Detailed stratified GWAS analysis for severe COVID-19 in four European populations.

Michael Joannidis, Janine Altmüller, David Haschka, Philip Rosenstiel, Anke Hinney, Stefanie Heilmann-Heimbach, Markus M Nöthen, Thomas Eggermann, Thomas Illig, Ingo Kurth, Itziar de Rojas, Victor Andrade, Mercè Boada, Isabel Hernández, Marta Marquié, Agustín Ruiz, Frauke Degenhardt, David Ellinghaus, Simonas Juzenas, Jon Lerga-Jaso, Mareike Wendorff, Douglas Maya-Miles, Florian Uellendahl-Werth, Hesham ElAbd, Malte C Rühlemann, Jatin Arora, Onur Özer, Ole Bernt Lenning, Ronny Myhre, May Sissel Vadla, Eike M Wacker, Lars Wienbrandt, Aaron Blandino Ortiz, Adolfo de Salazar, Adolfo Garrido Chercoles, Adriana Palom, Alba-Estela Garcia-Fernandez, Albert Blanco-Grau, Alberto Mantovani, Alberto Zanella, Aleksander Rygh Holten, Alena Mayer, Alessandra Bandera, Alessandro Cherubini, Alessandro Protti, Alessio Aghemo, Alessio Gerussi, Alfredo Ramirez, Alice Braun, Almut Nebel, Ana Barreira, Ana Lleo, Ana Teles, Anders Benjamin Kildal, Andrea Biondi, Andrea Caballero-Garralda, Andrea Ganna, Andrea Gori, Andreas Glück, Andreas Lind, Anja Tanck, Anna Carreras Nolla, Anna Ludovica Fracanzani, Anna Peschuck, Annalisa Cavallero, Anne Ma Dyrhol-Riise, Antonella Ruello, Antonio Julià, Antonio Muscatello, Antonio Pesenti, Antonio Voza, Ariadna Rando-Segura, Aurora Solier, Axel Schmidt, Beatriz Cortes, Beatriz Mateos, Beatriz Nafria-Jimenez, Benedikt Schaefer, Björn Jensen, Carla Bellinghausen, Carlo Maj, Carlos Ferrando, Carmen de la Horra, Carmen Quereda, Carsten Skurk, Charlotte Thibeault, Chiara Scollo, Christian Herr, Christoph D Spinner, Christoph Gassner, Christoph Lange, Cinzia Hu, Cinzia Paccapelo, Clara Lehmann, Claudio Angelini, Claudio Cappadona, Clinton Azuure, Cristiana Bianco, Cristina Cea, Cristina Sancho, Dag Arne Lihaug Hoff, Daniela Galimberti, Daniele Prati, David Jiménez, David Pestaña, David Toapanta, Eduardo Muñiz-Diaz, Elena Azzolini, Elena Sandoval, Eleonora Binatti, Elio Scarpini, Elisa T Helbig, Elisabetta Casalone, Eloisa Urrechaga, Elvezia Maria Paraboschi, Emanuele Pontali, Enric Reverter, Enrique J Calderón, Enrique Navas, Erik Solligård, Ernesto Contro, Eunate Arana-Arri, Fátima Aziz, Federico Garcia, Félix García Sánchez, Ferruccio Ceriotti, Filippo Martinelli-Boneschi, Flora Peyvandi, Florian Kurth, Francesco Blasi, Francesco Malvestiti, Francisco J Medrano, Francisco Mesonero, Francisco Rodriguez-Frias, Frank Hanses, Fredrik Müller, Georg Hemmrich-Stanisak, Giacomo Bellani, Giacomo Grasselli, Gianni Pezzoli, Giorgio Costantino, Giovanni Albano, Giulia Cardamone, Giuseppe Bellelli, Giuseppe Citerio, Giuseppe Foti, Giuseppe Lamorte, Giuseppe Matullo, Guido Baselli, Hayato Kurihara, Holger Neb, Ilaria My, Isabell Pink, Iván Galván-Femenia, Jan Cato Holter, Jan Egil Afset, Jan Heyckendorf, Jan Kässens, Jan Kristian Damås, Jan Rybniker, Javier Ampuero, Javier Martín, Jeanette Erdmann, Jesus M Banales, Joan Ramon Badia, Joaquin Dopazo, Jochen Schneider, Jonas Bergan, Jordi Barretina, Jörn Walter, Jose Hernández Quero, Josune Goikoetxea, Juan Delgado, Juan M Guerrero, Julia Fazaal, Julia Kraft, Julia Schröder, Kari Risnes, Karina Banasik, Karl Erik Müller, Karoline I Gaede, Koldo Garcia-Etxebarria, Kristian Tonby, Lars Heggelund, Laura Izquierdo-Sanchez, Laura Rachele Bettini, Lauro Sumoy, Leif Erik Sander, Lena J Lippert, Leonardo Terranova, Lindokuhle Nkambule, Lisa Knopp, Lise Tuset Gustad, Lucia Garbarino, Luigi Santoro, Luis Téllez, Luisa Roade, Mahnoosh Ostadreza, Maider Intxausti, Manolis Kogevinas, Mar Riveiro-Barciela, Marc M Berger, Marco Schaefer, Mari E K Niemi, María A Gutiérrez-Stampa, Maria Carrabba, Maria E Figuera