Associations between polygenic risk score and covid-19 susceptibility and severity across ethnic groups: UK Biobank

Raabia Farooqi1, Jaspal S Kooner2,3,4,5, Weihua Zhang6,2

  • 1Department of Epidemiology and Biostatistics, Imperial College London, London, W2 1PG, UK. raabia.farooqi18@imperial.ac.uk.

BMC Medical Genomics
|June 29, 2023
PubMed

Insights

Polygenic Risk Scores (PRS) reveal genetic links to COVID-19 severity, particularly in Asian and Black ethnic groups. This genetic risk assessment aids in identifying individuals susceptible to severe COVID-19 outcomes.

Area of Science:

  • Genetics
  • Epidemiology
  • Infectious Disease

Background:

  • COVID-19 exhibits varied susceptibility and severity, with disproportionate impacts on UK Black Asian and Minority Ethnic (BAME) groups.
  • Genetic factors may explain some of the unexplained variability in COVID-19 outcomes.
  • Polygenic Risk Scores (PRS) assess genetic predisposition using Single Nucleotide Polymorphisms (SNPs), but analyses in non-European populations are limited.

Purpose of the Study:

  • To apply a multi-ethnic Polygenic Risk Score (PRS) to a UK cohort to investigate the genetic contribution to COVID-19 variability.
  • To assess the association between PRS and COVID-19 susceptibility and severity across different ethnic groups.
  • To evaluate the utility of PRS in identifying individuals at higher genetic risk for COVID-19.

Main Methods:

  • Two PRS were developed for COVID-19 susceptibility and severity based on established risk variants.
  • The PRS were applied to 447,382 participants in the UK-Biobank.
  • Associations with COVID-19 outcomes were analyzed using logistic regression, with discriminative power assessed by ΔAUC and variance explained by ΔR².

Main Results:

  • High genetic risk was significantly associated with increased severe COVID-19 risk in White, Asian, and Black ethnic groups.
  • The severity PRS demonstrated strong performance in Asian (ΔAUC 0.9%, ΔR² 0.98%) and Black (ΔAUC 0.6%, ΔR² 0.61%) cohorts.
  • For susceptibility, higher genetic risk correlated with infection risk in White individuals but not in Black or Asian groups.

Conclusions:

  • Significant associations between PRS and COVID-19 outcomes confirm a genetic basis for disease variability.
  • PRS are useful for identifying individuals at high risk for severe COVID-19.
  • The multi-ethnic PRS approach is applicable to diverse populations, with the severity model showing promise in Black and Asian cohorts, though larger non-White sample sizes are needed for enhanced statistical power.
Abstract

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