Rare Variants in Inborn Errors of Immunity Genes Associated With Covid-19 Severity
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Abstract
Host genetic factors have been shown to play an important role in SARS-CoV-2 infection and the course of Covid-19 disease. The genetic contributions of common variants influencing Covid-19 susceptibility and severity have been extensively studied in diverse populations. However, the studies of rare genetic defects arising from inborn errors of immunity (IEI) are relatively few, especially in the Chinese population. To fill this gap, we used a deeply sequenced dataset of nearly 500 patients, all of Chinese descent, to investigate putative functional rare variants. Specifically, we annotated rare variants in our call set and selected likely deleterious missense (LDM) and high-confidence predicted loss-of-function (HC-pLoF) variants. Further, we analyzed LDM and HC-pLoF variants between non-severe and severe Covid-19 patients by (a) performing gene- and pathway-level association analyses, (b) testing the number of mutations in previously reported genes mapped from LDM and HC-pLoF variants, and (c) uncovering candidate genes via protein-protein interaction (PPI) network analysis of Covid-19-related genes and genes defined from LDM and HC-pLoF variants. From our analyses, we found that (a) pathways Tuberculosis (hsa:05152), Primary Immunodeficiency (hsa:05340), and Influenza A (hsa:05164) showed significant enrichment in severe patients compared to the non-severe ones, (b) HC-pLoF mutations were enriched in Covid-19-related genes in severe patients, and (c) several candidate genes, such as IL12RB1 , TBK1 , TLR3 , and IFNGR2 , are uncovered by PPI network analysis and worth further investigation. These regions generally play an essential role in regulating antiviral innate immunity responses to foreign pathogens and in responding to many inflammatory diseases. We believe that our identified candidate genes/pathways can be potentially used as Covid-19 diagnostic markers and help distinguish patients at higher risk.
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SciScore for 10.1101/2022.03.09.22270766: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
NIH rigor criteria are not applicable to paper type.Table 2: Resources
Software and Algorithms Sentences Resources We used PLINK 2.0 (Chang et al. 2015) to infer sex of individuals from SNP genotypes and VerifyBamID (F. Zhang et al. 2020) to assess the level of DNA contamination. PLINKsuggested: (PLINK, RRID:SCR_001757)To increase the average depth of study, sequence fastq files of each patient were merged together to generate one GVCF file by BWA and Sentieon Genomics software (Freed et al. 2017). BWAsuggested: (BWA, RRID:SCR_010910)After the application of excessHet (<54.69) filter, Variant Quality Score Recalibration (VQSR) was completed by using the Genome Analysis Toolkit (GATK version 4.1.2) … SciScore for 10.1101/2022.03.09.22270766: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
NIH rigor criteria are not applicable to paper type.Table 2: Resources
Software and Algorithms Sentences Resources We used PLINK 2.0 (Chang et al. 2015) to infer sex of individuals from SNP genotypes and VerifyBamID (F. Zhang et al. 2020) to assess the level of DNA contamination. PLINKsuggested: (PLINK, RRID:SCR_001757)To increase the average depth of study, sequence fastq files of each patient were merged together to generate one GVCF file by BWA and Sentieon Genomics software (Freed et al. 2017). BWAsuggested: (BWA, RRID:SCR_010910)After the application of excessHet (<54.69) filter, Variant Quality Score Recalibration (VQSR) was completed by using the Genome Analysis Toolkit (GATK version 4.1.2) (DePristo et al. 2011). Genome Analysis Toolkitsuggested: NoneGATKsuggested: (GATK, RRID:SCR_001876)To improve the genotyping accuracy, we used the Beagle 4.0 software (Browning and Browning 2016) to perform LD-based genotype refinement by taking genotype likelihoods as inputs. Beaglesuggested: (BEAGLE, RRID:SCR_001789)Functional Annotation: We annotated rare variants (MAF < 0.5%) in our final call set by using the Ensembl Variant Effect Predictor (VEP, build 103, Ensembl Variant Effect Predictorsuggested: NoneVariantsuggested: (VARIANT, RRID:SCR_005194)The databases for annotation included dbSNP (Sherry et al. 2001), gnomAD (Karczewski et al. 2020), and 1000 Genomes Project (Clarke et al. 2012). dbSNPsuggested: (dbSNP, RRID:SCR_002338)1000 Genomes Projectsuggested: (1000 Genomes Project and AWS, RRID:SCR_008801)Missense variants with CADD score > MSC (Mutation Significance Cut-off) score (95% confidence interval) (Itan et al. 2016) were predicted as likely-deleterious missense variants. Mutation Significance Cut-offsuggested: NoneRare Variants Analyses: To investigate the cumulative effects of multiple rare variants, we performed gene-based association analysis using KGGSeq 1.0 (Li et al. 2017) with the sequence kernel association test (SKAT) (M. C. Wu et al. 2010), the Optimized SKAT (SKAT-O) (Lee, Wu, and Lin 2012), and Burden test. KGGSeqsuggested: (KGGSeq, RRID:SCR_005311)We further carried out pathway-based analysis by testing the Kyoto Encyclopedia of Genes and Genomes (KEGG) gene sets (Kanehisa and Goto 2000). KEGGsuggested: (KEGG, RRID:SCR_012773)The mutation accuracy of variants in these 148 candidate genes (one overlap between 13 IFN-genes and 136 HGI-genes) was manually checked by using Samtools 1.10 (Danecek et al. 2021). Samtoolssuggested: (SAMTOOLS, RRID:SCR_002105)We used the STRING version 10.5 (Search Tool for the Retrieval of Interacting Genes/Proteins) (Szklarczyk et al. 2019) to build the PPI network. STRINGsuggested: (STRING, RRID:SCR_005223)Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:Despite the many compelling and significant findings of our work, there are still a few limitations to be noted. First, the sample size we used is relatively small, and the limited sample size limits the statistical power for identifying rare variants. More studies with large sample sizes are demanded to validate our results and uncover more candidate variants. Second, even though our work has suggested several candidate genes and pathways potentially related to Covid-19 severity, the true underlying genetic mechanisms of how they affect disease progression need to be explored by more persuasive experimental designs. Covid-19 is assessed as a complex infectious disease and affected many risk factors. Symptoms of Covid-19 are highly variable, ranging from unnoticeable to severe and even death. The host genetic background is only partly responsible for the phenotypic heterogeneity. In recent years, multi-omics studies have proven a powerful and successful strategy to provide a broader perspective in understanding disease development and biological phenomena. Several multi-omics analyses of Covid-19 have been proposed to integrate multiple “omes” data to unravel disease mechanisms at multiple omics levels (Overmyer et al. 2021; Su et al. 2020; Montaldo et al. 2021; P. Wu, Chen, et al. 2021; Stephenson et al. 2021). The integrative analyses of rare genome and other “omes” data (e.g., proteome, transcriptome, epigenome, metabolome, and microbiome) may inspire us to discover new ri...
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