Table 1 Seventy-six significant gene–COVID-19 severity associations based on cross-methylome omnibus (CMO) analyses of the COVID-19 Host Genetics Initiative data (version 5; B2 outcome focusing on Europeans).

From: An integrative multiomics analysis identifies putative causal genes for COVID-19 severity

Chr

Gene

Start (build37)

End (build37)

Number of enhancer

Number of CpGs in enhancers

Number of CpGs in gene body regions

CMO P valuea

False discovery rate (FDR)

Known function of the geneb

1

APITD1

10490159

10512210

0

0

11

6.58 × 10−16

6.65 × 10−13

Expressed at very low levels in neuroblastoma tumors; may have a role in a cell death pathway

1

TPM3

154127784

154167124

3

10

16

7.52 × 10−6

3.80 × 10−3

Variants result in autosomal dominant nemaline myopathy and other muscle disorders

2

PLCD4

219472488

219501907

4

11

2

4.58 × 10−11

3.03 × 10−8

Expression may be a marker for cancer

3

SACM1L

45730548

45786916

9

19

2

1.90 × 10−9

1.21 × 10−6

Deletion in mouse results in preimplantation lethality; involved in the organization of Golgi membranes and mitotic spindles

3

SLC6A20

45796942

45838027

1

4

4

4.86 × 10−29

7.59 × 10−26

Functions as a proline transporter expressed in kidney and small intestine; variants are associated with hyperglycinuria and iminoglycinuria

3

LZTFL1

45864808

45957534

2

4

10

1.22 × 10−29

3.00 × 10−26

Nonsense variants cause a form of Bardet–Biedl syndrome; may also function as a tumor suppressor

3

CCR9

45927996

45944667

1

3

4

1.82 × 10−29

3.91 × 10−26

A role in directing immune responses to different segments of the gastrointestinal tract; overexpressed in a variety of malignant tumors and is closely associated with tumor proliferation, apoptosis, invasion, migration and drug resistance

3

FYCO1

45959396

46037316

8

24

11

2.13 × 10−30

6.37 × 10−27

Variants are associated with inclusion body myositis and autosomal recessive congenital cataracts

3

CXCR6

45982425

45989845

6

16

4

2.22 × 10−30

6.37 × 10−27

Controls the localization of resident memory T lymphocytes to different compartments of the lung and maintains airway resident memory T lymphocytes, which are an important first line of defense against respiratory pathogens

3

XCR1

46058516

46069234

3

11

4

8.59 × 10−32

1.48 × 10−27

It transduces a signal by increasing the intracellular calcium ions level; the viral macrophage inflammatory protein II is an antagonist of this receptor and blocks signaling

3

NRBF2P2

46064788

46065648

0

0

2

3.19 × 10−31

2.00 × 10−27

A pseudogene

3

CCR3

46205096

46308197

0

0

11

3.48 × 10−31

2.00 × 10−27

May contribute to the accumulation and activation of eosinophils and other inflammatory cells in the allergic airway; also known to be an entry coreceptor for HIV-1

3

CCR1

46243200

46249887

5

14

4

1.10 × 10−30

4.74 × 10−27

Plays a role in host protection from inflammatory response, and susceptibility to virus and parasite

3

CCR2

46395225

46402419

4

11

5

1.24 × 10−28

1.77 × 10−25

Encodes a protein which is a receptor for monocyte chemoattractant protein-1, which is involved in monocyte infiltration in inflammatory diseases; protein can be a coreceptor with CD4 for HIV-1 infection

3

CCR5

46411633

46417697

2

4

2

4.63 × 10−29

7.59 × 10−26

This protein is expressed by T cells and macrophages, and is known to be an important coreceptor for macrophage-tropic virus, including HIV, to enter host cells

3

CCRL2

46448654

46454488

6

15

4

4.31 × 10−29

7.59 × 10−26

Expressed at high levels in primary neutrophils and primary monocytes, and is further upregulated on neutrophil activation and during monocyte to macrophage differentiation

3

RTP3

46538981

46542439

4

16

4

1.27 × 10−12

1.09 × 10−9

Related pathways include signaling by GPCR and olfactory transduction

5

FTH1P10

17353804

17354733

0

0

2

3.17 × 10−5

0.01

A pseudogene

5

SLC30A5

68389473

68426896

4

10

2

1.15 × 10−25

1.41 × 10−22

Encodes a member of the SLC30A/ZnT family of zinc transporter proteins; ZnT proteins mediate both cellular zinc efflux and zinc sequestration into membrane-bound organelles

