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In Vitro Microfluidic Disease Model to Study Whole Blood-Endothelial Interactions and Blood Clot Dynamics in Real-Time
Published on: May 24, 2020
COVID-19 susceptibility variants associate with blood clots, thrombophlebitis and circulatory diseases
Areti Papadopoulou1,2, Hanan Musa1, Mathura Sivaganesan3
1William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Insights
Genetically determined COVID-19 susceptibility is linked to a higher risk of blood clots in the legs and lungs. This finding helps identify individuals at increased risk for adverse COVID-19 outcomes and long-term effects.
Area of Science:
- Genetics and Epidemiology
- Infectious Disease Research
- Cardiovascular Health
Background:
- Comorbidities like diabetes and vascular disease increase COVID-19 severity risk.
- Genome-wide association studies (GWAS) suggest genetic links to COVID-19 susceptibility and severity.
- The genetic basis of these COVID-19 associations requires further investigation.
Purpose of the Study:
- To investigate the role of genetically determined COVID-19 susceptibility in disease-related outcomes.
- To identify traits and diseases associated with COVID-19 susceptibility and severity using a Phenome-Wide Association (PheWAS) approach.
- To evaluate COVID-19 risk using a predictive risk score.
Main Methods:
- Utilized phenotypic data from up to 400,000 UK Biobank individuals.
- Included Hospital Episode Statistics and General Practice data for comprehensive analysis.
- Employed a Phenome-Wide Association (PheWAS) study design.
Main Results:
- Identified associations between genetically determined COVID-19 susceptibility/severity and various traits.
- COVID-19 risk showed association with increased risk for phlebitis and thrombophlebitis (OR = 1.11).
- Significant signals linked COVID-19 susceptibility to blood clots in the leg (OR = 1.1) and lung (OR = 1.12).
Conclusions:
- Genetically determined COVID-19 is significantly associated with an increased risk of blood clots in the legs and lungs.
- These associations aid in identifying and stratifying individuals at higher risk for adverse COVID-19 outcomes.
- Findings contribute to understanding long-term effects and risk stratification for COVID-19 patients.
Abstract:
Epidemiological studies suggest that individuals with comorbid conditions including diabetes, chronic lung, inflammatory and vascular disease, are at higher risk of adverse COVID-19 outcomes. Genome-wide association studies have identified several loci associated with increased susceptibility and severity for COVID-19. However, it is not clear whether these associations are genetically determined or not. We used a Phenome-Wide Association (PheWAS) approach to investigate the role of genetically determined COVID-19 susceptibility on disease related outcomes. PheWAS analyses were performed in order to identify traits and diseases related to COVID-19 susceptibility and severity, evaluated through a predictive COVID-19 risk score. We utilised phenotypic data in up to 400,000 individuals from the UK Biobank, including Hospital Episode Statistics and General Practice data. We identified a spectrum of associations between both genetically determined COVID-19 susceptibility and severity with a number of traits. COVID-19 risk was associated with increased risk for phlebitis and thrombophlebitis (OR = 1.11, p = 5.36e-08). We also identified significant signals between COVID-19 susceptibility with blood clots in the leg (OR = 1.1, p = 1.66e-16) and with increased risk for blood clots in the lung (OR = 1.12, p = 1.45 e-10). Our study identifies significant association of genetically determined COVID-19 with increased blood clot events in leg and lungs. The reported associations between both COVID-19 susceptibility and severity and other diseases adds to the identification and stratification of individuals at increased risk, adverse outcomes and long-term effects.
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