Basso, Maria Grazia Valsecchi, María Hernandez-Tejero, Maria J G T Vehreschild, Maria Manunta, Marialbert Acosta-Herrera, Mariella D'Angiò, Marina Baldini, Marina Cazzaniga, Marit M Grimsrud, Markus Cornberg, Massimo Castoldi, Mattia Cordioli, Maurizio Cecconi, Mauro D'Amato, Max Augustin, Melissa Tomasi, Michael Dreher, Michael J Seilmaier, Michael Wittig, Michela Mazzocco, Michele Ciccarelli, Miguel Rodríguez-Gandía, Monica Bocciolone, Monica Miozzo, Natale Imaz Ayo, Natalia Blay, Natalia Chueca, Nicola Montano, Nicole Braun, Nicole Ludwig, Nikolaus Marx, Nilda Martínez, Oliver A Cornely, Oliver Witzke, Orazio Palmieri, Paola Faverio, Paoletta Preatoni, Paolo Bonfanti, Paolo Omodei, Paolo Tentorio, Pedro Castro, Pedro M Rodrigues, Pedro Pablo España, Per Hoffmann, Philipp Schommers, Phillip Suwalski, Raúl de Pablo, Ricard Ferrer, Robert Bals, Roberta Gualtierotti, Rocío Gallego-Durán, Rosa Nieto, Rossana Carpani, Rubén Morilla, Salvatore Badalamenti, Sammra Haider, Sandra Ciesek, Sandra May, Sara Bombace, Sara Marsal, Sara Pigazzini, Sebastian Klein, Serena Pelusi, Sibylle Wilfling, Silvano Bosari, Sonja Volland, Søren Brunak, Soumya Raychaudhuri, Stefan Schreiber, Stefano Aliberti, Stephan Ripke, Susanne Dudman, Tanja Wesse, Tenghao Zheng, Thomas Bahmer, Thorsten Brenner, Tomas Pumarola, Torsten Feldt, Trine Folseraas, Trinidad Gonzalez Cejudo, Ulf Landmesser, Ulrike Protzer, Ute Hehr, Valeria Rimoldi, Valter Monzani, Vegard Skogen, Verena Keitel, Verena Kopfnagel, Vicente Friaza, Victor Moreno, Wolfgang Albrecht, Wolfgang Peter, Wolfgang Poller, Xavier Farre, Xiaoli Yi, Xiaomin Wang, Yascha Khodamoradi, Zehra Karadeniz, Anna Latiano, Siegfried Goerg, Petra Bacher, Philipp Koehler, Florian Tran, Heinz Zoller, Eva C Schulte, Bettina Heidecker, Kerstin U Ludwig, Javier Fernández, Manuel Romero-Gómez, Agustín Albillos, Pietro Invernizzi, Maria Buti, Stefano Duga, Luis Bujanda, Johannes R Hov, Tobias L Lenz, Rosanna Asselta, Rafael de Cid, Luca Valenti, Tom H Karlsen, Mario Cáceres, Andre Franke

Journal: Human molecular genetics 2022;31(23):3945-3966

PMID: 35848942

Abstract

Given the highly variable clinical phenotype of Coronavirus disease 2019 (COVID-19), a deeper analysis of the host genetic contribution to severe COVID-19 is important to improve our understanding of underlying disease mechanisms. Here, we describe an extended genome-wide association meta-analysis of a well-characterized cohort of 3255 COVID-19 patients with respiratory failure and 12 488 population controls from Italy, Spain, Norway and Germany/Austria, including stratified analyses based on age, sex and disease severity, as well as targeted analyses of chromosome Y haplotypes, the human leukocyte antigen region and the SARS-CoV-2 peptidome. By inversion imputation, we traced a reported association at 17q21.31 to a ~0.9-Mb inversion polymorphism that creates two highly differentiated haplotypes and characterized the potential effects of the inversion in detail. Our data, together with the 5th release of summary statistics from the COVID-19 Host Genetics Initiative including non-Caucasian individuals, also identified a new locus at 19q13.33, including NAPSA, a gene which is expressed primarily in alveolar cells responsible for gas exchange in the lung.

© The Author(s) 2022. Published by Oxford University Press. All rights reserved. For Permissions, please email: [email protected].

