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Genetic Examination of Hematological Parameters in SARS-CoV-2 Infection and COVID-19.


ABSTRACT:

Background

People hospitalized with COVID-19 often exhibit hematological alterations, such as lower lymphocyte and platelet counts, which have been reported to associate with disease prognosis. It is unclear whether inter-individual variability in baseline hematological parameters prior to acute infection influences risk of SARS-CoV-2 infection and progression to severe COVID-19.

Methods

We assessed the association of blood cell counts and indices with incident SARS-CoV-2 infection and severe COVID-19 in UK Biobank and the Vanderbilt University Medical Center Synthetic Derivative (VUMC SD). Since genetically determined blood cell measures better represent cell abundance across the lifecourse, we used summary statistics from genome-wide association studies to assess the shared genetic architecture of baseline blood cell counts and indices on COVID-19 outcomes.

Results

We observed inconsistent associations between measured blood cell indices and both SARS-CoV-2 infection and COVID-19 hospitalization in UK Biobank and VUMC SD. In Mendelian randomization analyses using genetic summary statistics, no putative causal relationships were identified between COVID-19 related outcomes and hematological indices after adjusting for multiple testing. We observed overlapping genetic association signals between hematological parameters and COVID-19 traits. For example, we observed overlap between infection susceptibility-associated variants at PPP1R15A and red blood cell parameters, and between disease severity-associated variants at TYK2 and lymphocyte and platelet phenotypes.

Conclusions

We did not find convincing evidence of a relationship between baseline hematological parameters and susceptibility to SARS-CoV-2 infection or COVID-19 severity, though this relationship should be re-examined as larger and better-powered genetic analyses of SARS-CoV-2 infection and severe COVID-19 become available.

SUBMITTER: Rowland B 

PROVIDER: S-EPMC8902884 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Publications

Genetic Examination of Hematological Parameters in SARS-CoV-2 Infection and COVID-19.

Rowland Bryce B   Sun Quan Q   Wang Wanjiang W   Miller-Fleming Tyne T   Cox Nancy N   Graff Misa M   Faucon Annika A   Shuey Megan M MM   Blue Elizabeth E EE   Auer Paul P   Li Yun Y   Sankaran Vijay G VG   Reiner Alexander P AP   Raffield Laura M LM  

medRxiv : the preprint server for health sciences 20220228


<h4>Background</h4>People hospitalized with COVID-19 often exhibit hematological alterations, such as lower lymphocyte and platelet counts, which have been reported to associate with disease prognosis. It is unclear whether inter-individual variability in baseline hematological parameters prior to acute infection influences risk of SARS-CoV-2 infection and progression to severe COVID-19.<h4>Methods</h4>We assessed the association of blood cell counts and indices with incident SARS-CoV-2 infectio  ...[more]

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