserin aut Sevgi Keles verfasserin aut Christèle Kyheng verfasserin aut Rafael Leon-Lopez verfasserin aut Jose Luis Franco verfasserin aut Davood Mansouri verfasserin aut Javier Martinez-Picado verfasserin aut Ozge Metin Akcan verfasserin aut Isabelle Migeotte verfasserin aut Pierre-Emmanuel Morange verfasserin aut Guillaume Morelle verfasserin aut Andrea Martin-Nalda verfasserin aut Giuseppe Novelli verfasserin aut Antonio Novelli verfasserin aut Tayfun Ozcelik verfasserin aut Figen Palabiyik verfasserin aut Qiang Pan-Hammarström verfasserin aut Rebeca Pérez de Diego verfasserin aut Laura Planas-Serra verfasserin aut Daniel E. Pleguezuelo verfasserin aut Carolina Prando verfasserin aut Aurora Pujol verfasserin aut Luis Felipe Reyes verfasserin aut Jacques G. Rivière verfasserin aut Carlos Rodriguez-Gallego verfasserin aut Julian Rojas verfasserin aut Patrizia Rovere-Querini verfasserin aut Agatha Schlüter verfasserin aut Mohammad Shahrooei verfasserin aut Ali Sobh verfasserin aut Pere Soler-Palacin verfasserin aut Yacine Tandjaoui-Lambiotte verfasserin aut Imran Tipu verfasserin aut Cristina Tresoldi verfasserin aut Jesus Troya verfasserin aut Diederik van de Beek verfasserin aut Mayana Zatz verfasserin aut Pawel Zawadzki verfasserin aut Saleh Zaid Al-Muhsen verfasserin aut Mohammed Faraj Alosaimi verfasserin aut Fahad M. Alsohime verfasserin aut Hagit Baris-Feldman verfasserin aut Manish J. Butte verfasserin aut Stefan N. Constantinescu verfasserin aut Megan A. Cooper verfasserin aut Clifton L. Dalgard verfasserin aut Jacques Fellay verfasserin aut James R. Heath verfasserin aut Yu-Lung Lau verfasserin aut Richard P. Lifton verfasserin aut Tom Maniatis verfasserin aut Trine H. Mogensen verfasserin aut Horst von Bernuth verfasserin aut Alban Lermine verfasserin aut Michel Vidaud verfasserin aut Anne Boland verfasserin aut Jean-François Deleuze verfasserin aut Robert Nussbaum verfasserin aut Amanda Kahn-Kirby verfasserin aut France Mentre verfasserin aut Sarah Tubiana verfasserin aut Guy Gorochov verfasserin aut Florence Tubach verfasserin aut Pierre Hausfater verfasserin aut COVID Human Genetic Effort verfasserin aut COVIDeF Study Group verfasserin aut French COVID Cohort Study Group verfasserin aut CoV-Contact Cohort verfasserin aut COVID-STORM Clinicians verfasserin aut COVID Clinicians verfasserin aut Orchestra Working Group verfasserin aut Amsterdam UMC Covid-19 Biobank verfasserin aut NIAID-USUHS COVID Study Group verfasserin aut Isabelle Meyts verfasserin aut Shen-Ying Zhang verfasserin aut Anne Puel verfasserin aut Luigi D. Notarangelo verfasserin aut Stephanie Boisson-Dupuis verfasserin aut Helen C. Su verfasserin aut Bertrand Boisson verfasserin aut Emmanuelle Jouanguy verfasserin aut Jean-Laurent Casanova verfasserin aut Qian Zhang verfasserin aut Laurent Abel verfasserin aut Aurélie Cobat verfasserin aut In Genome Medicine BMC, 2016 15(2023), 1, Seite 25 (DE-627)594424275 (DE-600)2484394-5 1756994X nnns volume:15 year:2023 number:1 pages:25 https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/article/86e4db2aa39842caa8f2f5c9e6d95290 kostenfrei https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/toc/1756-994X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 1 25 |
allfieldsGer |
