TY - JOUR T1 - Novel genes and sex differences in COVID-19 severity. JF - Hum Mol Genet Y1 - 2022 A1 - Cruz, Raquel A1 - Almeida, Silvia Diz-de A1 - Heredia, Miguel López A1 - Quintela, Inés A1 - Ceballos, Francisco C A1 - Pita, Guillermo A1 - Lorenzo-Salazar, José M A1 - González-Montelongo, Rafaela A1 - Gago-Domínguez, Manuela A1 - Porras, Marta Sevilla A1 - Castaño, Jair Antonio Tenorio A1 - Nevado, Julián A1 - Aguado, Jose María A1 - Aguilar, Carlos A1 - Aguilera-Albesa, Sergio A1 - Almadana, Virginia A1 - Almoguera, Berta A1 - Alvarez, Nuria A1 - Andreu-Bernabeu, Álvaro A1 - Arana-Arri, Eunate A1 - Arango, Celso A1 - Arranz, María J A1 - Artiga, Maria-Jesus A1 - Baptista-Rosas, Raúl C A1 - Barreda-Sánchez, María A1 - Belhassen-Garcia, Moncef A1 - Bezerra, Joao F A1 - Bezerra, Marcos A C A1 - Boix-Palop, Lucía A1 - Brión, Maria A1 - Brugada, Ramón A1 - Bustos, Matilde A1 - Calderón, Enrique J A1 - Carbonell, Cristina A1 - Castano, Luis A1 - Castelao, Jose E A1 - Conde-Vicente, Rosa A1 - Cordero-Lorenzana, M Lourdes A1 - Cortes-Sanchez, Jose L A1 - Corton, Marta A1 - Darnaude, M Teresa A1 - De Martino-Rodríguez, Alba A1 - Campo-Pérez, Victor A1 - Bustamante, Aranzazu Diaz A1 - Domínguez-Garrido, Elena A1 - Luchessi, André D A1 - Eirós, Rocío A1 - Sanabria, Gladys Mercedes Estigarribia A1 - Fariñas, María Carmen A1 - Fernández-Robelo, Uxía A1 - Fernández-Rodríguez, Amanda A1 - Fernández-Villa, Tania A1 - Gil-Fournier, Belén A1 - Gómez-Arrue, Javier A1 - Álvarez, Beatriz González A1 - Quirós, Fernan Gonzalez Bernaldo A1 - González-Peñas, Javier A1 - Gutiérrez-Bautista, Juan F A1 - Herrero, María José A1 - Herrero-Gonzalez, Antonio A1 - Jimenez-Sousa, María A A1 - Lattig, María Claudia A1 - Borja, Anabel Liger A1 - Lopez-Rodriguez, Rosario A1 - Mancebo, Esther A1 - Martín-López, Caridad A1 - Martín, Vicente A1 - Martinez-Nieto, Oscar A1 - Martinez-Lopez, Iciar A1 - Martinez-Resendez, Michel F A1 - Martinez-Perez, Ángel A1 - Mazzeu, Juliana A A1 - Macías, Eleuterio Merayo A1 - Minguez, Pablo A1 - Cuerda, Victor Moreno A1 - Silbiger, Vivian N A1 - Oliveira, Silviene F A1 - Ortega-Paino, Eva A1 - Parellada, Mara A1 - Paz-Artal, Estela A1 - Santos, Ney P C A1 - Pérez-Matute, Patricia A1 - Perez, Patricia A1 - Pérez-Tomás, M Elena A1 - Perucho, Teresa A1 - Pinsach-Abuin, Mel Lina A1 - Pompa-Mera, Ericka N A1 - Porras-Hurtado, Gloria L A1 - Pujol, Aurora A1 - León, Soraya Ramiro A1 - Resino, Salvador A1 - Fernandes, Marianne R A1 - Rodríguez-Ruiz, Emilio A1 - Rodriguez-Artalejo, Fernando A1 - Rodriguez-Garcia, José A A1 - Ruiz-Cabello, Francisco A1 - Ruiz-Hornillos, Javier A1 - Ryan, Pablo A1 - Soria, José Manuel A1 - Souto, Juan Carlos A1 - Tamayo, Eduardo A1 - Tamayo-Velasco, Alvaro A1 - Taracido-Fernandez, Juan Carlos A1 - Teper, Alejandro A1 - Torres-Tobar, Lilian A1 - Urioste, Miguel A1 - Valencia-Ramos, Juan A1 - Yáñez, Zuleima A1 - Zarate, Ruth A1 - Nakanishi, Tomoko A1 - Pigazzini, Sara A1 - Degenhardt, Frauke