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10.1038/s41431-021-00886-x

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33867526!8053565!33867526
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suck abstract from ncbi


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pmid33867526      Eur+J+Hum+Genet 2021 ; 29 (8): 1312-1315
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  • Germline variants in UNC13D and AP3B1 are enriched in COVID-19 patients experiencing severe cytokine storms #MMPMID33867526
  • Luo H; Liu D; Liu W; Wang G; Chen L; Cao Y; Wei J; Xiao M; Liu X; Huang G; Wang W; Zhou J; Wang QF
  • Eur J Hum Genet 2021[Aug]; 29 (8): 1312-1315 PMID33867526show ga
  • Critically ill coronavirus disease 2019 (COVID-19) is characterized by severe cytokine storms, a hyperinflammatory condition intimately related to the development of fatal outcomes. Why some individuals seem particularly vulnerable to severe cytokine storms is still unknown. Primary immunodeficiency (PID)-related genes are inherited factors that dysregulate host inflammatory responses to infection, especially hemophagocytic lymphohistiocytosis (HLH)-related genes, established as contributors to the development of excessive cytokine storms. We analyzed the association between PID gene variants with severe cytokine storms in COVID-19. We conducted whole-exome sequencing in 233 hospitalized COVID-19 patients and identified four PID gene (UNC13D, AP3B1, RNF168, DHX58) variants were significantly enriched in COVID-19 patients experiencing severe cytokine storms. The total percentage of COVID-19 patients with variants in UNC13D or AP3B1, two typical HLH genes, was dramatically higher in high-level cytokine group than in low-level group (33.3 vs. 5.7%, P < 0.001). Germline variants in UNC13D and AP3B1 were associated with the development of severe cytokine storms, fatal outcomes in COVID-19. These findings advance the understanding of individual susceptibility to severe cytokine storms and help optimize the current management of COVID-19.
  • |Adaptor Protein Complex 3/*genetics/metabolism[MESH]
  • |Adaptor Protein Complex beta Subunits/*genetics/metabolism[MESH]
  • |Aged[MESH]
  • |COVID-19/*genetics/immunology/metabolism/*pathology[MESH]
  • |Cytokine Release Syndrome/genetics[MESH]
  • |Humans[MESH]
  • |Lymphohistiocytosis, Hemophagocytic/genetics[MESH]
  • |Membrane Proteins/*genetics/metabolism[MESH]


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