10.1186/s13073-023-01173-8 doi (DE-627)DOAJ089021509 (DE-599)DOAJ86e4db2aa39842caa8f2f5c9e6d95290 DE-627 ger DE-627 rakwb eng QH426-470 Daniela Matuozzo verfasserin aut Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old. Rare variants COVID-19 Immunity Type I interferon Medicine R Genetics Estelle Talouarn verfasserin aut Astrid Marchal verfasserin aut Peng Zhang verfasserin aut Jeremy Manry verfasserin aut Yoann Seeleuthner verfasserin aut Yu Zhang verfasserin aut Alexandre Bolze verfasserin aut Matthieu Chaldebas verfasserin aut Baptiste Milisavljevic verfasserin aut Adrian Gervais verfasserin aut Paul Bastard verfasserin aut Takaki Asano verfasserin aut Lucy Bizien verfasserin aut Federica Barzaghi verfasserin aut Hassan Abolhassani verfasserin aut Ahmad Abou Tayoun verfasserin aut Alessandro Aiuti verfasserin aut Ilad Alavi Darazam verfasserin aut Luis M. Allende verfasserin aut Rebeca Alonso-Arias verfasserin aut Andrés Augusto Arias verfasserin aut Gokhan Aytekin verfasserin aut Peter Bergman verfasserin aut Simone Bondesan verfasserin aut Yenan T. Bryceson verfasserin aut Ingrid G. Bustos verfasserin aut Oscar Cabrera-Marante verfasserin aut Sheila Carcel verfasserin aut Paola Carrera verfasserin aut Giorgio Casari verfasserin aut Khalil Chaïbi verfasserin aut Roger Colobran verfasserin aut Antonio Condino-Neto verfasserin aut Laura E. Covill verfasserin aut Ottavia M. Delmonte verfasserin aut Loubna El Zein verfasserin aut Carlos Flores verfasserin aut Peter K. Gregersen verfasserin aut Marta Gut verfasserin aut Filomeen Haerynck verfasserin aut Rabih Halwani verfasserin aut Selda Hancerli verfasserin aut Lennart Hammarström verfasserin aut Nevin Hatipoğlu verfasserin aut Adem Karbuz verfasserin aut Sevgi Keles verfasserin aut Christèle Kyheng verfasserin aut Rafael Leon-Lopez verfasserin aut Jose Luis Franco verfasserin aut Davood Mansouri verfasserin aut Javier Martinez-Picado verfasserin aut Ozge Metin Akcan verfasserin aut Isabelle Migeotte verfasserin aut Pierre-Emmanuel Morange verfasserin aut Guillaume Morelle verfasserin aut Andrea Martin-Nalda verfasserin aut Giuseppe Novelli verfasserin aut Antonio Novelli verfasserin aut Tayfun Ozcelik verfasserin aut Figen Palabiyik verfasserin aut Qiang Pan-Hammarström verfasserin aut Rebeca Pérez de Diego verfasserin aut Laura Planas-Serra verfasserin aut Daniel E. Pleguezuelo verfasserin aut Carolina Prando verfasserin aut Aurora Pujol verfasserin aut Luis Felipe Reyes verfasserin aut Jacques G. Rivière verfasserin aut Carlos Rodriguez-Gallego verfasserin aut Julian Rojas verfasserin aut Patrizia Rovere-Querini verfasserin aut Agatha Schlüter verfasserin aut Mohammad Shahrooei verfasserin aut Ali Sobh verfasserin aut Pere Soler-Palacin verfasserin aut Yacine Tandjaoui-Lambiotte verfasserin aut Imran Tipu verfasserin aut Cristina Tresoldi verfasserin aut Jesus Troya verfasserin aut Diederik van de Beek verfasserin aut Mayana Zatz verfasserin aut Pawel Zawadzki verfasserin aut Saleh Zaid Al-Muhsen verfasserin aut Mohammed Faraj Alosaimi verfasserin aut Fahad M. Alsohime verfasserin aut Hagit Baris-Feldman verfasserin aut Manish J. Butte verfasserin aut Stefan N. Constantinescu verfasserin aut Megan A. Cooper verfasserin aut Clifton L. Dalgard verfasserin aut Jacques Fellay verfasserin aut James R. Heath verfasserin aut Yu-Lung Lau verfasserin aut Richard P. Lifton verfasserin aut Tom Maniatis verfasserin aut Trine H. Mogensen verfasserin aut Horst von Bernuth verfasserin aut Alban Lermine verfasserin aut Michel Vidaud verfasserin aut Anne Boland verfasserin aut Jean-François Deleuze verfasserin aut Robert Nussbaum verfasserin aut Amanda Kahn-Kirby verfasserin aut France Mentre verfasserin aut Sarah Tubiana verfasserin aut Guy Gorochov verfasserin aut Florence Tubach verfasserin aut Pierre Hausfater verfasserin aut COVID Human Genetic Effort verfasserin aut COVIDeF Study Group verfasserin aut French COVID Cohort Study Group verfasserin aut CoV-Contact Cohort verfasserin aut COVID-STORM Clinicians verfasserin aut COVID Clinicians verfasserin aut Orchestra Working Group verfasserin aut Amsterdam UMC Covid-19 Biobank verfasserin aut NIAID-USUHS COVID Study Group verfasserin aut Isabelle Meyts verfasserin aut Shen-Ying Zhang verfasserin