Clinical implications of host genetic variation and susceptibility to severe or critical COVID-19

Autor: Caspar I. van der Made, Mihai G. Netea, Frank L. van der Veerdonk, Alexander Hoischen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Genome Medicine, Vol 14, Iss 1, Pp 1-22 (2022)
Druh dokumentu: article
ISSN: 1756-994X
DOI: 10.1186/s13073-022-01100-3
Popis: Abstract Since the start of the coronavirus disease 2019 (COVID-19) pandemic, important insights have been gained into virus biology and the host factors that modulate the human immune response against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 displays a highly variable clinical picture that ranges from asymptomatic disease to lethal pneumonia. Apart from well-established general risk factors such as advanced age, male sex and chronic comorbidities, differences in host genetics have been shown to influence the individual predisposition to develop severe manifestations of COVID-19. These differences range from common susceptibility loci to rare genetic variants with strongly predisposing effects, or proven pathogenic variants that lead to known or novel inborn errors of immunity (IEI), which constitute a growing group of heterogeneous Mendelian disorders with increased susceptibility to infectious disease, auto-inflammation, auto-immunity, allergy or malignancies. The current genetic findings point towards a convergence of common and rare genetic variants that impact the interferon signalling pathways in patients with severe or critical COVID-19. Monogenic risk factors that impact IFN-I signalling have an expected prevalence between 1 and 5% in young, previously healthy individuals (
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje