Purpose: Emerging evidence suggest that infection-dependent hyperactivation of complement system (CS) may worsen COVID-19 outcome. We investigated the role of predicted high impact rare variants - referred as qualifying variants (QVs) - of CS genes in predisposing asymptomatic COVID-19 in elderly individuals, known to be more susceptible to severe disease. Methods: Exploiting exome sequencing data and 56 CS genes, we performed a gene-based collapsing test between 164 asymptomatic subjects (aged ≥60 years) and 56,885 European individuals from the Genome Aggregation Database. We replicated this test comparing the same asymptomatic individuals with 147 hospitalized patients with COVID-19. Results: We found an enrichment of QVs in 3 genes (MASP1, COLEC11, and COLEC10), which belong to the lectin pathway, in the asymptomatic cohort. Analyses of complement activity in serum showed decreased activity of lectin pathway in asymptomatic individuals with QVs. Finally, we found allelic variants associated with asymptomatic COVID-19 phenotype and with a decreased expression of MASP1, COLEC11, and COLEC10 in lung tissue. Conclusion: This study suggests that genetic rare variants can protect from severe COVID-19 by mitigating the activity of lectin pathway and prothrombin. The genetic data obtained through ES of 786 asymptomatic and 147 hospitalized individuals are publicly available at http://espocovid.ceinge.unina.it/.

Germline rare variants of lectin pathway genes predispose to asymptomatic SARS-CoV-2 infection in elderly individuals / D'Alterio, Giuseppe; Lasorsa, Vito Alessandro; Bonfiglio, Ferdinando; Cantalupo, Sueva; Rosato, Barbara Eleni; Andolfo, Immacolata; Russo, Roberta; Esposito, Umberto; Frisso, Giulia; Abete, Pasquale; Cassese, Gian Marco; Servillo, Giuseppe; Gentile, Ivan; Piscopo, Carmelo; Della Monica, Matteo; Fiorentino, Giuseppe; Boccia, Angelo; Paolella, Giovanni; Ferrucci, Veronica; de Antonellis, Pasqualino; Siciliano, Roberto; Asadzadeh, Fathem; Cerino, Pellegrino; Buonerba, Carlo; Pierri, Biancamaria; Zollo, Massimo; Iolascon, Achille; Capasso, Mario. - In: GENETICS IN MEDICINE. - ISSN 1098-3600. - (2022). [10.1016/j.gim.2022.04.007]

Germline rare variants of lectin pathway genes predispose to asymptomatic SARS-CoV-2 infection in elderly individuals

D'Alterio, Giuseppe;Lasorsa, Vito Alessandro;Bonfiglio, Ferdinando;Cantalupo, Sueva;Rosato, Barbara Eleni;Andolfo, Immacolata;Russo, Roberta;Frisso, Giulia;Abete, Pasquale;Cassese, Gian Marco;Servillo, Giuseppe;Gentile, Ivan;Piscopo, Carmelo;Della Monica, Matteo;Fiorentino, Giuseppe;Boccia, Angelo;Paolella, Giovanni;Ferrucci, Veronica;de Antonellis, Pasqualino;Cerino, Pellegrino;Buonerba, Carlo;Zollo, Massimo;Iolascon, Achille;Capasso, Mario
2022

Abstract

Purpose: Emerging evidence suggest that infection-dependent hyperactivation of complement system (CS) may worsen COVID-19 outcome. We investigated the role of predicted high impact rare variants - referred as qualifying variants (QVs) - of CS genes in predisposing asymptomatic COVID-19 in elderly individuals, known to be more susceptible to severe disease. Methods: Exploiting exome sequencing data and 56 CS genes, we performed a gene-based collapsing test between 164 asymptomatic subjects (aged ≥60 years) and 56,885 European individuals from the Genome Aggregation Database. We replicated this test comparing the same asymptomatic individuals with 147 hospitalized patients with COVID-19. Results: We found an enrichment of QVs in 3 genes (MASP1, COLEC11, and COLEC10), which belong to the lectin pathway, in the asymptomatic cohort. Analyses of complement activity in serum showed decreased activity of lectin pathway in asymptomatic individuals with QVs. Finally, we found allelic variants associated with asymptomatic COVID-19 phenotype and with a decreased expression of MASP1, COLEC11, and COLEC10 in lung tissue. Conclusion: This study suggests that genetic rare variants can protect from severe COVID-19 by mitigating the activity of lectin pathway and prothrombin. The genetic data obtained through ES of 786 asymptomatic and 147 hospitalized individuals are publicly available at http://espocovid.ceinge.unina.it/.
2022
Germline rare variants of lectin pathway genes predispose to asymptomatic SARS-CoV-2 infection in elderly individuals / D'Alterio, Giuseppe; Lasorsa, Vito Alessandro; Bonfiglio, Ferdinando; Cantalupo, Sueva; Rosato, Barbara Eleni; Andolfo, Immacolata; Russo, Roberta; Esposito, Umberto; Frisso, Giulia; Abete, Pasquale; Cassese, Gian Marco; Servillo, Giuseppe; Gentile, Ivan; Piscopo, Carmelo; Della Monica, Matteo; Fiorentino, Giuseppe; Boccia, Angelo; Paolella, Giovanni; Ferrucci, Veronica; de Antonellis, Pasqualino; Siciliano, Roberto; Asadzadeh, Fathem; Cerino, Pellegrino; Buonerba, Carlo; Pierri, Biancamaria; Zollo, Massimo; Iolascon, Achille; Capasso, Mario. - In: GENETICS IN MEDICINE. - ISSN 1098-3600. - (2022). [10.1016/j.gim.2022.04.007]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/885426
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