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Individual HLA-A, -B, -C, and -DRB1 Genotypes Are No Major Factors Which Determine COVID-19 Severity

Authors: Johannes Schetelig; Johannes Schetelig; Falk Heidenreich; Falk Heidenreich; Henning Baldauf; Sarah Trost; Bose Falk; +20 Authors

Individual HLA-A, -B, -C, and -DRB1 Genotypes Are No Major Factors Which Determine COVID-19 Severity

Abstract

HLA molecules are key restrictive elements to present intracellular antigens at the crossroads of an effective T-cell response against SARS-CoV-2. To determine the impact of the HLA genotype on the severity of SARS-CoV-2 courses, we investigated data from 6,919 infected individuals. HLA-A, -B, and -DRB1 allotypes grouped into HLA supertypes by functional or predicted structural similarities of the peptide-binding grooves did not predict COVID-19 severity. Further, we did not observe a heterozygote advantage or a benefit from HLA diplotypes with more divergent physicochemical peptide-binding properties. Finally, numbers of in silico predicted viral T-cell epitopes did not correlate with the severity of SARS-CoV-2 infections. These findings suggest that the HLA genotype is no major factor determining COVID-19 severity. Moreover, our data suggest that the spike glycoprotein alone may allow for abundant T-cell epitopes to mount robust T-cell responses not limited by the HLA genotype.

Keywords

Adult, Male, Genotype, in silico prediction, SARS-CoV-2, Immunology, Histocompatibility Antigens Class I, T-cell epitopes, Histocompatibility Antigens Class II, Epitopes, T-Lymphocyte, RC581-607, Middle Aged, HLA, immunogenetics, Female [MeSH] ; Histocompatibility Antigens Class I/genetics [MeSH] ; Immunology ; Adult [MeSH] ; Histocompatibility Antigens Class II/immunology [MeSH] ; Humans [MeSH] ; immunogenetics ; Computer Simulation [MeSH] ; Middle Aged [MeSH] ; Cross-Sectional Studies [MeSH] ; T-cell epitopes ; Coronavirus Infections/genetics [MeSH] ; Epitopes, T-Lymphocyte/genetics [MeSH] ; Epitopes, T-Lymphocyte/immunology [MeSH] ; Male [MeSH] ; Histocompatibility Antigens Class II/genetics [MeSH] ; HLA ; Histocompatibility Antigens Class I/immunology [MeSH] ; ; Genotype [MeSH] ; Spike Glycoprotein, Coronavirus/immunology [MeSH] ; SARS-CoV-2 [MeSH] ; SARS-CoV-2, Cross-Sectional Studies, Spike Glycoprotein, Coronavirus, Humans, Computer Simulation, Female, Immunologic diseases. Allergy, Coronavirus Infections

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    Impact byBIP!
    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    17
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
17
Top 10%
Average
Top 10%
Green
gold