A1 - Butler-Laporte, Guillaume A1 - Maya-Miles, Douglas A1 - Bujanda, Luis A1 - Bouysran, Youssef A1 - Palom, Adriana A1 - Ellinghaus, David A1 - Martínez-Bueno, Manuel A1 - Rolker, Selina A1 - Amitrano, Sara A1 - Roade, Luisa A1 - Fava, Francesca A1 - Spinner, Christoph D A1 - Prati, Daniele A1 - Bernardo, David A1 - García, Federico A1 - Darcis, Gilles A1 - Fernández-Cadenas, Israel A1 - Holter, Jan Cato A1 - Banales, Jesus M A1 - Frithiof, Robert A1 - Duga, Stefano A1 - Asselta, Rosanna A1 - Pereira, Alexandre C A1 - Romero-Gómez, Manuel A1 - Nafría-Jiménez, Beatriz A1 - Hov, Johannes R A1 - Migeotte, Isabelle A1 - Renieri, Alessandra A1 - Planas, Anna M A1 - Ludwig, Kerstin U A1 - Buti, Maria A1 - Rahmouni, Souad A1 - Alarcón-Riquelme, Marta E A1 - Schulte, Eva C A1 - Franke, Andre A1 - Karlsen, Tom H A1 - Valenti, Luca A1 - Zeberg, Hugo A1 - Richards, Brent A1 - Ganna, Andrea A1 - Boada, Mercè A1 - Rojas, Itziar A1 - Ruiz, Agustín A1 - Sánchez, Pascual A1 - Real, Luis Miguel A1 - Guillén-Navarro, Encarna A1 - Ayuso, Carmen A1 - González-Neira, Anna A1 - Riancho, José A A1 - Rojas-Martinez, Augusto A1 - Flores, Carlos A1 - Lapunzina, Pablo A1 - Carracedo, Ángel AB -

Here we describe the results of a genome-wide study conducted in 11 939 COVID-19 positive cases with an extensive clinical information that were recruited from 34 hospitals across Spain (SCOURGE consortium). In sex-disaggregated genome-wide association studies for COVID-19 hospitalization, genome-wide significance (p < 5x10-8) was crossed for variants in 3p21.31 and 21q22.11 loci only among males (p = 1.3x10-22 and p = 8.1x10-12, respectively), and for variants in 9q21.32 near TLE1 only among females (p = 4.4x10-8). In a second phase, results were combined with an independent Spanish cohort (1598 COVID-19 cases and 1068 population controls), revealing in the overall analysis two novel risk loci in 9p13.3 and 19q13.12, with fine-mapping prioritized variants functionally associated with AQP3 (p = 2.7x10-8) and ARHGAP33 (p = 1.3x10-8), respectively. The meta-analysis of both phases with four European studies stratified by sex from the Host Genetics Initiative confirmed the association of the 3p21.31 and 21q22.11 loci predominantly in males and replicated a recently reported variant in 11p13 (ELF5, p = 4.1x10-8). Six of the COVID-19 HGI discovered loci were replicated and an HGI-based genetic risk score predicted the severity strata in SCOURGE. We also found more SNP-heritability and larger heritability differences by age (<60 or ≥ 60 years) among males than among females. Parallel genome-wide screening of inbreeding depression in SCOURGE also showed an effect of homozygosity in COVID-19 hospitalization and severity and this effect was stronger among older males. In summary, new candidate genes for COVID-19 severity and evidence supporting genetic disparities among sexes are provided.

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