aut Anne Puel verfasserin aut Luigi D. Notarangelo verfasserin aut Stephanie Boisson-Dupuis verfasserin aut Helen C. Su verfasserin aut Bertrand Boisson verfasserin aut Emmanuelle Jouanguy verfasserin aut Jean-Laurent Casanova verfasserin aut Qian Zhang verfasserin aut Laurent Abel verfasserin aut Aurélie Cobat verfasserin aut In Genome Medicine BMC, 2016 15(2023), 1, Seite 25 (DE-627)594424275 (DE-600)2484394-5 1756994X nnns volume:15 year:2023 number:1 pages:25 https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/article/86e4db2aa39842caa8f2f5c9e6d95290 kostenfrei https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/toc/1756-994X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 1 25 |
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10.1186/s13073-023-01173-8 doi (DE-627)DOAJ089021509 (DE-599)DOAJ86e4db2aa39842caa8f2f5c9e6d95290 DE-627 ger DE-627 rakwb eng QH426-470 Daniela Matuozzo verfasserin aut Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old. Rare variants COVID-19 Immunity Type I interferon Medicine R Genetics Estelle Talouarn verfasserin aut Astrid Marchal verfasserin aut Peng Zhang verfasserin aut Jeremy Manry verfasserin aut Yoann Seeleuthner verfasserin aut Yu Zhang verfasserin aut Alexandre Bolze verfasserin aut Matthieu Chaldebas verfasserin aut Baptiste Milisavljevic verfasserin aut Adrian Gervais verfasserin aut Paul Bastard verfasserin aut Takaki Asano verfasserin aut Lucy Bizien verfasserin aut Federica Barzaghi verfasserin aut Hassan Abolhassani verfasserin aut Ahmad Abou Tayoun verfasserin aut Alessandro Aiuti verfasserin aut Ilad Alavi Darazam verfasserin aut Luis M. Allende verfasserin aut Rebeca Alonso-Arias verfasserin aut Andrés Augusto Arias verfasserin aut Gokhan Aytekin verfasserin aut Peter Bergman verfasserin aut Simone Bondesan verfasserin aut Yenan T. Bryceson verfasserin aut Ingrid G. Bustos verfasserin aut Oscar Cabrera-Marante verfasserin aut Sheila Carcel verfasserin aut Paola Carrera verfasserin aut Giorgio Casari verfasserin aut Khalil Chaïbi verfasserin aut Roger Colobran verfasserin aut Antonio Condino-Neto verfasserin aut Laura E. Covill verfasserin aut Ottavia M. Delmonte verfasserin aut Loubna El Zein verfasserin aut Carlos Flores verfasserin aut Peter K. Gregersen verfasserin aut Marta Gut verfasserin aut Filomeen Haerynck verfasserin aut Rabih Halwani verfasserin aut Selda Hancerli verfasserin aut Lennart Hammarström verfasserin aut Nevin Hatipoğlu verfasserin aut Adem Karbuz verfasserin aut Sevgi Keles verfasserin aut Christèle Kyheng verfasserin aut Rafael Leon-Lopez verfasserin aut Jose Luis Franco verfasserin aut Davood Mansouri verfasserin aut Javier Martinez-Picado verfasserin aut Ozge Metin Akcan verfasserin aut Isabelle Migeotte verfasserin aut Pierre-Emmanuel Morange verfasserin aut Guillaume Morelle verfasserin aut Andrea Martin-Nalda verfasserin aut Giuseppe Novelli verfasserin aut Antonio Novelli verfasserin aut Tayfun Ozcelik verfasserin aut Figen Palabiyik verfasserin aut Qiang Pan-Hammarström verfasserin aut Rebeca Pérez de Diego verfasserin aut Laura Planas-Serra verfasserin aut Daniel E. Pleguezuelo verfasserin aut Carolina Prando verfasserin aut Aurora Pujol verfasserin aut Luis Felipe Reyes verfasserin aut Jacques G. Rivière verfasserin aut Carlos Rodriguez-Gallego verfasserin aut Julian Rojas verfasserin aut Patrizia Rovere-Querini verfasserin aut Agatha Schlüter verfasserin aut Mohammad Shahrooei verfasserin aut Ali Sobh verfasserin aut Pere Soler-Palacin verfasserin aut Yacine Tandjaoui-Lambiotte verfasserin aut Imran Tipu verfasserin aut Cristina Tresoldi verfasserin aut Jesus Troya verfasserin aut Diederik van de Beek verfasserin aut Mayana Zatz verfasserin aut Pawel Zawadzki verfasserin aut Saleh Zaid