COVID-19 and systemic lupus erythematosus genetics: A balance between autoimmune disease risk and protection against infection

PLoS Genet. 2022 Nov 3;18(11):e1010253. doi: 10.1371/journal.pgen.1010253. eCollection 2022 Nov.

Abstract

Genome wide association studies show there is a genetic component to severe COVID-19. We find evidence that the genome-wide genetic association signal with severe COVID-19 is correlated with that of systemic lupus erythematosus (SLE), having formally tested this using genetic correlation analysis by LD score regression. To identify the shared associated loci and gain insight into the shared genetic effects, using summary level data we performed meta-analyses, a local genetic correlation analysis and fine-mapping using stepwise regression and functional annotation. This identified multiple loci shared between the two traits, some of which exert opposing effects. The locus with most evidence of shared association is TYK2, a gene critical to the type I interferon pathway, where the local genetic correlation is negative. Another shared locus is CLEC1A, where the direction of effects is aligned, that encodes a lectin involved in cell signaling, and the anti-fungal immune response. Our analyses suggest that several loci with reciprocal effects between the two traits have a role in the defense response pathway, adding to the evidence that SLE risk alleles are protective against infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autoimmune Diseases* / genetics
  • COVID-19* / genetics
  • Genetic Predisposition to Disease
  • Genome-Wide Association Study
  • Humans
  • Lupus Erythematosus, Systemic* / genetics
  • Polymorphism, Single Nucleotide

Grants and funding

YW (reference No. 202008060031), SG (reference No. 201908330377), and KW (reference No. 201806100004) were funded by the King’s-China Scholarship Council. The King’s-China Scholarship Council funded YW, SG, and KW’s PhD. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. None of the authors received a salary from any funder for this study.