Lack of association between classical HLA genes and asymptomatic SARS-CoV-2 infection
File(s)1-s2.0-S2666247724000393-main.pdf (2.51 MB)
Published version
Author(s)
Type
Journal Article
Abstract
Human genetic studies of critical COVID-19 pneumonia have revealed the essential role of type I interferon-dependent innate immunity to SARS-CoV-2 infection. Conversely, an association between the HLA-B∗15:01 allele and asymptomatic SARS-CoV-2 infection in unvaccinated individuals was recently reported, suggesting a contribution of pre-existing T cell-dependent adaptive immunity. We report a lack of association of classical HLA alleles, including HLA-B∗15:01, with pre-omicron asymptomatic SARS-CoV-2 infection in unvaccinated participants in a prospective population-based study in the United States (191 asymptomatic vs. 945 symptomatic COVID-19 cases). Moreover, we found no such association in the international COVID Human Genetic Effort cohort (206 asymptomatic vs. 574 mild or moderate COVID-19 cases and 1,625 severe or critical COVID-19 cases). Finally, in the Human Challenge Characterisation study, the three HLA-B∗15:01 individuals infected with SARS-CoV-2 developed symptoms. As with other acute primary infections studied, no classical HLA alleles favoring an asymptomatic course of SARS-CoV-2 infection were identified.
Date Issued
2024-07-18
Date Acceptance
2024-04-23
Citation
HGG Advances, 2024, 5 (3)
ISSN
2666-2477
Publisher
Elsevier
Journal / Book Title
HGG Advances
Volume
5
Issue
3
Copyright Statement
© 2024 The Author(s). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/38678364
Subjects
association
asymptomatic infection
COVID-19
HLA
population stratification
Publication Status
Published
Coverage Spatial
United States
Article Number
100300
Date Publish Online
2024-04-26