Al-Muhsen verfasserin aut Mohammed Faraj Alosaimi verfasserin aut Fahad M. Alsohime verfasserin aut Hagit Baris-Feldman verfasserin aut Manish J. Butte verfasserin aut Stefan N. Constantinescu verfasserin aut Megan A. Cooper verfasserin aut Clifton L. Dalgard verfasserin aut Jacques Fellay verfasserin aut James R. Heath verfasserin aut Yu-Lung Lau verfasserin aut Richard P. Lifton verfasserin aut Tom Maniatis verfasserin aut Trine H. Mogensen verfasserin aut Horst von Bernuth verfasserin aut Alban Lermine verfasserin aut Michel Vidaud verfasserin aut Anne Boland verfasserin aut Jean-François Deleuze verfasserin aut Robert Nussbaum verfasserin aut Amanda Kahn-Kirby verfasserin aut France Mentre verfasserin aut Sarah Tubiana verfasserin aut Guy Gorochov verfasserin aut Florence Tubach verfasserin aut Pierre Hausfater verfasserin aut COVID Human Genetic Effort verfasserin aut COVIDeF Study Group verfasserin aut French COVID Cohort Study Group verfasserin aut CoV-Contact Cohort verfasserin aut COVID-STORM Clinicians verfasserin aut COVID Clinicians verfasserin aut Orchestra Working Group verfasserin aut Amsterdam UMC Covid-19 Biobank verfasserin aut NIAID-USUHS COVID Study Group verfasserin aut Isabelle Meyts verfasserin aut Shen-Ying Zhang verfasserin aut Anne Puel verfasserin aut Luigi D. Notarangelo verfasserin aut Stephanie Boisson-Dupuis verfasserin aut Helen C. Su verfasserin aut Bertrand Boisson verfasserin aut Emmanuelle Jouanguy verfasserin aut Jean-Laurent Casanova verfasserin aut Qian Zhang verfasserin aut Laurent Abel verfasserin aut Aurélie Cobat verfasserin aut In Genome Medicine BMC, 2016 15(2023), 1, Seite 25 (DE-627)594424275 (DE-600)2484394-5 1756994X nnns volume:15 year:2023 number:1 pages:25 https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/article/86e4db2aa39842caa8f2f5c9e6d95290 kostenfrei https://doi.org/10.1186/s13073-023-01173-8 kostenfrei https://doaj.org/toc/1756-994X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 1 25 |
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Daniela Matuozzo @@aut@@ Estelle Talouarn @@aut@@ Astrid Marchal @@aut@@ Peng Zhang @@aut@@ Jeremy Manry @@aut@@ Yoann Seeleuthner @@aut@@ Yu Zhang @@aut@@ Alexandre Bolze @@aut@@ Matthieu Chaldebas @@aut@@ Baptiste Milisavljevic @@aut@@ Adrian Gervais @@aut@@ Paul Bastard @@aut@@ Takaki Asano @@aut@@ Lucy Bizien @@aut@@ Federica Barzaghi @@aut@@ Hassan Abolhassani @@aut@@ Ahmad Abou Tayoun @@aut@@ Alessandro Aiuti @@aut@@ Ilad Alavi Darazam @@aut@@ Luis M. Allende @@aut@@ Rebeca Alonso-Arias @@aut@@ Andrés Augusto Arias @@aut@@ Gokhan Aytekin @@aut@@ Peter Bergman @@aut@@ Simone Bondesan @@aut@@ Yenan T. Bryceson @@aut@@ Ingrid G. Bustos @@aut@@ Oscar Cabrera-Marante @@aut@@ Sheila Carcel @@aut@@ Paola Carrera @@aut@@ Giorgio Casari @@aut@@ Khalil Chaïbi @@aut@@ Roger Colobran @@aut@@ Antonio Condino-Neto @@aut@@ Laura E. Covill @@aut@@ Ottavia M. Delmonte @@aut@@ Loubna El Zein @@aut@@ Carlos Flores @@aut@@ Peter K. Gregersen @@aut@@ Marta Gut @@aut@@ Filomeen Haerynck @@aut@@ Rabih Halwani @@aut@@ Selda Hancerli @@aut@@ Lennart Hammarström @@aut@@ Nevin Hatipoğlu @@aut@@ Adem Karbuz @@aut@@ Sevgi Keles @@aut@@ Christèle Kyheng @@aut@@ Rafael Leon-Lopez @@aut@@ Jose Luis Franco @@aut@@ Davood Mansouri @@aut@@ Javier Martinez-Picado @@aut@@ Ozge Metin Akcan @@aut@@ Isabelle Migeotte @@aut@@ Pierre-Emmanuel Morange @@aut@@ Guillaume Morelle @@aut@@ Andrea Martin-Nalda @@aut@@ Giuseppe Novelli @@aut@@ Antonio Novelli @@aut@@ Tayfun Ozcelik @@aut@@ Figen Palabiyik @@aut@@ Qiang Pan-Hammarström @@aut@@ Rebeca Pérez de Diego @@aut@@ Laura Planas-Serra @@aut@@ Daniel E. Pleguezuelo @@aut@@ Carolina Prando @@aut@@ Aurora Pujol @@aut@@ Luis Felipe Reyes @@aut@@ Jacques G. Rivière @@aut@@ Carlos