Address: Institute of Clinical Molecular Biology, Christian-Albrechts-University, Kiel, Germany.; Novo Nordisk Foundation Center for Protein Research, Disease Systems Biology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.; Life Science Centre, Institute of Biotechnology, Vilnius University, Vilnius, Lithuania.; Institut de Biotecnologia i de Biomedicina, Universitat Autònoma de Barcelona, Barcelona, Spain.; Hospital Universitario Virgen del Rocío de Sevilla, Sevilla, Spain.; Centro de Investigación Biomédica en Red en Enfermedades Hepáticas y Digestivas (CIBEREHD), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.; Instituto de Biomedicina de Sevilla (IBIS), Sevilla, Spain.; Institute for Medical Microbiology and Hospital Epidemiology, Hannover Medical School, Hannover, Germany.; Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.; Division of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.; Division of Genetics, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.; Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.; Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA.; Research Group for Evolutionary Immunogenomics, Max Planck Institute for Evolutionary Biology, Plön, Germany.; Research Unit for Evolutionary Immunogenomics, Department of Biology, University of Hamburg, Hamburg, Germany.; Research Department, Stavanger University Hospital, Stavanger, Norway.; Randaberg Municipality, Stavanger, Norway.; Division of Health Data and Digitalization, Department of Genetics and Bioinformatics (HDGB), Norwegian Institute of Public Health, Oslo, Norway.; Department of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.; Department of Intensive Care, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), University of Alcalá, Madrid, Spain.; Ibs.Granada Instituto de Investigación Biosanitaria, Granada, Spain.; Microbiology Unit. Hospital Universitario Clinico San Cecilio, Granada, Spain.; Clinical Biochemistry Department, Osakidetza Basque Health Service, Donostialdea Integrated Health Organisation, San Sebastian, Spain.; Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Barcelona, Spain.; Liver Unit, Department of Internal Medicine, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.; Research Center and Memory Clinic, Ace Alzheimer Center Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain.; CIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, National Institute of Health Carlos III, Madrid, Spain.; Department of Biochemistry, University Hospital Vall d'Hebron, Barcelona, Spain.; IRCCS Humanitas Research Hospital, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, Milan, Italy.; University of Milan, Milan, Italy.; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Acute Medicine, Oslo University Hospital, Oslo, Norway.; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.; Charite Universitätsmedizin Berlin, Berlin, Germany.; European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy.; Division of Gastroenterology, School of Medicine and Surgery, Center for Autoimmune Liver Diseases, University of Milano-Bicocca, Milan, Italy.; Division of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Department of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Medical Faculty, Bonn, Germany.; Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.; Department of Psychiatry, Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases, San Antonio, TX, USA.; Department of Anesthesiology and Intensive Care, University Hospital of North Norway, Tromsø, Norway.; Pediatric Departement, Centro Tettamanti-European Reference Network (ERN) PaedCan, EuroBloodNet, MetabERN-University of Milano-Bicocca-Fondazione MBBM/Ospedale, San Gerardo, Italy.; Biochemistry Department, Echevarne Laboratory, Barcelona, Spain.; Institute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland.; Centre for Multidisciplinary Research in Health Science (MACH), University of Milan, Milan, Italy.; Klinik