PMID- 37851747 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20231023 IS - 1678-2690 (Electronic) IS - 0001-3765 (Linking) VI - 95 IP - 3 DP - 2023 TI - HLA haplotypes and differential regional mortality caused by COVID-19 in Brazil: an ecological study based on a large bone marrow donor bank dataset. PG - e20220801 LID - S0001-37652023000400801 [pii] LID - 10.1590/0001-3765202320220801 [doi] AB - The coronavirus disease 2019 (COVID-19) mortality rates varied among the states of Brazil during the course of the pandemics. The human leukocyte antigen (HLA) is a critical component of the antigen presentation pathway. Individuals with different HLA genotypes may trigger different immune responses against pathogens, which could culminate in different COVID-19 responses. HLA genotypes are variable, especially in the highly admixed Brazilian population. In this ecological study, we aimed to investigate the correlation between HLA haplotypes and the different regional distribution of COVID-19 mortality in Brazil. HLA data was obtained from 4,148,713 individuals registered in The Brazilian Voluntary Bone Marrow Donors Registry. COVID-19 data was retrieved from epidemiological bulletins issued by State Health Secretariats via Brazil's Ministry of Health from February/2020 to July/2022. We found a positive significant correlation between the HLA-A*01~B*08~DRB1*03 haplotype and COVID-19 mortality rates when we analyzed data from 26 states and the Federal District. This result indicates that the HLA-A*01~B*08~DRB1*03 haplotype may represent an additional risk factor for dying due to COVID-19. This haplotype should be further studied in other populations for a better understanding of the variation in COVID-19 outcomes across the world. FAU - Boquett, Juliano Andre AU - Boquett JA AUID- ORCID: 0000-0002-6437-789X AD - Programa de Pos-Graduacao em Genetica e Biologia Molecular, Universidade Federal do Rio Grande do Sul, Instituto de Biociencias, Avenida Bento Goncalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil. AD - Programa de Pos-Graduacao em Saude da Crianca e do Adolescente, Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Rua Ramiro Barcelos, 2400, Santa Cecilia, 90035-002 Porto Alegre, RS, Brazil. FAU - Vianna, Fernanda S L AU - Vianna FSL AUID- ORCID: 0000-0001-6339-4869 AD - Programa de Pos-Graduacao em Genetica e Biologia Molecular, Universidade Federal do Rio Grande do Sul, Instituto de Biociencias, Avenida Bento Goncalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil. AD - Hospital de Clinicas de Porto Alegre, Centro de Pesquisa Experimental, Laboratorio de Medicina Genomica, Rua Ramiro Barcelos, 2350, Santa Cecilia, 90035-903 Porto Alegre, RS, Brazil. FAU - Fagundes, Nelson J R AU - Fagundes NJR AUID- ORCID: 0000-0003-0456-0323 AD - Programa de Pos-Graduacao em Genetica e Biologia Molecular, Universidade Federal do Rio Grande do Sul, Instituto de Biociencias, Avenida Bento Goncalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil. AD - Programa de Pos-Graduacao em Biologia Animal, Universidade Federal do Rio Grande do Sul, Instituto de Biociencias, Avenida Bento Goncalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil. FAU - Schroeder, Lucas AU - Schroeder L AUID- ORCID: 0000-0002-5589-8597 AD - Programa de Pos-Graduacao em Computacao Aplicada, Universidade do Vale do Rio dos Sinos, Laboratorio de Visualizacao Avancada (VIZLab), Avenida Unisinos, 950, Cristo Rei, 93022-750 Sao Leopoldo, RS, Brazil. FAU - Barbian, Marcia AU - Barbian M AUID- ORCID: 0000-0002-5557-754X AD - Universidade Federal do Rio Grande do Sul, Departamento de Estatistica, Instituto de Matematica e Estatistica, Avenida Bento Goncalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil. FAU - Zagonel-Oliveira, Marcelo AU - Zagonel-Oliveira M AUID- ORCID: 0000-0003-4006-4052 