Rodriguez-Gallego @@aut@@ Julian Rojas @@aut@@ Patrizia Rovere-Querini @@aut@@ Agatha Schlüter @@aut@@ Mohammad Shahrooei @@aut@@ Ali Sobh @@aut@@ Pere Soler-Palacin @@aut@@ Yacine Tandjaoui-Lambiotte @@aut@@ Imran Tipu @@aut@@ Cristina Tresoldi @@aut@@ Jesus Troya @@aut@@ Diederik van de Beek @@aut@@ Mayana Zatz @@aut@@ Pawel Zawadzki @@aut@@ Saleh Zaid Al-Muhsen @@aut@@ Mohammed Faraj Alosaimi @@aut@@ Fahad M. Alsohime @@aut@@ Hagit Baris-Feldman @@aut@@ Manish J. Butte @@aut@@ Stefan N. Constantinescu @@aut@@ Megan A. Cooper @@aut@@ Clifton L. Dalgard @@aut@@ Jacques Fellay @@aut@@ James R. Heath @@aut@@ Yu-Lung Lau @@aut@@ Richard P. Lifton @@aut@@ Tom Maniatis @@aut@@ Trine H. Mogensen @@aut@@ Horst von Bernuth @@aut@@ Alban Lermine @@aut@@ Michel Vidaud @@aut@@ Anne Boland @@aut@@ Jean-François Deleuze @@aut@@ Robert Nussbaum @@aut@@ Amanda Kahn-Kirby @@aut@@ France Mentre @@aut@@ Sarah Tubiana @@aut@@ Guy Gorochov @@aut@@ Florence Tubach @@aut@@ Pierre Hausfater @@aut@@ COVID Human Genetic Effort @@aut@@ COVIDeF Study Group @@aut@@ French COVID Cohort Study Group @@aut@@ CoV-Contact Cohort @@aut@@ COVID-STORM Clinicians @@aut@@ COVID Clinicians @@aut@@ Orchestra Working Group @@aut@@ Amsterdam UMC Covid-19 Biobank @@aut@@ NIAID-USUHS COVID Study Group @@aut@@ Isabelle Meyts @@aut@@ Shen-Ying Zhang @@aut@@ Anne Puel @@aut@@ Luigi D. Notarangelo @@aut@@ Stephanie Boisson-Dupuis @@aut@@ Helen C. Su @@aut@@ Bertrand Boisson @@aut@@ Emmanuelle Jouanguy @@aut@@ Jean-Laurent Casanova @@aut@@ Qian Zhang @@aut@@ Laurent Abel @@aut@@ Aurélie Cobat @@aut@@ |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ089021509</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230505020958.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230505s2023 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s13073-023-01173-8</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ089021509</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ86e4db2aa39842caa8f2f5c9e6d95290</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">QH426-470</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Daniela Matuozzo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). 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Daniela Matuozzo Estelle Talouarn Astrid Marchal Peng Zhang Jeremy Manry Yoann Seeleuthner Yu Zhang Alexandre Bolze Matthieu Chaldebas Baptiste Milisavljevic Adrian Gervais Paul Bastard Takaki Asano Lucy Bizien Federica Barzaghi Hassan Abolhassani Ahmad Abou Tayoun Alessandro Aiuti Ilad Alavi Darazam Luis M. Allende Rebeca Alonso-Arias Andrés Augusto Arias Gokhan Aytekin Peter Bergman Simone Bondesan Yenan T. Bryceson Ingrid G. Bustos Oscar Cabrera-Marante Sheila Carcel Paola Carrera Giorgio Casari Khalil Chaïbi Roger Colobran Antonio Condino-Neto Laura E. Covill Ottavia M. Delmonte Loubna El Zein Carlos Flores Peter K. Gregersen Marta Gut Filomeen Haerynck Rabih Halwani Selda Hancerli Lennart Hammarström Nevin Hatipoğlu Adem Karbuz Sevgi Keles Christèle Kyheng Rafael Leon-Lopez Jose Luis Franco Davood Mansouri Javier Martinez-Picado Ozge Metin Akcan Isabelle Migeotte Pierre-Emmanuel Morange Guillaume Morelle Andrea Martin-Nalda Giuseppe Novelli Antonio Novelli Tayfun Ozcelik Figen Palabiyik Qiang Pan-Hammarström Rebeca Pérez de Diego Laura Planas-Serra Daniel E. Pleguezuelo Carolina Prando Aurora Pujol Luis Felipe Reyes Jacques G. Rivière Carlos Rodriguez-Gallego Julian Rojas Patrizia Rovere-Querini Agatha Schlüter Mohammad Shahrooei Ali Sobh Pere Soler-Palacin Yacine Tandjaoui-Lambiotte Imran Tipu Cristina Tresoldi Jesus Troya Diederik van de Beek Mayana Zatz Pawel Zawadzki Saleh Zaid Al-Muhsen Mohammed Faraj Alosaimi Fahad M. Alsohime Hagit Baris-Feldman Manish J. Butte Stefan N. Constantinescu Megan