5

MARVELD2

68710939

68740157

2

14

8

2.10 × 10−25

2.41 × 10−22

Encoded protein helps establish epithelial barriers such as those in the organ of Corti, where these barriers are required for normal hearing; defects in this gene are a cause of deafness autosomal recessive type 49

5

OCLN

68788119

68853931

1

6

6

5.73 × 10−26

7.58 × 10−23

Variants in this gene are thought to be a cause of band-like calcification with simplified gyration and polymicrogyria (BLC-PMG), an autosomal recessive neurologic disorder that is also known as pseudo-TORCH syndrome

5

RAPGEF6

130759614

130970929

2

3

4

2.19 × 10−4

0.05

Associated with schizoid personality disorder

6

SPDEF

34505579

34524110

1

6

7

1.19 × 10−4

0.03

Highly expressed in the prostate epithelial cells, and functions as an androgen-independent transactivator of prostate-specific antigen (PSA) promoter; higher expression of this protein has also been reported in brain, breast, lung, and ovarian tumors, compared to the corresponding normal tissues

7

SVOPL

138279030

138386097

1

2

6

2.02 × 10−5

9.38 × 10−3

The protein encoded by this gene is thought to be a member of solute carrier family 22, which includes transmembrane proteins that transport toxins and drugs from the body

9

DDX31

135468384

135545788

6

19

2

9.78 × 10−5

0.03

Putative RNA helicase likely implicated in a number of cellular processes involving alteration of RNA secondary structure such as translation initiation, nuclear and mitochondrial splicing, and ribosome and spliceosome assembly

9

GTF3C4

135545422

135570342

4

18

1

9.22 × 10−5

0.02

Essential for RNA polymerase III to make a number of small nuclear and cytoplasmic RNAs, including 5S RNA, tRNA, and adenovirus-associated (VA) RNA of both cellular and viral origin

9

RALGDS

135973107

136039301

2

13

20

4.57 × 10−5

0.02

Associated with dystonia 16 and cardiofaciocutaneous syndrome 1

9

GBGT1

136028340

136039332

2

17

6

2.91 × 10−5

0.01

Encodes a glycosyltransferase that plays a role in the synthesis of Forssman glycolipid (FG); glycolipids such as FG form attachment sites for the binding of pathogens to cells; expression of this protein may determine host tropism to microorganisms; associated with inflammatory bowel disease 19 and Niemann–Pick disease, type C1

9

OBP2B

136080664

136084630

1

2

1

3.32 × 10−6

1.78 × 10−3

Probably binds and transports small hydrophobic volatile molecules

9

LCN1P1

136100292

136103993

0

0

1

7.09 × 10−6

3.69 × 10−3

A pseudogene, may bind a variety of ligands including lipids

9

SURF1

136218610

136223552

0

0

3

5.42 × 10−5

0.02

Defects are a cause of Leigh syndrome, a severe neurological disorder that is commonly associated with systemic cytochrome c oxidase deficiency

9

SURF2

136223428

136228045

0

0

2

2.16 × 10−4

0.05

Associated with hypotonia–cystinuria syndrome

9

SURF4

136228325

136242970

0

0

4

1.33 × 10−5

6.37 × 10−3

Associated with colorectal cancer, hereditary nonpolyposis, type 2 and macular degeneration, age-related, 6

9

C9orf96

136243117

136271220

0

0

2

4.51 × 10−5

0.02

Annotates to transferase activity, transferring phosphorus-containing groups and protein tyrosine kinase activity

9

SLC2A6

136336217

136344259

2

13

5

2.33 × 10−5

0.01

Probable sugar transporter that acts as a regulator of glycolysis in macrophages; associated with endometrial clear cell adenocarcinoma and testis seminoma

9

TMEM8C

136379708

136393734

0

0

2

4.80 × 10−5

0.02

Involved in skeletal muscle regeneration in response to injury by mediating the fusion of satellite cells with injured myofibers; also involved in skeletal muscle hypertrophy

