Genome-wide association study of long COVID
Por:
Lammi V, Nakanishi T, Jones SE, Andrews SJ, Karjalainen J, Cortés B, O'Brien HE, Ochoa-Guzman A, Fulton-Howard BE, Broberg M, Haapaniemi HH, Kanai M, Pirinen M, Schmidt A, Mitchell RE, Mousas A, Mangino M, Huerta-Chagoya A, Sinnott-Armstrong N, Cirulli ET, Vaudel M, Kwong ASF, Maiti AK, Marttila MM, Posner DC, Rodriguez AA, Batini C, Minnai F, Dearman AR, Warmerdam CAR, Sequeros CB, Winkler TW, Jordan DM, Rešcenko R, Miano L, Lane JM, Chung RK, Guillen-Guio B, Leavy OC, Carvajal-Silva L, Aguilar-Valdés K, Frangione E, Guare L, Vergasova E, Marouli E, Striano P, Zainulabid UA, Kumar A, Ahmad HF, Edahiro R, Azekawa S, Luoh SW, Erikstrup C, Pedersen OBV, Lerner-Ellis J, Colombo A, Grzymski JJ, Ishii M, Okada Y, Beckmann ND, Kumari M, Wagner R, Heid IM, John C, Short PJ, Magnus P, Ansone L, Valenti LVC, Lee SA, Wain LV, Verdugo RA, Banasik K, Geller F, Franke LH, Rakitko A, Duncan EL, Renieri A, Tsilidis KK, de Cid R, Niavarani A, Abner E, Tusié-Luna T, Verma SS, Smith GD, Timpson NJ, Madduri RK, Cho K, Daly MJ, Ganna A, Schulte EC, Richards JB, Ludwig KU, Marks-Hultström M, Zeberg H and Ollila HM
Publicada:
1 jun 2025
Ahead of Print:
1 may 2025
Resumen:
Infections can lead to persistent symptoms and diseases such as shingles after varicella zoster or rheumatic fever after streptococcal infections. Similarly, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can result in long coronavirus disease (COVID), typically manifesting as fatigue, pulmonary symptoms and cognitive dysfunction. The biological mechanisms behind long COVID remain unclear. We performed a genome-wide association study for long COVID including up to 6,450 long COVID cases and 1,093,995 population controls from 24 studies across 16 countries. We discovered an association of FOXP4 with long COVID, independent of its previously identified association with severe COVID-19. The signal was replicated in 9,500 long COVID cases and 798,835 population controls. Given the transcription factor FOXP4's role in lung physiology and pathology, our findings highlight the importance of lung function in the pathophysiology of long COVID.
Filiaciones:
Lammi V:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Nakanishi T:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Department of Human Genetics, McGill University, Montreal, Quebec, Canada
Centre for Clinical Epidemiology, Department of Medicine, Lady Davis Institute, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
Kyoto-McGill International Collaborative Program in Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan
Department of Genome Informatics, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
Research Fellow, Japan Society for the Promotion of Science, Tokyo, Japan
Jones SE:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Andrews SJ:
Department of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA
Karjalainen J:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, USA
Stanley Center for Psychiatric Research, Broad Institute of Harvard and MIT, Cambridge, MA, USA
Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA, USA
Cortés B:
Genomes for Life-GCAT Lab, CORE Program, Germans Trias i Pujol Research Institute (IGTP), Badalona, Spain
Grup de REcerca en Impacte de les Malalties Cròniques i les seves Trajectòries (GRIMTra), Barcelona, Spain
O'Brien HE:
Sano Genetics Limited, London, UK
Ochoa-Guzman A:
Unidad de Biología Molecular y Medicina Genómica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
Fulton-Howard BE:
Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA
Broberg M:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Haapaniemi HH:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Kanai M:
Broad Institute, Cambridge, MA, USA
Analytical and Translational Genetics Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Pirinen M:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Department of Mathematics and Statistics, University of Helsinki, Helsinki, Finland
Department of Public Health, University of Helsinki, Helsinki, Finland
Schmidt A:
Institute of Human Genetics, University of Bonn, School of Medicine and University Hospital Bonn, Bonn, Germany
Mitchell RE:
MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK
Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
Mousas A:
Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina, Greece
Mangino M:
Department of Twin Research, King's College London, London, UK
Huerta-Chagoya A:
Program in Metabolism and Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA
Center for Genomic Medicine and Diabetes Unit, Endocrine Division, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA
Departamento de Medicina Genómica y Toxicología Ambiental, Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México, Mexico City, Mexico
Unidad de Biología Molecular y Medicina Genómica, Instituto Nacional de Ciencias Médicas y Nutrición, Mexico City, Mexico
Sinnott-Armstrong N:
Herbold Computational Biology Program, Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA, USA
Department of Genome Sciences, University of Washington, Seattle, WA, USA
Finnish Institute of Molecular Medicine, University of Helsinki, Helsinki, Finland