für Innere Medizin I, Universitätsklinikum Schleswig-Holstein, Kiel, Germany.; Department of Microbiology, Oslo University Hospital, Oslo, Norway.; Department of Child and Adolescent Psychiatry, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.; Genomes for Life-GCAT Lab, Germans Trias i Pujol Research Institute (IGTP), Badalona, Spain.; Laboratory of Microbiology, San Gerardo Hospital, Monza, Italy.; Department of Infectious diseases, Oslo University Hospital, Oslo, Norway.; Humanitas Gavazzeni-Castelli, Bergamo, Italy.; Microbiology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.; Universitat Autònoma de Barcelona, Bellatera, Spain.; Department of Respiratory Diseases, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), University of Alcalá, Madrid, Spain.; Centro de Investigación Biomédica en Red en Enfermedades Respiratorias (CIBERES), University of Alcalá, Madrid, Spain.; Institute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn, Bonn, Germany.; Department of Gastroenterology, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), University of Alcalá, Madrid, Spain.; Department of Medicine I, Gastroenterology, Hepatology and Endocrinology, Medical University of Innsbruck, Innsbruck, Austria.; Christian Doppler Laboratory of Iron and Phosphate Biology at the Department of Medicine I, Medical University of Innsbruck, Innsbruck, Austria.; Department of Gastroenterology, Hepatology and Infectious Diseases, University Hospital Duesseldorf, Medical Faculty Heinrich Heine University, Duesseldorf, Germany.; Department of Respiratory Medicine and Allergology, University Hospital, Goethe University, Frankfurt am Main, Germany.; Institute of Genomic Statistics and Bioinformatics, University Hospital Bonn, Medical Faculty University of Bonn, Bonn, Germany.; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain.; Hospital Clinic, University of Barcelona, and IDIBAPS, Barcelona, Spain.; University of Sevilla, Sevilla, Spain.; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.; Consejo Superior de Investigaciones Científicas, Sevilla, Spain.; Department of Infectious Diseases, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), University of Alcalá, Madrid, Spain.; Department of Transfusion Medicine and Haematology Laboratory, San Gerardo Hospital, Monza, Italy.; Department of Internal Medicine V-Pneumology, Allergology and Intensive Care Medicine, University Hospital Saarland, Homburg, Germany.; Department of Internal Medicine II, School of Medicine, University Hospital rechts der Isar, Technical University of Munich, Munich, Germany.; Institute of Translational Medicine, Private University in the Principality of Liechtenstein (UFL), Triesen, Liechtenstein.; Respiratory Medicine and International Health, University of Lübeck, Lübeck, Germany.; Division of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany.; Clinical Tuberculosis Unit, German Center for Infection Research (DZIF), Borstel, Germany.; Department I of Internal Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.; Center for Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany.; German Center for Infection Research (DZIF), Cologne, Germany.; Humanitas Clinical and Research Center, IRCCS, Milan, Italy.; Osakidetza Basque Health Service, Basurto University Hospital, Respiratory Service, Bilbao, Spain.; Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.; Department of Medicine, Møre and Romsdal Hospital Trust, Ålesund, Norway.; Department of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Austria.; Department of Anesthesiology and Critical Care, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), University of Alcalá, Madrid, Spain.; Immunohematology