HLA genetic polymorphisms and prognosis of patients with COVID-19
| Autor: | L. Lorente, M.M. Martín, A. Franco, Y. Barrios, J.J. Cáceres, J. Solé-Violán, A. Perez, J.A. Marcos y Ramos, L. Ramos-Gómez, N. Ojeda, A. Jiménez, Leonardo Lorente, Andrés Franco, Yvelise Barrios, Alina Perez, Alejandro Jiménez, Antonia Pérez-Cejas, Alejandra Pérez-Llombet, Luis Uribe, Lourdes González, Rocío Alvarez, María M. Martín, Julia Alcoba-Flórez, Albano Estupiñan, Juan J. Cáceres, Paula Vega, Lucía Gonzalez, Jordi Solé-Violán, Nazario Ojeda, Sergio López, Aurelio Rodríguez-Pérez, Casimira Domínguez, José Alberto Marcos y Ramos, María F. Zapata, Luis Ramos-Gómez, Raquel Ortiz-López |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Organ Dysfunction Scores Original HLA-A3 Antigen Polimorfismos genéticos Critical Care and Intensive Care Medicine Logistic regression 0302 clinical medicine HLA Antigens Genotype Odds Ratio Prospective Studies Prospective cohort study APACHE Outcome Pronóstico Middle Aged Prognosis HLA Intensive Care Units Regression Analysis Female Preliminary Data medicine.medical_specialty HLA-C Antigens Human leukocyte antigen Genetic polymorphisms 03 medical and health sciences Internal medicine Intensive care medicine Humans Genetic Predisposition to Disease Mortality Allele Alleles Aged Polymorphism Genetic business.industry Case-control study COVID-19 HLA-B39 Antigen 030208 emergency & critical care medicine Odds ratio 030228 respiratory system Spain Case-Control Studies Mortalidad business |
| Zdroj: | Medicina Intensiva |
| ISSN: | 0210-5691 |
| Popis: | Objective Different genetic polymorphisms of human leukocyte antigen (HLA) have been associated with the risk and prognosis of autoimmune and infectious diseases. The objectives of this study were to determine whether there is an association between HLA genetic polymorphisms and the susceptibility to and mortality of coronavirus disease 2019 (COVID-19) patients. Design Observational and prospective study. Setting Eight Intensive Care Units (ICU) from 6 hospitals of Canary Islands (Spain). Patients COVID-19 patients admitted in ICU and healthy subjects. Interventions Determination of HLA genetic polymorphisms. Main variable of interest Mortality at 30 days. Results A total of 3886 healthy controls and 72 COVID-19 patients (10 non-survivors and 62 survivor patients at 30 days) were included. We found a trend to a higher rate of the alleles HLA-A*32 (p = 0.004) in healthy controls than in COVID-19 patients, and of the alleles HLA-B*39 (p = 0.02) and HLA-C*16 (p = 0.02) in COVID-19 patients than in healthy controls; however, all these p-values were not significant after correction for multiple comparisons. Logistic regression analysis showed that the presence of certain alleles was associated with higher mortality, such as the allele HLA-A*11 after controlling for SOFA (OR = 7.693; 95% CI = 1.063–55.650; p = 0.04) or APACHE-II (OR = 11.858; 95% CI = 1.524–92.273; p = 0.02), the allele HLA-C*01 after controlling for SOFA (OR = 11.182; 95% CI = 1.053–118.700; p = 0.04) or APACHE-II (OR = 17.604; 95% CI = 1.629–190.211; p = 0.02), and the allele HLA-DQB1*04 after controlling for SOFA (OR = 9.963; 95% CI = 1.235–80.358; p = 0.03). Conclusions The new finding from our preliminary study of small sample size was that HLA genetic polymorphisms could be associated with COVID-19 mortality; however, studies with a larger sample size before definitive conclusions can be drawn. |
| Databáze: | OpenAIRE |
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