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MHC Variants Associated With Symptomatic Versus Asymptomatic SARS-CoV-2 Infection in Highly Exposed Individuals.


ABSTRACT: Despite the high number of individuals infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) who develop coronavirus disease 2019 (COVID-19) symptoms worldwide, many exposed individuals remain asymptomatic and/or uninfected and seronegative. This could be explained by a combination of environmental (exposure), immunological (previous infection), epigenetic, and genetic factors. Aiming to identify genetic factors involved in immune response in symptomatic COVID-19 as compared to asymptomatic exposed individuals, we analyzed 83 Brazilian couples where one individual was infected and symptomatic while the partner remained asymptomatic and serum-negative for at least 6 months despite sharing the same bedroom during the infection. We refer to these as "discordant couples". We performed whole-exome sequencing followed by a state-of-the-art method to call genotypes and haplotypes across the highly polymorphic major histocompatibility complex (MHC) region. The discordant partners had comparable ages and genetic ancestry, but women were overrepresented (65%) in the asymptomatic group. In the antigen-presentation pathway, we observed an association between HLA-DRB1 alleles encoding Lys at residue 71 (mostly DRB1*03:01 and DRB1*04:01) and DOB*01:02 with symptomatic infections and HLA-A alleles encoding 144Q/151R with asymptomatic seronegative women. Among the genes related to immune modulation, we detected variants in MICA and MICB associated with symptomatic infections. These variants are related to higher expression of soluble MICA and low expression of MICB. Thus, quantitative differences in these molecules that modulate natural killer (NK) activity could contribute to susceptibility to COVID-19 by downregulating NK cell cytotoxic activity in infected individuals but not in the asymptomatic partners.

SUBMITTER: Castelli EC 

PROVIDER: S-EPMC8506217 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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MHC Variants Associated With Symptomatic <i>Versus</i> Asymptomatic SARS-CoV-2 Infection in Highly Exposed Individuals.

Castelli Erick C EC   de Castro Mateus V MV   Naslavsky Michel S MS   Scliar Marilia O MO   Silva Nayane S B NSB   Andrade Heloisa S HS   Souza Andreia S AS   Pereira Raphaela N RN   Castro Camila F B CFB   Mendes-Junior Celso T CT   Meyer Diogo D   Nunes Kelly K   Matos Larissa R B LRB   Silva Monize V R MVR   Wang Jaqueline Y T JYT   Esposito Joyce J   Coria Vivian R VR   Bortolin Raul H RH   Hirata Mario H MH   Magawa Jhosiene Y JY   Cunha-Neto Edecio E   Coelho Verônica V   Santos Keity S KS   Marin Maria Lucia C MLC   Kalil Jorge J   Mitne-Neto Miguel M   Maciel Rui M B RMB   Passos-Bueno Maria Rita MR   Zatz Mayana M  

Frontiers in immunology 20210928


Despite the high number of individuals infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) who develop coronavirus disease 2019 (COVID-19) symptoms worldwide, many exposed individuals remain asymptomatic and/or uninfected and seronegative. This could be explained by a combination of environmental (exposure), immunological (previous infection), epigenetic, and genetic factors. Aiming to identify genetic factors involved in immune response in symptomatic COVID-19 as compared t  ...[more]

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