AD - Programa de Pos-Graduacao em Computacao Aplicada, Universidade do Vale do Rio dos Sinos, Laboratorio de Visualizacao Avancada (VIZLab), Avenida Unisinos, 950, Cristo Rei, 93022-750 Sao Leopoldo, RS, Brazil. FAU - Andreis, Tiago F AU - Andreis TF AUID- ORCID: 0000-0001-7098-033X AD - Programa de Pos-Graduacao em Genetica e Biologia Molecular, Universidade Federal do Rio Grande do Sul, Instituto de Biociencias, Avenida Bento Goncalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil. AD - Hospital de Clinicas de Porto Alegre, Centro de Pesquisa Experimental, Laboratorio de Medicina Genomica, Rua Ramiro Barcelos, 2350, Santa Cecilia, 90035-903 Porto Alegre, RS, Brazil. FAU - Porto, Luis Cristovao M S AU - Porto LCMS AUID- ORCID: 0000-0003-1499-1821 AD - Universidade Estadual do Rio de Janeiro, Laboratorio de Histocompatibilidade e Criopreservacao, Rua Sao Francisco Xavier, 524, Maracana, 20550-013 Rio de Janeiro, RJ, Brazil. FAU - Chies, Jose Artur B AU - Chies JAB AUID- ORCID: 0000-0001-7025-0660 AD - Programa de Pos-Graduacao em Genetica e Biologia Molecular, Universidade Federal do Rio Grande do Sul, Instituto de Biociencias, Avenida Bento Goncalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil. FAU - Schuler-Faccini, Lavinia AU - Schuler-Faccini L AUID- ORCID: 0000-0002-2428-0460 AD - Programa de Pos-Graduacao em Genetica e Biologia Molecular, Universidade Federal do Rio Grande do Sul, Instituto de Biociencias, Avenida Bento Goncalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil. AD - Programa de Pos-Graduacao em Saude da Crianca e do Adolescente, Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Rua Ramiro Barcelos, 2400, Santa Cecilia, 90035-002 Porto Alegre, RS, Brazil. AD - Hospital de Clinicas de Porto Alegre, Servico de Genetica Medica, Rua Ramiro Barcelos, 2350, Santa Cecilia, 90035-903 Porto Alegre, RS, Brazil. AD - Instituto Nacional de Genetica Medica Populacional (iNaGeMP), Rua Ramiro Barcelos, 2350, Santa Cecilia, 90035-903 Porto Alegre, RS, Brazil. FAU - Ashton-Prolla, Patricia AU - Ashton-Prolla P AUID- ORCID: 0000-0002-5093-4739 AD - Programa de Pos-Graduacao em Genetica e Biologia Molecular, Universidade Federal do Rio Grande do Sul, Instituto de Biociencias, Avenida Bento Goncalves, 9500, Agronomia, 91501-970 Porto Alegre, RS, Brazil. AD - Hospital de Clinicas de Porto Alegre, Centro de Pesquisa Experimental, Laboratorio de Medicina Genomica, Rua Ramiro Barcelos, 2350, Santa Cecilia, 90035-903 Porto Alegre, RS, Brazil. AD - Hospital de Clinicas de Porto Alegre, Servico de Genetica Medica, Rua Ramiro Barcelos, 2350, Santa Cecilia, 90035-903 Porto Alegre, RS, Brazil. FAU - Rosset, Clevia AU - Rosset C AUID- ORCID: 0000-0002-1728-4770 AD - Hospital de Clinicas de Porto Alegre, Centro de Pesquisa Experimental, Laboratorio de Medicina Genomica, Rua Ramiro Barcelos, 2350, Santa Cecilia, 90035-903 Porto Alegre, RS, Brazil. LA - eng PT - Journal Article DEP - 20231013 PL - Brazil TA - An Acad Bras Cienc JT - Anais da Academia Brasileira de Ciencias JID - 7503280 RN - 0 (HLA-B Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA Antigens) RN - 0 (HLA-A Antigens) SB - IM MH - Humans MH - Haplotypes MH - Brazil/epidemiology MH - *Bone Marrow MH - Gene Frequency MH - HLA-B Antigens/genetics MH - *COVID-19/genetics MH - HLA-DRB1 Chains/genetics MH - Alleles MH - HLA Antigens/genetics MH - HLA-A Antigens/genetics EDAT- 2023/10/18 18:44 MHDA- 2023/10/23 01:18 CRDT- 2023/10/18 14:05 PHST- 2022/10/06 00:00 [received] PHST- 2022/10/19 00:00 [accepted] PHST- 2023/10/23 01:18 [medline] PHST- 2023/10/18 18:44 [pubmed] PHST- 2023/10/18 14:05 [entrez] AID - S0001-37652023000400801 [pii] AID - 10.1590/0001-3765202320220801 [doi] PST - epublish SO - An Acad Bras Cienc. 2023 Oct 13;95(3):e20220801. doi: 10.1590/0001-3765202320220801. eCollection 2023.