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Here, we describe an extended genome-wide association meta-analysis of a well-characterized cohort of 3255 COVID-19 patients with respiratory failure and 12 488 population controls from Italy, Spain, Norway and Germany/Austria, including stratified analyses based on age, sex and disease severity, as well as targeted analyses of chromosome Y haplotypes, the human leukocyte antigen region and the SARS-CoV-2 peptidome. By inversion imputation, we traced a reported association at 17q21.31 to a ~0.9-Mb inversion polymorphism that creates two highly differentiated haplotypes and characterized the potential effects of the inversion in detail. Our data, together with the 5th release of summary statistics from the COVID-19 Host Genetics Initiative including non-Caucasian individuals, also identified a new locus at 19q13.33, including NAPSA, a gene which is expressed primarily in alveolar cells responsible for gas exchange in the lung. Keywords: Author: Creator: LaTeX with hyperref package Producer: Acrobat Distiller 22.0 (Windows) CreationDate: Mon Nov 14 06:52:38 2022 CET ModDate: Mon Nov 14 06:52:38 2022 CET Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 22 Encrypted: no Page size: 595.26 x 782.337 pts Page rot: 0 File size: 2285903 bytes Optimized: yes PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- JHDEFB+CaeciliaLTStd-Bold Type 1C Custom yes yes yes 4143 0 JHDEGB+CaeciliaLTStd-Roman Type 1C Custom yes yes yes 4144 0 JHDEMA+CaeciliaLTStd-Italic Type 1C Custom yes yes yes 4145 0 JHDFAP+CaeciliaLTStd-Light Type 1C Custom yes yes yes 4146 0 JHDIJK+CaeciliaLTStd-Heavy Type 1C Custom yes yes yes 202 0 JHDNEP+MTSYN Type 1C Custom yes yes yes 203 0 JHDNHO+CaeciliaLTStd-LightItalic Type 1C Custom yes yes yes 204 0 JHDOBM+MTMI Type 1C Custom yes yes yes 205 0 JHDOJK+CaeciliaLTStd-BoldItalic Type 1C Custom yes yes yes 62 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-07-01 02:40:56 CEST RepresentationInformation: pmc_9703941.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2022-12-08 02:17:06 CET Size: 2285903 Format: PDF Version: 1.7 Status: Well-Formed, but not valid SignatureMatches: PDF-hul ID: PDF-HUL-122 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'myrefsref9' cannot be found Offset: 1900627 MIMEtype: application/pdf Profile: Linearized PDF, Tagged PDF PDFMetadata: Objects: 4174 FreeObjects: 1 IncrementalUpdates: 1 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: true NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseOutlines Language: en Outlines: Item: Title: Detailed stratified GWAS analysis for severe COVID-19 in four European populations Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@6a1aab78 Children: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@462d5aee Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@69b0fd6f Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@757942a1 Item: Title: Materials and Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@4a87761d Item: Title: Functional analysis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@66d1af89 Item: Title: Supplementary Material Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@8646db9 Item: Title: Acknowledgements Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@37374a5e Item: Title: Funding Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@4671e53b Item: Title: Authors' contributions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@2db7a79b Info: Title: Detailed stratified GWAS analysis for severe COVID-19 in four European populations Author: Subject: AcademicSubjects/SCI01140, DOI: 10.1093/hmg/ddac158, Human Molecular Genetics, 31, 23, 15 07 2022. Abstract: Given the highly variable clinical phenotype of Coronavirus disease 2019 (COVID-19), a deeper analysis of the host genetic contribution to severe COVID-19 is important to improve our understanding of underlying disease mechanisms. Here, we describe an extended genome-wide association meta-analysis of a well-characterized cohort of 3255 COVID-19 patients with respiratory failure and 12 488 population controls from Italy, Spain, Norway and Germany/Austria, including stratified analyses based on age, sex and disease severity, as well as targeted analyses of chromosome Y haplotypes, the human leukocyte antigen region and the SARS-CoV-2 peptidome. By inversion imputation, we traced a reported association at 17q21.31 to a ~0.9-Mb inversion polymorphism that creates two highly differentiated haplotypes and characterized the potential effects of the inversion in detail. Our data, together with the 5th release of summary statistics from the COVID-19 Host Genetics Initiative including non-Caucasian individuals, also identified a new locus at 19q13.33, including NAPSA, a gene which is expressed primarily in alveolar cells responsible for gas exchange in the lung. 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AndreaCaballero-Garralda AndreaGanna AndreaGori AndreaGlück AndreasLind AndreasTanck AnjaHinney AnkeCarreras Nolla AnnaFracanzani Anna LudovicaPeschuck AnnaCavallero AnnalisaDyrhol-Riise Anne MaRuello AntonellaJulià AntonioMuscatello AntonioPesenti AntonioVoza AntonioRando-Segura AriadnaSolier AuroraSchmidt AxelCortes BeatrizMateos BeatrizNafria-Jimenez BeatrizSchaefer BenediktJensen BjörnBellinghausen CarlaMaj CarloFerrando Carlosde la Horra CarmenQuereda CarmenSkurk CarstenThibeault CharlotteScollo ChiaraHerr ChristianSpinner Christoph D.Gassner ChristophLange ChristophHu CinziaPaccapelo CinziaLehmann ClaraAngelini ClaudioCappadona ClaudioAzuure ClintonBianco CristianaCea CristinaSancho CristinaHoff Dag Arne LihaugGalimberti DanielaPrati DanieleHaschka DavidJiménez DavidPestaña DavidToapanta DavidMuñiz-Diaz EduardoAzzolini ElenaSandoval ElenaBinatti EleonoraScarpini ElioHelbig Elisa T.Casalone ElisabettaUrrechaga EloisaParaboschi Elvezia MariaPontali EmanueleReverter EnricCalderón 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XavierYi XiaoliWang XiaominKhodamoradi YaschaKaradeniz ZehraLatiano AnnaGoerg SiegfriedBacher PetraKoehler PhilippTran FlorianZoller HeinzSchulte Eva C.Heidecker BettinaLudwig Kerstin U.Fernández JavierRomero-Gómez ManuelAlbillos AgustínInvernizzi PietroButi MariaDuga StefanoBujanda LuisHov Johannes R.Lenz Tobias L.Asselta Rosannade Cid RafaelValenti LucaKarlsen Tom H.Cáceres MarioFranke Andre AcademicSubjects/SCI01140, DOI: 10.1093/hmg/ddac158, Human Molecular Genetics, 31, 23, 15 07 2022. Abstract: Given the highly variable clinical phenotype of Coronavirus disease 2019 (COVID-19), a deeper analysis of the host genetic contribution to severe COVID-19 is important to improve our understanding of underlying disease mechanisms. Here, we describe an extended genome-wide association meta-analysis of a well-characterized cohort of 3255 COVID-19 patients with respiratory failure and 12 488 population controls from Italy, Spain, Norway and Germany/Austria, including stratified analyses based on age, sex and disease severity, as well as targeted analyses of chromosome Y haplotypes, the human leukocyte antigen region and the SARS-CoV-2 peptidome. By inversion imputation, we traced a reported association at 17q21.31 to a ~0.9-Mb inversion polymorphism that creates two highly differentiated haplotypes and characterized the potential effects of the inversion in detail. Our data, together with the 5th release of summary statistics from the COVID-19 Host Genetics Initiative including non-Caucasian individuals, also identified a new locus at 19q13.33, including NAPSA, a gene which is expressed primarily in alveolar cells responsible for gas exchange in the lung. © The Author(s) 2022. Published by Oxford University Press. All rights reserved. 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