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[Preprint]. 2021 Feb 27:2020.10.28.20221804.
doi: 10.1101/2020.10.28.20221804.

A catalog of associations between rare coding variants and COVID-19 outcomes

J A Kosmicki  1 J E Horowitz  1 N Banerjee  1 R Lanche  1 A Marcketta  1 E Maxwell  1 X Bai  1 D Sun  1 J D Backman  1 D Sharma  1 H M Kang  1 C O'Dushlaine  1 A Yadav  1 A J Mansfield  1 A H Li  1 K Watanabe  1 L Gurski  1 S E McCarthy  1 A E Locke  1 S Khalid  1 S O'Keeffe  1 J Mbatchou  1 O Chazara  2 Y Huang  2 E Kvikstad  3 A O'Neill  2 P Nioi  2 M M Parker  4 S Petrovski  2 H Runz  5 J D Szustakowski  2 Q Wang  2 E Wong  5 A Cordova-Palomera  6 E N Smith  6 S Szalma  6 X Zheng  7 S Esmaeeli  7 J W Davis  7 Y-P Lai  8 X Chen  8 A E Justice  9 J B Leader  9 T Mirshahi  9 D J Carey  9 A Verma  10 G Sirugo  10 M D Ritchie  10 D J Rader  10 G Povysil  11 D B Goldstein  11   12 K Kiryluk  11   13 E Pairo-Castineira  14   15 K Rawlik  14 D Pasko  16 S Walker  16 A Meynert  15 A Kousathanas  16 L Moutsianas  16 A Tenesa  14   15   17 M Caulfield  16   18 R Scott  16   19 J F Wilson  15   17 J K Baillie  14   15   20 G Butler-Laporte  21   22 T Nakanishi  21   23   24   25 M Lathrop  23   26 J B Richards  21   22   23   27 Regeneron Genetics CenterUKB Exome Sequencing ConsortiumM Jones  1 S Balasubramanian  1 W Salerno  1 A R Shuldiner  1 J Marchini  1 J D Overton  1 L Habegger  1 M N Cantor  1 J G Reid  1 A Baras  1 G R Abecasis  1 M A Ferreira  1
Affiliations

A catalog of associations between rare coding variants and COVID-19 outcomes

J A Kosmicki et al. medRxiv. .

Abstract

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) causes coronavirus disease-19 (COVID-19), a respiratory illness that can result in hospitalization or death. We investigated associations between rare genetic variants and seven COVID-19 outcomes in 543,213 individuals, including 8,248 with COVID-19. After accounting for multiple testing, we did not identify any clear associations with rare variants either exome-wide or when specifically focusing on (i) 14 interferon pathway genes in which rare deleterious variants have been reported in severe COVID-19 patients; (ii) 167 genes located in COVID-19 GWAS risk loci; or (iii) 32 additional genes of immunologic relevance and/or therapeutic potential. Our analyses indicate there are no significant associations with rare protein-coding variants with detectable effect sizes at our current sample sizes. Analyses will be updated as additional data become available, with results publicly browsable at https://rgc-covid19.regeneron.com.

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Conflict of interest statement

Competing interests J.E.H., J.A.K., A.D., D.S., N.B, A.Y., A.M., R.L., E.M., X.B., D.S., F.S.P.K., J.D.B., C.O’D., A.J.M., D.A.T., A.H.L., J.M., K.W., L.G., S.E.M, H.M.K., L.D., E.S., M.J., S.B., K.S.M, W.J.S., A.R.S., A.E.L., J.M., J.O., L.H., M.N.C., J.G.R., A.B., G.R.A., and M.A.F. are current employees and/or stockholders of Regeneron Genetics Center or Regeneron Pharmaceuticals. X.Z., S.E., J.W.D. are employees of AbbVie and may hold stock in AbbVie. Financial support for this research was provided by AbbVie through the UKB Exome Sequencing Consortium. AbbVie participated in the interpretation of data, review, and approval of the publication. P.N. and M.M.P are employees and stockholders of Alnylam Pharmaceuticals. J.B.R. has served as an advisor to GlaxoSmithKline and Deerfield Capital and these agencies had no role in the design, implementation or interpretation of this study. S.S., E.W., A.C.P., and E.N.S. are employed by Takeda. S.S. holds shares in Takeda and Janssen. The other authors declare no competing interests.

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