9

BRD3

136895427

136933657

6

21

6

1.29 × 10−4

0.03

Chromatin reader that recognizes and binds hyperacetylated chromatin and plays a role in the regulation of transcription; regulates transcription by promoting the binding of the transcription factor GATA1 to its targets; associated with foodborne botulism and wound botulism

10

NCOA4

51565108

51590734

0

0

1

6.40 × 10−21

6.87 × 10−18

Enhances the androgen receptor transcriptional activity in prostate cancer cells; associated with differentiated thyroid carcinoma and withdrawal disorder

10

RHOBTB1

62629196

62761198

3

7

11

1.78 × 10−4

0.04

Associated with ascaridiasis and deafness, autosomal recessive 104

12

OAS3

113376157

113411054

2

4

4

2.76 × 10−8

1.63 × 10−5

Plays a significant role in the inhibition of cellular protein synthesis and viral infection resistance

12

OAS2

113416200

113449528

1

1

2

2.04 × 10−6

1.13 × 10−3

Plays a critical role in cellular innate antiviral response

12

DTX1

113494514

113535833

2

4

18

9.86 × 10−6

4.84 × 10−3

Involved in neurogenesis, lymphogenesis and myogenesis, and may also be involved in marginal zone B (MZB) cell differentiation.

12

CCDC42B

113587663

113597081

0

0

5

7.50 × 10−7

4.30 × 10−4

Associated with phosphoglycerate kinase 1 deficiency and Cornelia de Lange syndrome 4 with or without midline brain defects

12

SDSL

113860042

113876081

4

5

2

3.03 × 10−5

0.01

Has low serine dehydratase and threonine dehydratase activity; associated with subdural empyema and sarcocystosis

13

TSC22D1

45007655

45151283

5

6

3

1.82 × 10−8

1.12 × 10−5

The encoded protein may play a critical role in tumor suppression

17

NSF

44668035

44834830

0

0

2

8.06 × 10−5

0.02

Associated with tetanus and type 1 diabetes mellitus 13

17

WNT3

44839872

44910520

3

10

14

2.90 × 10−5

0.01

May play a key role in some cases of human breast, rectal, lung, and gastric cancer

19

ZNF266

9523272

9546254

18

67

4

8.63 × 10−5

0.02

May be involved in transcriptional regulation

19

ZNF121

9671029

9695209

16

65

2

8.20 × 10−5

0.02

May be involved in transcriptional regulation

19

ZNF561

9715356

9732075

19

70

1

6.86 × 10−5

0.02

Related to pathways of gene expression and herpes simplex virus 1 infection

19

ZNF846

9862669

9903856

11

37

1

7.19 × 10−5

0.02

Associated with monkeypox; related to pathways of herpes simplex virus 1 infection

19

FBXL12

9920943

9938492

22

77

1

7.54 × 10−5

0.02

Mediates the polyubiquitination and proteasomal degradation of CAMK1 leading to disruption of cyclin D1/CDK4 complex assembly which results in G1 cell cycle arrest in lung epithelia; related to pathways of innate immune system and class I MHC mediated antigen processing and presentation

19

PPAN

10216965

10225414

23

78

11

8.34 × 10−5

0.02

May have a role in cell growth; associated with narcolepsy

19

EIF3G

10225693

10230596

16

63

4

7.18 × 10−5

0.02

Associated with narcolepsy

19

DNMT1

10244021

10341962

17

46

8

9.42 × 10−5

0.02

Variation is associated with cerebellar ataxia, deafness, and narcolepsy, and neuropathy, hereditary sensory, type IE

19

S1PR2

10334520

10341948

3

17

1

6.32 × 10−5

0.02

Defects have been associated with congenital profound deafness

19

ICAM1

10381511

10397291

4

13

8

5.63 × 10−5

0.02

Encodes a cell surface glycoprotein which is typically expressed on endothelial cells and cells of the immune system; binds to integrins of type CD11a/CD18, or CD11b/CD18 and is also exploited by rhinovirus as a receptor; associated with malaria and hepatocellular carcinoma

19

ICAM4

10397643

10399198

3

16

7

4.75 × 10−5

0.02

Associated with blood group system, Landsteiner–Wiener and anemia, congenital dyserythropoietic, type Iv; related to pathways of innate immune system and actin dynamics signaling pathway

