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ABCA3 and LZTFL1 Polymorphisms and Risk of COVID-19 in the Czech Population
J A Hubacek1, T Philipp, V Adamkova
1Experimental Medicine Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic. jahb@ikem.cz.
Insights
Rare ABCA3 gene variations significantly increase SARS-CoV-2 infection risk. This genetic factor, alongside clinical conditions, impacts COVID-19 susceptibility and severity, aiding in understanding disease progression.
Area of Science:
- Genetics
- Infectious Diseases
- Epidemiology
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, has resulted in millions of deaths globally.
- Genetic variability is recognized as a key factor influencing susceptibility and severity of COVID-19, alongside clinical risk factors.
- Previous research has explored genetic associations with COVID-19 outcomes, highlighting the need for further investigation into specific gene polymorphisms.
Purpose of the Study:
- To investigate the association between common polymorphisms in the LZTFL1 (rs11385942) and ABCA3 (rs13332514) genes and SARS-CoV-2 infection susceptibility.
- To determine if specific genotypes or alleles of LZTFL1 and ABCA3 are predictive of COVID-19 infection or disease severity.
Main Methods:
- Genotyping analysis of LZTFL1 (rs11385942) and ABCA3 (rs13332514) polymorphisms was performed.
- Study included 519 SARS-CoV-2-positive subjects (asymptomatic, symptomatic, hospitalized survivors) and 2,592 controls.
- Statistical analysis was used to compare genotype distributions and assess risk associated with specific alleles and genotypes.
Main Results:
- Rare ABCA3 AA homozygotes showed a significantly increased risk of SARS-CoV-2 infection (P=0.003; OR=3.66).
- A borderline significant difference in LZTFL1 rs11385942 genotype distribution was observed between SARS-CoV-2 positive subjects and the general population (P=0.04).
- A nonsignificantly higher frequency of LZTFL1 minor allele carriers was noted among hospitalized COVID-19 patients.
Conclusions:
- A common polymorphism in the ABCA3 gene appears to be a significant predictor of susceptibility to SARS-CoV-2 infection.
- LZTFL1 polymorphisms may also play a role in COVID-19 susceptibility, though further research is needed to confirm this association.
- Genetic factors, particularly ABCA3 variations, are important considerations in understanding individual differences in COVID-19 risk.
Abstract:
SARS-CoV-2 infection, which causes the respiratory disease COVID-19, has spread rapidly from Wuhan, China, since 2019, causing nearly 7 million deaths worldwide in three years. In addition to clinical risk factors such as diabetes, hypertension, and obesity, genetic variability is an important predictor of disease severity and susceptibility. We analyzed common polymorphisms within the LZTFL1 (rs11385942) and ABCA3 (rs13332514) genes in 519 SARS-CoV-2-positive subjects (164 asymptomatic, 246 symptomatic, and 109 hospitalized COVID-19 survivors) and a population-based control group (N?=?2,592; COVID-19 status unknown). Rare ABCA3 AA homozygotes (but not A allele carriers) may be at a significantly increased risk of SARS-CoV-2 infection [P?=?0.003; OR (95 % CI); 3.66 (1.47-9.15)]. We also observed a borderline significant difference in the genotype distribution of the LZTFL1 rs11385942 polymorphism (P?=?0.04) between the population sample and SARS-CoV-2-positive subjects. In agreement with previous studies, a nonsignificantly higher frequency of minor allele carriers was detected among hospitalized COVID-19 subjects. We conclude that a common polymorphism in the ABCA3 gene may be a significant predictor of susceptibility to SARS-CoV-2 infection.
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