115 research outputs found

    Whole-genome sequencing reveals host factors underlying critical COVID-19

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    Critical COVID-19 is caused by immune-mediated inflammatory lung injury. Host genetic variation influences the development of illness requiring critical care1 or hospitalization2,3,4 after infection with SARS-CoV-2. The GenOMICC (Genetics of Mortality in Critical Care) study enables the comparison of genomes from individuals who are critically ill with those of population controls to find underlying disease mechanisms. Here we use whole-genome sequencing in 7,491 critically ill individuals compared with 48,400 controls to discover and replicate 23 independent variants that significantly predispose to critical COVID-19. We identify 16 new independent associations, including variants within genes that are involved in interferon signalling (IL10RB and PLSCR1), leucocyte differentiation (BCL11A) and blood-type antigen secretor status (FUT2). Using transcriptome-wide association and colocalization to infer the effect of gene expression on disease severity, we find evidence that implicates multiple genes—including reduced expression of a membrane flippase (ATP11A), and increased expression of a mucin (MUC1)—in critical disease. Mendelian randomization provides evidence in support of causal roles for myeloid cell adhesion molecules (SELE, ICAM5 and CD209) and the coagulation factor F8, all of which are potentially druggable targets. Our results are broadly consistent with a multi-component model of COVID-19 pathophysiology, in which at least two distinct mechanisms can predispose to life-threatening disease: failure to control viral replication; or an enhanced tendency towards pulmonary inflammation and intravascular coagulation. We show that comparison between cases of critical illness and population controls is highly efficient for the detection of therapeutically relevant mechanisms of disease

    Comparative efficiency of domestic hot water systems

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    2. ed.; Reports supersede nos 57800/1 and 57800/2, pub. Aug 1989; Work carried out for Waterheater Manufacturers AssociationSIGLEAvailable from British Library Document Supply Centre- DSC:7389.20(BSRIA--57800/1-2) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

    Comparative efficiency of domestic hot water systems

    No full text
    2. ed.; Reports supersede nos 57800/1 and 57800/2, pub. Aug 1989; Work carried out for Waterheater Manufacturers AssociationSIGLEAvailable from British Library Document Supply Centre- DSC:7389.20(BSRIA--57800/1-2) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

    STag II: Classification of Serendipitous Supernovae Observed by Galaxy Redshift Surveys

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    International audienceWith the number of supernovae observed expected to drastically increase thanks to large-scale surveys like the Dark Energy Spectroscopic Instrument (DESI), it is necessary that the tools we use to classify these objects keep up with this increase. We previously created Supernova Tagging and Classification (STag) to address this problem by employing machine learning techniques alongside logistic regression in order to assign 'tags' to spectra based on spectral features. STag II is a continuation of this work, which now makes use of model supernova spectra combined with real DESI spectra in order to train STag to better deal with realistic data. We also make use of the rlap score as a trustworthiness cut, making for a more robust and accurate supernova classifier than before
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