19

ICAM5

10400657

10407454

3

16

12

5.93 × 10−5

0.02

May be a critical component in neuron–microglial cell interactions in the course of normal development or as part of neurodegenerative diseases; associated with acute hemorrhagic conjunctivitis and holoprosencephaly; related to pathways of innate immune system and degradation of the extracellular matrix

19

ZGLP1

10415479

10420556

1

2

2

3.76 × 10−5

0.02

Associated with hermaphroditism

19

FDX1L

10416103

10426691

0

0

5

9.96 × 10−5

0.03

Associated with mitochondrial myopathy, episodic, with or without optic atrophy and reversible leukoencephalopathy and mitochondrial myopathy; related to pathways of HIV life cycle and diseases of metabolism

19

ICAM3

10444452

10450499

2

6

7

5.45 × 10−5

0.02

May be the most important ligand for LFA-1 in the initiation of the immune response; contributes to apoptotic neutrophil phagocytosis by macrophages

19

PDE4A

10527449

10580305

4

17

21

5.93 × 10−5

0.02

Associated with asthma and pulmonary eosinophilia

19

CDKN2D

10677138

10679735

6

22

3

6.12 × 10−5

0.02

The negative regulation of the cell cycle involved in this protein was shown to participate in repressing neuronal proliferation, as well as spermatogenesis; associated with adult central nervous system primitive neuroectodermal neoplasm and parathyroid adenoma; related to pathways of immune response IL-23 signaling pathway and mitotic G1-G1/S phases

19

AP1M2

10683347

10697991

2

8

12

1.86 × 10−4

0.04

Associated with Pettigrew syndrome and chromophobe renal cell carcinoma; related to pathways of vesicle-mediated transport and HIV life cycle

19

SLC44A2

10713133

10755235

7

27

16

2.06 × 10−4

0.05

Associated with femoral vein thrombophlebitis and deafness, autosomal recessive 68; related to pathways of transport of glucose and other sugars, bile salts and organic acids, metal ions and amine compounds and innate immune system

19

C19orf38

10947251

10980466

4

15

3

7.72 × 10−5

0.02

Unknown

19

DOCK6

11309971

11373157

4

20

17

8.02 × 10−5

0.02

Associated with Adams–Oliver syndrome 2 and Adams–Oliver syndrome

19

NAPSA

50861734

50869087

0

0

8

1.60 × 10−4

0.04

The encoded protease may play a role in the proteolytic processing of pulmonary surfactant protein B in the lung and may function in protein catabolism in the renal proximal tubules

21

OLIG2

34398153

34401504

3

5

16

3.83 × 10−12

2.86 × 10−9

Required for oligodendrocyte and motor neuron specification in the spinal cord, as well as for the development of somatic motor neurons in the hindbrain

21

OLIG1

34442450

34444726

0

0

10

2.78 × 10−12

2.27 × 10−9

Associated with oligodendroglioma and anaplastic astrocytoma; related to pathways of neural crest differentiation and neural stem cell differentiation pathways and lineage-specific markers

21

IFNAR2

34602206

34637980

5

17

7

3.89 × 10−15

3.52 × 10−12

Associated with immunodeficiency 45 and primary immunodeficiency with post–measles–mumps–rubella vaccine viral infection; related to pathways of measles and innate immune system

21

IL10RB

34638663

34669539

2

6

2

2.59 × 10−15

2.47 × 10−12

Associated with inflammatory bowel disease 25, autosomal recessive and hepatitis B; related to pathways of immune response IL-23 signaling pathway and innate immune system

21

IFNAR1

34696734

34732168

1

2

3

2.98 × 10−12

2.32 × 10−9

Functions as an antiviral factor; associated with hepatitis C and yellow fever; related to pathways of measles and innate immune system

21

IFNGR2

34775202

34851655

1

9

7

1.29 × 10−11

9.21 × 10−9

Associated with immunodeficiency 28 and autosomal dominant Mendelian susceptibility to mycobacterial diseases due to partial IFNgammaR2 deficiency; related to pathways of innate immune system and PEDF induced signaling

21

DNAJC28

34860497

34864027

2

10

1

1.77 × 10−11

1.22 × 10−8

Associated with Mullegama–Klein–Martinez syndrome and microphthalmia, syndromic 10

  1. aP value derived from association analyses of 9,986 hospitalized patients and 1,877,672 population controls (two-sided); associations with FDR ≤ 0.05 were shown.
  2. bBased on search of GeneCards on 25 April 2021.