Table 1 Genetics variants contributing to respiratory disease.

From: Genetic influences on viral-induced cytokine responses in the lung

Gene

Polymorphism

Effect on protein/function

Disease susceptibility virus association, and related host process presented in Fig. 1 (initiation/disease progression)

Cytokines, chemokines and receptors

 CCR5

CCR5-Δ32

32 bp deletion in CCR5 coding region resulting in partially reduced receptor expression

↑Influenza A121

Enhancement of cytokines and ISG induction by recruited cells

 IL1A

rs17561 G > T Ser114Ala

Unknown

↑Influenza A119

Production of cytokines and chemokines

 IL1B

rs1143627 T > C

Possible increased IL1B expression associated with T allele; rs1143627 located on TATA box of IL1B promoter region, may affect TF binding

↑Influenza A119

Production of cytokines and chemokines

 TNF

rs361525 (TNF −238 A allele) G > A

Decreased TNF transcripts

↑Influenza A118

Production of cytokines and chemokines Enhancement of cytokines and ISG induction by recruited cells

 IL4

rs2243250 (IL4 −589T allele) C > T

Increased IL4 transcripts

↑RSV (embedded within common IL4 haplotype defined at five loci)127

T-cell activation

Effector T-cell response

 IL8

IL8 haplotype:

(−251A/+396G/+781T/

+1238delA/+1633T/

+2767T)

Increased IL8 transcripts

↑RSV130

Production of cytokines and chemokines Enhancement of cytokines and ISG induction by recruited cells

 IL10

rs1800872 (−592 C/A allele) C > A

Currently not clear whether the C or A allele is associated with higher IL10 expression

↓RSV with heterozygosity at this allele137

↑RSV − 592 C allele in children ≤6 months of age137

Enhancement of cytokines and ISG induction by recruited cells

T-cell activation

 IL13

rs1881457 (−1512 C allele) A > C

rs1800925 (−1112 C/T allele) C > T

Unknown

Altered expression of IL13 and increased binding of nuclear factors to IL13 promoter

↑RSV with −1512 C allele in the presence of allele 50 Ile in IL4R (rs1801275)128

↑RSV128

T-cell activation

Effector T-cell response

 IL6

rs1800795 (−174 G/C allele) G > C

−174 CC low producer phenotype

↑RSV with CC allele132

Production of cytokines and chemokines

Enhancement of cytokines and ISG induction by recruited cells

T-cell activation

 IFNA5

rs10757212 C > T

Unknown

↑RSV135

Production of cytokines and chemokines

 RANTES

rs2280788 (−28 G allele) C > G

Possible enhanced promoter activity

↑SARS-CoV-1138

Production of cytokines and chemokines

 IFNGR1

201-2 A > G

Complete absence of IFN-γ responsiveness observed with homozygosity. Mutation in splice site at end of intron 2, in frame deletion of 34 amino acids, generating a truncated protein of assumed non-function.

↑RSV112

Enhancement of cytokines and ISG induction by recruited cells

T-cell activation

Effector T-cell response

Pattern recognition receptors

 TLR3

rs5743313 T > C

Located in transmembrane signal transduction domain; potentially linked to reduced signalling

↑Influenza A with CC and CT genotypes144,145

Detection of virus

 DDX58

rs72710678 G > A Arg71His

rs138425677 C > T Pro885Ser

CARD domain; decreased recognition function of RIG-I, impaired antiviral immune responses

RNA binding domain; decreased recognition function of RIG-I, impaired antiviral immune responses

↑Influenza A146

Detection of virus

 TLR8

rs3761624 A > G

Located in TLR8 promoter region. Increased TLR8 mRNA expression following acute and chronic DNA damage stress in a p53RE SNP-dependent manner. Minor G allele creates a CWWG core in the second decamer of the p53RE within the TLR8 promoter. The A allele in the rs3761624 variant disrupts the CWWG core, reducing p53 binding

↑RSV with G allele148

Detection of virus

 TLR4

rs4986790 A > G/A > T Asp299Gly

rs4986791 C > T

Located in ectodomain of TLR4; hyper-responsive LPS phenotype

Located in ectodomain of TLR4; hyper-responsive LPS phenotype

↑RSV148

Detection of virus

 TLR2

rs1898830 C > A

rs7656411 G > T

Intron variant

Downstream variant 500 kB

↑Bronchiolitis149

Detection of virus

 TLR9

rs352162 C > T

rs187084 C > T

Unknown

Upstream variant 2 kB

↑Bronchiolitis149

Detection of virus

 IFIH1

rs35732034 C > T (IFIH1-Δ14)

rs35337543 C > G (IFIH1-Δ8)

Minor allele T causes skipping of exon 14, resulting in a frame shift and an early stop codon in exon 15. IFIH1 protein lacks final 153 amino acids, including the C-terminal regulatory domain (CTD), essential for viral dsRNA binding

Minor allele G causes skipping of exon 8, removing 39 amino acids at the end of the helicase 1 domain and in the linker part between helicase 1 and helicase 2

Severe disruption of IFIH1 signalling function, enzymatic activity, and protein stability in vitro demonstrated for both IFIH1-Δ8 and IFIH1-Δ14

↑RSV8

Detection of virus

Transcription factors

 IRF7

Two compound heterozygous IRF7 mutations—p.Phe410Val (F410V) and p.Gln421X (Q421X)

F410V: missense substitution predicted to be damaging

Q421X: nonsense mutation predicted to generate a premature stop codon

Both alleles–lack of IRF7-dependent amplification of type I and III IFN post-influenza exposure

↑Influenza153

Production of cytokines and chemokines

Enhancement of cytokines and ISG induction by recruited cells

 IRF9

991 G > A

Mutation in final nucleotide of exon 7 disrupts the essential splice site at the boundary of exon 7 and intron 7, resulting in mRNAs lacking exon 7 and an IRF9 protein probably lacking the IRF association domain (IAD), where STAT proteins bind. Cells with this mutation are impaired in ISG induction

↑Influenza154

IFN response and ISG induction

Enhancement of cytokines and ISG induction by recruited cells

 JUN

rs11688 G > A

Unknown; synonymous variant

↑RSV135

Production of cytokines and chemokines

 VDR

rs10735810 (also rs2228570) C > T Thr1Met

Initiator codon variant, located at first start codon in exon 2, changes the translation initiation site, resulting in a truncated protein. Truncated protein may have higher activity than the wild type protein

↑RSV135

Enhancement of cytokines and ISG induction by recruited cells

Viral restriction factors

 IFITM3

rs12252 T > C

rs34481144 C > T

Unknown; synonymous variant

Located in the promoter region of IFITM3, repression of IFITM3 expression with A allele, possibly through enhanced CTCF binding to IFITM3 promotor

↑Influenza162,163,166

↑SARS-CoV-2163

↑Influenza161

IFN response and ISG induction

Enhancement of cytokines and ISG induction by recruited cells

  1. ↑ = increased disease susceptibility/increased severity of symptoms; ↓ = decreased disease susceptibility/decreased severity of symptoms