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Updated: Aug 30, 2025

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
COVID-19 in pediatrics: Genetic susceptibility
Joseph T Glessner1,2, Xiao Chang1, Frank Mentch1
1Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Insights
This study identified genetic variants associated with COVID-19 susceptibility in children. Key genes like NFIA were implicated, offering insights into the pandemic
Area of Science:
- Genetics
- Infectious Diseases
- Pediatrics
Background:
- The COVID-19 pandemic caused by SARS-CoV-2 has led to significant global health and economic challenges.
- Understanding the genetic factors influencing COVID-19 susceptibility is crucial for public health strategies.
- Pediatric populations represent a unique cohort for genetic studies due to a potentially less confounded environmental impact.
Purpose of the Study:
- To investigate genetic associations with COVID-19 infection susceptibility in pediatric populations of African and European ancestry.
- To identify specific genetic variants that may confer risk or protection against SARS-CoV-2 infection in children.
- To explore potential replication of previously identified adult genetic associations within a pediatric cohort.
Main Methods:
- Case-control meta-analyses were conducted on laboratory-confirmed COVID-19 pediatric cases and controls.
- Genetic variant association testing was performed on cohorts of African ancestry (498 cases vs. 1,533 controls) and European ancestry (271 cases vs. 855 controls).
- Phenotypic criteria and laboratory test results were used for case definition.
Main Results:
- Several genetic loci, including SEMA6D, FMN1, ACTN1, PDS5B, NFIA, ADGRL3, MMP27, TENM3, SPRY4, MNS1, and RSU1, were associated with COVID-19 susceptibility.
- Nominal replication of previously reported adult genetic variants (e.g., CCR9, CXCR6, LZTFL1, IFNAR2) was observed in the pediatric cohort.
- The gene NFIA showed particular interest due to its binding properties to viral and cellular promoter sequences.
Conclusions:
- Specific genetic variants play a role in determining susceptibility to COVID-19 infection, even in pediatric individuals.
- The findings highlight the importance of genetic factors across different ancestries and age groups.
- Further research into genes like NFIA may elucidate mechanisms of viral infection and host response.
Abstract:
The uptick in SARS-CoV-2 infection has resulted in a worldwide COVID-19 pandemic, which has created troublesome health and economic problems. We performed case-control meta-analyses in both African and European ethnicity COVID-19 disease cases based on laboratory test and phenotypic criteria. The cases had laboratory-confirmed SARS-CoV-2 infection. We uniquely investigated COVID infection genetics in a pediatric population. Our cohort has a large African ancestry component, also unique to our study. We tested for genetic variant association in 498 cases vs. 1,533 controls of African ancestry and 271 cases vs. 855 controls of European ancestry. We acknowledge that the sample size is relatively small, owing to the low prevalence of COVID infection among pediatric individuals. COVID-19 cases averaged 13 years of age. Pediatric genetic studies enhance the ability to detect genetic associations with a limited possible environment impact. Our findings support the notion that some genetic variants, most notably at the SEMA6D, FMN1, ACTN1, PDS5B, NFIA, ADGRL3, MMP27, TENM3, SPRY4, MNS1, and RSU1 loci, play a role in COVID-19 infection susceptibility. The pediatric cohort also shows nominal replication of previously reported adult study results: CCR9, CXCR6, FYCO1, LZTFL1, TDGF1, CCR1, CCR2, CCR3, CCR5, MAPT-AS1, and IFNAR2 gene variants. Reviewing the biological roles of genes implicated here, NFIA looks to be the most interesting as it binds to a palindromic sequence observed in both viral and cellular promoters and in the adenovirus type 2 origin of replication.
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