HLA genetic polymorphisms and prognosis of patients with COVID-19

L Lorente1, M M Martín2, A Franco3

  • 1Intensive Care Unit, Hospital Universitario de Canarias, Ofra, s/n., La Laguna 38320, Santa Cruz de Tenerife, Spain.

Medicina Intensiva
|April 15, 2024
PubMed

Insights

Human leukocyte antigen (HLA) genetic variations may influence coronavirus disease 2019 (COVID-19) mortality. Specific HLA alleles were associated with increased mortality risk in COVID-19 patients, warranting further investigation with larger cohorts.

Area of Science:

  • Immunogenetics
  • Infectious Disease Epidemiology

Background:

  • Human leukocyte antigen (HLA) genetic polymorphisms are linked to autoimmune and infectious disease outcomes.
  • Understanding HLA associations with COVID-19 is crucial for prognosis and risk stratification.

Purpose of the Study:

  • To investigate the association between HLA genetic polymorphisms and COVID-19 susceptibility and mortality.
  • To identify specific HLA alleles that may predict mortality in critically ill COVID-19 patients.

Main Methods:

  • Prospective observational study involving 72 COVID-19 patients and 3886 healthy controls.
  • Determination of HLA genetic polymorphisms.
  • Logistic regression analysis to assess the association between HLA alleles and 30-day mortality, controlling for severity scores (SOFA, APACHE-II).

Main Results:

  • A trend suggested differences in certain HLA alleles between COVID-19 patients and healthy controls, though not statistically significant after multiple comparison correction.
  • Logistic regression identified associations between specific HLA alleles (HLA-A*11, HLA-C*01, HLA-DQB1*04) and increased 30-day mortality in COVID-19 patients, even after adjusting for disease severity.

Conclusions:

  • Preliminary findings suggest a potential link between HLA genetic polymorphisms and COVID-19 mortality.
  • Larger-scale studies are necessary to confirm these associations and draw definitive conclusions regarding the role of HLA in COVID-19 outcomes.
Abstract

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