A. Cooper Clifton L. Dalgard Jacques Fellay James R. Heath Yu-Lung Lau Richard P. Lifton Tom Maniatis Trine H. Mogensen Horst von Bernuth Alban Lermine Michel Vidaud Anne Boland Jean-François Deleuze Robert Nussbaum Amanda Kahn-Kirby France Mentre Sarah Tubiana Guy Gorochov Florence Tubach Pierre Hausfater COVID Human Genetic Effort COVIDeF Study Group French COVID Cohort Study Group CoV-Contact Cohort COVID-STORM Clinicians COVID Clinicians Orchestra Working Group Amsterdam UMC Covid-19 Biobank NIAID-USUHS COVID Study Group Isabelle Meyts Shen-Ying Zhang Anne Puel Luigi D. Notarangelo Stephanie Boisson-Dupuis Helen C. Su Bertrand Boisson Emmanuelle Jouanguy Jean-Laurent Casanova Qian Zhang Laurent Abel Aurélie Cobat |
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rare predicted loss-of-function variants of type i ifn immunity genes are associated with life-threatening covid-19 |
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Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19 |
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Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old. |
abstractGer |
Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old. |
abstract_unstemmed |
Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old. |
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Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19 |
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Estelle Talouarn Astrid Marchal Peng Zhang Jeremy Manry Yoann Seeleuthner Yu Zhang Alexandre Bolze Matthieu Chaldebas Baptiste Milisavljevic Adrian Gervais Paul Bastard Takaki Asano Lucy Bizien Federica Barzaghi Hassan Abolhassani Ahmad Abou Tayoun Alessandro Aiuti Ilad Alavi Darazam Luis M. Allende Rebeca Alonso-Arias Andrés Augusto Arias Gokhan Aytekin Peter Bergman Simone Bondesan Yenan T. Bryceson Ingrid G. Bustos Oscar Cabrera-Marante Sheila Carcel Paola Carrera Giorgio Casari Khalil Chaïbi Roger Colobran Antonio Condino-Neto Laura E. Covill Ottavia M. Delmonte Loubna El Zein Carlos Flores Peter K. Gregersen Marta Gut Filomeen Haerynck Rabih Halwani Selda Hancerli Lennart Hammarström Nevin Hatipoğlu Adem Karbuz Sevgi Keles Christèle Kyheng Rafael Leon-Lopez Jose Luis Franco Davood Mansouri Javier Martinez-Picado Ozge Metin Akcan Isabelle Migeotte Pierre-Emmanuel Morange Guillaume Morelle Andrea Martin-Nalda Giuseppe Novelli Antonio Novelli Tayfun Ozcelik Figen Palabiyik Qiang Pan-Hammarström Rebeca Pérez de Diego Laura Planas-Serra Daniel E. Pleguezuelo Carolina Prando Aurora Pujol Luis Felipe Reyes Jacques G. Rivière Carlos Rodriguez-Gallego Julian Rojas Patrizia Rovere-Querini Agatha Schlüter Mohammad Shahrooei Ali Sobh Pere Soler-Palacin Yacine Tandjaoui-Lambiotte Imran Tipu Cristina Tresoldi Jesus Troya Diederik van de Beek Mayana Zatz Pawel Zawadzki Saleh Zaid Al-Muhsen Mohammed Faraj Alosaimi Fahad M. Alsohime Hagit Baris-Feldman Manish J. Butte Stefan N. Constantinescu Megan A. Cooper Clifton L. Dalgard Jacques Fellay James R. Heath Yu-Lung Lau Richard P. Lifton Tom Maniatis Trine H. Mogensen Horst von Bernuth Alban Lermine Michel Vidaud Anne Boland Jean-François Deleuze Robert Nussbaum Amanda Kahn-Kirby France Mentre Sarah Tubiana Guy Gorochov Florence Tubach Pierre Hausfater COVID Human Genetic Effort COVIDeF Study Group French COVID Cohort Study Group CoV-Contact Cohort COVID-STORM Clinicians COVID Clinicians Orchestra Working Group Amsterdam UMC Covid-19 Biobank NIAID-USUHS COVID Study Group Isabelle Meyts Shen-Ying Zhang Anne Puel Luigi D. Notarangelo Stephanie Boisson-Dupuis Helen C. Su Bertrand Boisson Emmanuelle Jouanguy Jean-Laurent Casanova Qian Zhang Laurent Abel Aurélie Cobat |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ089021509</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230505020958.