Cirulli ET:
Helix, San Mateo, CA, USA
Vaudel M:
Mohn Center for Diabetes Precision Medicine, Department of Clinical Science, University of Bergen, Bergen, Norway
Department of Genetics and Bioinformatics, Health Data and Digitalization, Norwegian Institute of Public Health, Oslo, Norway
Computational Biology Unit, Department of Informatics, University of Bergen, Bergen, Norway
Kwong ASF:
Centre for Clinical Brain Sciences, Division of Psychiatry, University of Edinburgh, Edinburgh, UK
Maiti AK:
Department of Genetics and Genomics, Mydnavar, Southfield, MI, USA
Marttila MM:
University of Helsinki, Helsinki, Finland
Helsinki University Central Hospital, Helsinki, Finland
Posner DC:
VA Boston Healthcare System, Boston, MA, USA
Rodriguez AA:
Data Science and Learning, Argonne National Laboratory, Lemont, IL, USA
Batini C:
Department of Population Health Sciences, University of Leicester, Leicester, UK
University Hospitals of Leicester NHS Trust, Leicester, UK
Minnai F:
Institute for Biomedical Technologies-National Research Council, Segrate, Italy
Department of Medical Biotechnology and Translational Medicine (BioMeTra), Università degli Studi di Milano, Milan, Italy
Dearman AR:
Institute for Social and Economic Research, University of Essex, Colchester, UK
Warmerdam CAR:
Department of Genetics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
Oncode Investigator, Utrecht, the Netherlands
Sequeros CB:
Novo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
Winkler TW:
Department of Genetic Epidemiology, University of Regensburg, Regensburg, Germany
Jordan DM:
Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York City, NY, USA
Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA
Rešcenko R:
Latvian Biomedical Research and Study Centre, Riga, Latvia
Miano L:
Università degli Studi di Milano, Milan, Italy
Lane JM:
Brigham and Women's Hospital Division of Sleep and Circadian Disorders, Boston, MA, USA
Massachusetts General Hospital, Center for Genomic Medicine, Boston, MA, USA
Broad Institute, Molecular and Population Genetics Program, Cambridge, MA, USA
Chung RK:
Center for Computational Biology, University of California Berkeley, Berkeley, CA, USA
Guillen-Guio B:
Department of Population Health Sciences, University of Leicester, Leicester, UK
The Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK
Leavy OC:
Department of Population Health Sciences, University of Leicester, Leicester, UK
The Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK
Carvajal-Silva L:
Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Santiago, Chile
Aguilar-Valdés K:
Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Santiago, Chile
Frangione E:
Mount Sinai Hospital, Sinai Health, Toronto, Ontario, Canada
Guare L:
Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA
Vergasova E:
Genotek Ltd, Moscow, Russia
Marouli E:
William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
Striano P:
IRCCS G Gaslini, Genoa, Italy
Zainulabid UA:
Department of Internal Medicine, Kulliyyah of Medicine, International Islamic University Malaysia, Pahang, Malaysia
Kumar A:
Department of Anatomy, All India Institute of Medical Sciences-Patna, Patna, India
Ahmad HF:
Faculty of Industrial Sciences and Technology, Universiti Malaysia Pahang Al Sultan Abdullah, Pahang, Malaysia
Edahiro R:
Department of Statistical Genetics, Osaka University Graduate School of Medicine, Suita, Japan
Department of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Suita, Japan
Azekawa S:
Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan
Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
Luoh SW:
VA Portland Health Care System, Portland, Portland, OR, USA
Division of Hematology and Medical Oncology, Knight Cancer Institute, Oregon Health and Science University, Portland, OR, USA
Erikstrup C:
Department of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark
Pedersen OBV:
Department of Clinical Immunology, Zealand University Hospital-Køge, Køge, Denmark
Lerner-Ellis J:
Mount Sinai Hospital, Sinai Health, Toronto, Ontario, Canada
University of Toronto, Toronto, Ontario, Canada
Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, Ontario, Canada
Colombo A:
Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Santiago, Chile
Departamento de Anatomía Patológica, Facultad de Medicina, Universidad de Chile, Santiago, Chile
Servicio de Anatomía Patológica, Hospital Clínico de la Universidad de Chile, Santiago, Chile
Grzymski JJ:
Department of Internal Medicine, University of Nevada Reno, School of Medicine, Reno, NV, USA
Ishii M:
Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan
Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
Okada Y:
Department of Genome Informatics, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan
Department of Statistical Genetics, Osaka University Graduate School of Medicine, Suita, Japan
Laboratory for Systems Genetics, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan
Laboratory of Statistical Immunology, Immunology Frontier Research Center (WPI-IFReC), Osaka University, Suita, Japan
Beckmann ND:
Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York City, NY, USA
Division of Data Driven Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York City, NY, USA
