Department of Statistics and Actuarial Science, The University of Hong Kong, Hong Kong, Hong Kong, China.
School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong, China.
J Med Virol. 2023 Feb;95(2):e28570. doi: 10.1002/jmv.28570.
Coronavirus Disease (COVID-19) may cause a dysregulation of the immune system and has complex relationships with multiple autoimmune diseases, including rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). However, little is known about their common genetic architecture. Using the latest data from COVID-19 host genetics consortium and consortia on RA and SLE, we conducted a genome-wide cross-trait analysis to examine the shared genetic etiology between COVID-19 and RA/SLE and evaluated their causal associations using bidirectional Mendelian randomization (MR). The cross-trait meta-analysis identified 23, 28, and 10 shared genetic loci for severe COVID-19, COVID-19 hospitalization, and SARS-CoV-2 infection with RA, and 14, 17, and 7 shared loci with SLE, respectively. Co-localization analysis identified five causal variants in TYK2, IKZF3, PSORS1C1, and COG6 for COVID-19 with RA, and four in CRHR1, FUT2, and NXPE3 for COVID-19 with SLE, involved in immune function, angiogenesis and coagulation. Bidirectional MR analysis suggested RA is associated with a higher risk of COVID-19 hospitalization, and COVID-19 is not related to RA or SLE. Our novel findings improved the understanding of the genetic etiology shared by COVID-19, RA and SLE, and suggested an increased risk of COVID-19 hospitalization in people with higher genetic liability to RA.
新型冠状病毒疾病(COVID-19)可能导致免疫系统失调,并与多种自身免疫性疾病(包括类风湿关节炎(RA)和系统性红斑狼疮(SLE))有复杂的关系。然而,对于它们的共同遗传结构知之甚少。利用来自 COVID-19 宿主遗传学联盟和 RA 和 SLE 联盟的最新数据,我们进行了全基因组交叉特征分析,以检查 COVID-19 与 RA/SLE 之间的共同遗传病因,并使用双向孟德尔随机化(MR)评估它们的因果关系。跨特征荟萃分析确定了 23、28 和 10 个与严重 COVID-19、COVID-19 住院和 SARS-CoV-2 感染相关的 RA 以及 14、17 和 7 个与 SLE 相关的 RA 共享遗传基因座,分别。共定位分析确定了五个与 COVID-19 与 RA 相关的 TYK2、IKZF3、PSORS1C1 和 COG6 以及四个与 COVID-19 与 SLE 相关的 CRHR1、FUT2 和 NXPE3 的因果变异,这些变异与免疫功能、血管生成和凝血有关。双向 MR 分析表明 RA 与 COVID-19 住院风险增加相关,而 COVID-19 与 RA 或 SLE 无关。我们的新发现提高了对 COVID-19、RA 和 SLE 共同遗传病因的理解,并表明具有更高 RA 遗传易感性的人群 COVID-19 住院风险增加。
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