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230505s2023 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s13073-023-01173-8</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ089021509</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ86e4db2aa39842caa8f2f5c9e6d95290</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">QH426-470</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Daniela Matuozzo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Background We previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15–20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in ~ 80% of cases. Methods We report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded. Results No gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5–528.7, P = 1.1 × 10−4) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR = 3.70[95%CI 1.3–8.2], P = 2.1 × 10−4). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR = 19.65[95%CI 2.1–2635.4], P = 3.4 × 10−3), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR = 4.40[9%CI 2.3–8.4], P = 7.7 × 10−8). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD] = 43.3 [20.3] years) than the other patients (56.0 [17.3] years; P = 1.68 × 10−5). Conclusions Rare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Rare variants</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">COVID-19</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Immunity</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Type I interferon</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Genetics</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Estelle Talouarn</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Astrid Marchal</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Peng Zhang</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jeremy Manry</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Yoann Seeleuthner</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Yu Zhang</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Alexandre Bolze</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Matthieu Chaldebas</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Baptiste Milisavljevic</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Adrian Gervais</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Paul Bastard</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Takaki Asano</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Lucy Bizien</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Federica Barzaghi</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Hassan Abolhassani</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ahmad Abou Tayoun</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Alessandro Aiuti</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ilad Alavi Darazam</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Luis M. Allende</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Rebeca Alonso-Arias</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Andrés Augusto Arias</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Gokhan Aytekin</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Peter Bergman</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Simone Bondesan</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Yenan T. Bryceson</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ingrid G. 