Identification of LZTFL1 as a candidate effector gene at a COVID-19 risk locus

The severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) disease (COVID-19) pandemic has caused millions of deaths worldwide. Genome-wide association studies identified the 3p21.31 region as conferring a twofold increased risk of respiratory failure. Here, using a combined multiomics and mac...

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Main Authors: Downes, DJ, Cross, AR, Hua, P, Roberts, N, Schwessinger, R, Cutler, AJ, Munis, AM, Brown, J, Mielczarek, O, de Andrea, CE, Melero, I, Gill, DR, Hyde, SC, Knight, JC, Todd, JA, Sansom, SN, Issa, F, Davies, JOJ, Hughes, JR
Format: Journal article
Language:English
Published: Springer Nature 2021
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author Downes, DJ
Cross, AR
Hua, P
Roberts, N
Schwessinger, R
Cutler, AJ
Munis, AM
Brown, J
Mielczarek, O
de Andrea, CE
Melero, I
Gill, DR
Hyde, SC
Knight, JC
Todd, JA
Sansom, SN
Issa, F
Davies, JOJ
Hughes, JR
author_facet Downes, DJ
Cross, AR
Hua, P
Roberts, N
Schwessinger, R
Cutler, AJ
Munis, AM
Brown, J
Mielczarek, O
de Andrea, CE
Melero, I
Gill, DR
Hyde, SC
Knight, JC
Todd, JA
Sansom, SN
Issa, F
Davies, JOJ
Hughes, JR
author_sort Downes, DJ
collection OXFORD
description The severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) disease (COVID-19) pandemic has caused millions of deaths worldwide. Genome-wide association studies identified the 3p21.31 region as conferring a twofold increased risk of respiratory failure. Here, using a combined multiomics and machine learning approach, we identify the gain-of-function risk A allele of an SNP, rs17713054G>A, as a probable causative variant. We show with chromosome conformation capture and gene-expression analysis that the rs17713054-affected enhancer upregulates the interacting gene, leucine zipper transcription factor like 1 (LZTFL1). Selective spatial transcriptomic analysis of lung biopsies from patients with COVID-19 shows the presence of signals associated with epithelial–mesenchymal transition (EMT), a viral response pathway that is regulated by LZTFL1. We conclude that pulmonary epithelial cells undergoing EMT, rather than immune cells, are likely responsible for the 3p21.31-associated risk. Since the 3p21.31 effect is conferred by a gain-of-function, LZTFL1 may represent a therapeutic target.
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spelling oxford-uuid:d2902d1a-f49b-45ed-a325-6e704bae01e82022-09-09T16:08:09ZIdentification of LZTFL1 as a candidate effector gene at a COVID-19 risk locusJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d2902d1a-f49b-45ed-a325-6e704bae01e8EnglishSymplectic ElementsSpringer Nature2021Downes, DJCross, ARHua, PRoberts, NSchwessinger, RCutler, AJMunis, AMBrown, JMielczarek, Ode Andrea, CEMelero, IGill, DRHyde, SCKnight, JCTodd, JASansom, SNIssa, FDavies, JOJHughes, JRThe severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) disease (COVID-19) pandemic has caused millions of deaths worldwide. Genome-wide association studies identified the 3p21.31 region as conferring a twofold increased risk of respiratory failure. Here, using a combined multiomics and machine learning approach, we identify the gain-of-function risk A allele of an SNP, rs17713054G>A, as a probable causative variant. We show with chromosome conformation capture and gene-expression analysis that the rs17713054-affected enhancer upregulates the interacting gene, leucine zipper transcription factor like 1 (LZTFL1). Selective spatial transcriptomic analysis of lung biopsies from patients with COVID-19 shows the presence of signals associated with epithelial–mesenchymal transition (EMT), a viral response pathway that is regulated by LZTFL1. We conclude that pulmonary epithelial cells undergoing EMT, rather than immune cells, are likely responsible for the 3p21.31-associated risk. Since the 3p21.31 effect is conferred by a gain-of-function, LZTFL1 may represent a therapeutic target.
spellingShingle Downes, DJ
Cross, AR
Hua, P
Roberts, N
Schwessinger, R
Cutler, AJ
Munis, AM
Brown, J
Mielczarek, O
de Andrea, CE
Melero, I
Gill, DR
Hyde, SC
Knight, JC
Todd, JA
Sansom, SN
Issa, F
Davies, JOJ
Hughes, JR
Identification of LZTFL1 as a candidate effector gene at a COVID-19 risk locus
title Identification of LZTFL1 as a candidate effector gene at a COVID-19 risk locus
title_full Identification of LZTFL1 as a candidate effector gene at a COVID-19 risk locus
title_fullStr Identification of LZTFL1 as a candidate effector gene at a COVID-19 risk locus
title_full_unstemmed Identification of LZTFL1 as a candidate effector gene at a COVID-19 risk locus
title_short Identification of LZTFL1 as a candidate effector gene at a COVID-19 risk locus
title_sort identification of lztfl1 as a candidate effector gene at a covid 19 risk locus
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