Kumari M:
Institute for Social and Economic Research, University of Essex, Colchester, UK
Wagner R:
Institute of Medical Microbiology and Hygiene, Molecular Microbiology (Virology), University of Regensburg, Regensburg, Germany
Institute of Clinical Microbiology and Hygiene, University Hospital Regensburg, Regensburg, Germany
Heid IM:
Department of Genetic Epidemiology, University of Regensburg, Regensburg, Germany
John C:
Department of Population Health Sciences, University of Leicester, Leicester, UK
Leicester National Institute for Health and Care Research, Biomedical Research Centre, Glenfield Hospital, Leicester, UK
Short PJ:
Sano Genetics Limited, London, UK
Magnus P:
Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
Ansone L:
Latvian Biomedical Research and Study Centre, Riga, Latvia
Valenti LVC:
Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy
Biological Resource Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
Lee SA:
Department of Medicine, Division of HIV, Infectious Diseases and Global Medicine, University of California, San Francisco, CA, USA
Wain LV:
Department of Population Health Sciences, University of Leicester, Leicester, UK
The Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK
Verdugo RA:
Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Santiago, Chile
Instituto de Investigación Interdisciplinaria y Facultad de Medicina, Universidad de Talca, Talca, Chile
Banasik K:
Novo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
Geller F:
Statens Serum Institute, Copenhagen, Denmark
Franke LH:
Department of Genetics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
Oncode Investigator, Utrecht, the Netherlands
Rakitko A:
Genotek Ltd, Moscow, Russia
Duncan EL:
Department of Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK
Department of Twin Research and Genetic Epidemiology, King's College London, London, UK
Renieri A:
Medical Genetics, University of Siena, Siena, Italy
Med Biotech Hub and Competence Center, Department of Medical Biotechnologies, University of Siena, Siena, Italy
Genetica Medica, Azienda Ospedaliero-Universitaria Senese, Siena, Italy
Tsilidis KK:
Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina, Greece
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK
:
Genomes for Life-GCAT Lab, CORE Program, Germans Trias i Pujol Research Institute (IGTP), Badalona, Spain
Grup de REcerca en Impacte de les Malalties Cròniques i les seves Trajectòries (GRIMTra), Barcelona, Spain
Niavarani A:
Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
Abner E:
Estonian Genome Center, Institute of Genomics, University of Tartu, Tartu, Estonia
Tusié-Luna T:
Instituto de Investigaciones Biomédicas, UNAM, Mexico City, Mexico
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
Verma SS:
Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA
Smith GD:
MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK
Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
Timpson NJ:
MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK
Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
Madduri RK:
Data Science and Learning Division, Argonne National Laboratory, Lemont, IL, USA
Cho K:
Department of Medicine, Harvard Medical School and Mass General Brigham, Boston, MA, USA
Daly MJ:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Broad Institute, Cambridge, MA, USA
Analytical and Translational Genetics Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Ganna A:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Broad Institute, Cambridge, MA, USA
Analytical and Translational Genetics Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Schulte EC:
Department of Psychiatry, University of Munich, Munich, Germany
Institute of Human Genetics, University Hospital, Faculty of Medicine, University of Bonn, Bonn, Germany
Institute of Virology, Technical University of Munich/Helmholtz Munich, Munich, Germany
Institute of Psychiatric Phenomics and Genomics, University of Munich, Munich, Germany
Department of Psychiatry, University Hospital, Faculty of Medicine, University of Bonn, Bonn, Germany
Richards JB:
Department of Human Genetics, McGill University, Montreal, Quebec, Canada
Centre for Clinical Epidemiology, Department of Medicine, Lady Davis Institute, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
Department of Twin Research, King's College London, London, UK
5 Prime Sciences Inc, Montreal, Quebec, Canada
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada
Ludwig KU:
Institute of Human Genetics, University of Bonn, School of Medicine and University Hospital Bonn, Bonn, Germany
Marks-Hultström M:
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada
Lady Davis Institute of Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
Anaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
Zeberg H:
Department of Evolutionary Genetics, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden
Ollila HM:
Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland
Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA
Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
Broad Institute of MIT and Harvard, Cambridge, MA, USA
Green Submitted, Green Published, hybrid
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