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Covill</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ottavia M. Delmonte</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Loubna El Zein</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Carlos Flores</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Peter K. Gregersen</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Marta Gut</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Filomeen Haerynck</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Rabih Halwani</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Selda Hancerli</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Lennart Hammarström</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Nevin Hatipoğlu</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Adem Karbuz</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sevgi Keles</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Christèle Kyheng</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Rafael Leon-Lopez</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jose Luis Franco</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Davood Mansouri</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Javier Martinez-Picado</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ozge Metin Akcan</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Isabelle Migeotte</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Pierre-Emmanuel Morange</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Guillaume Morelle</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Andrea Martin-Nalda</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Giuseppe Novelli</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Antonio Novelli</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Tayfun Ozcelik</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Figen Palabiyik</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Qiang Pan-Hammarström</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Rebeca Pérez de Diego</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Laura Planas-Serra</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Daniel E. Pleguezuelo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Carolina Prando</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Aurora Pujol</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Luis Felipe Reyes</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jacques G. Rivière</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Carlos Rodriguez-Gallego</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Julian Rojas</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Patrizia Rovere-Querini</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Agatha Schlüter</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Mohammad Shahrooei</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ali Sobh</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Pere Soler-Palacin</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Yacine Tandjaoui-Lambiotte</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Imran Tipu</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Cristina Tresoldi</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jesus Troya</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Diederik van de Beek</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Mayana Zatz</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Pawel Zawadzki</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Saleh Zaid Al-Muhsen</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Mohammed Faraj Alosaimi</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Fahad M. Alsohime</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Hagit Baris-Feldman</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Manish J. Butte</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Stefan N. Constantinescu</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Megan A. Cooper</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Clifton L. 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