Department, Banc de Sang i Teixits, Autonomous University of Barcelona, Barcelona, Spain.; Department of Medical Sciences, Università degli Studi di Torino, Turin, Italy.; Osakidetza Basque Health Service, Galdakao Hospital, Respiratory Service, Galdakao, Spain.; Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.; Department of Infectious Diseases, E.O. Ospedali Galliera, Genova, Italy.; Geminicenter for Sepsis Research, Institute of Circulation and Medical Imaging (ISB), NTNU, Trondheim, Norway.; Clinic of Anesthesia and Intensive Care, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.; Accident and Emergency and Emergency Medicine Unit, San Gerardo Hospital, Monza, Italy.; Centro de Investigación Biomédica en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.; Histocompatibilidad y Biologia Molecular, Centro de Transfusion de Madrid, Madrid, Spain.; Department of Pathophysiology and Transplantation, Dino Ferrari Center, University of Milan, Milan, Italy.; Neurology Unit, IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Milan, Italy.; Department of Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.; Department of Medicine I, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.; Respiratory Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.; Internal Medicine Department, Virgen del Rocio University Hospital, Sevilla, Spain.; Biochemistry Department, University Hospital Vall d'Hebron, Barcelona, Spain.; Emergency Department, University Hospital Regensburg, Regensburg, Germany.; Department for Infectious Diseases and Infection Control, University Hospital Regensburg, Regensburg, Germany.; Department Emergency, Anesthesia and Intensive Care, San Gerardo Hospital, Monza, Italy.; School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.; Fondazione Grigioni per il Morbo di Parkinson and Parkinson Institute, ASST Gaetano Pini-CTO, Milan, Italy.; Acute Geriatric Unit, San Gerardo Hospital, Monza, Italy.; Neurointensive Care Unit, San Gerardo Hospital, Monza, Italy.; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany.; Institute of Human Genetics, Medical Faculty, RWTH Aachen University, Aachen, Germany.; Department of Pneumology, Hannover Medical School, Hannover, Germany.; Department of Medical Microbiology, Clinic of Laboratory Medicine, St. Olavs hospital, Trondheim, Norway.; Department of Infectious Diseases, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.; Department of Clinical and Molecular Medicine, NTNU, Trondheim, Norway.; German Centre for Infection Research (DZIF), Cologne, Germany.; Cologne Center for Genomics (CCG), University of Cologne, Cologne, Germany.; Digestive Diseases Unit, Virgen del Rocio University Hospital, Institute of Biomedicine of Seville, University of Seville, Seville, Spain.; Institute of Parasitology and Biomedicine Lopez-Neyra, CSIC, Granada, Spain.; Institute for Cardiogenetics, University of Lübeck, Lübeck, Germany.; German Research Center for Cardiovascular Research, Lübeck, Germany.; University Heart Center Lübeck, Lübeck, Germany.; Department of Liver and Gastrointestinal Diseases, Biodonostia Health Research Institute-Donostia University Hospital, University of the Basque Country (UPV/EHU), CIBERehd, Ikerbasque, San Sebastian, Spain.; Ikerbasque, Basque Foundation for Science, Bilbao, Spain.; Respiratory ICU, Institut Clínic Respiratory, Hospital Clinic, University of Barcelona, and IDIBAPS, Barcelona, Spain.; Bioinformatics Area, Fundación Progreso y Salud, and Institute of Biomedicine of Sevilla (IBIS), Sevilla, Spain.; Department of Research, Ostfold Hospital Trust, Gralum, Norway.; Germans Trias i Pujol Research Institute (IGTP), Badalona, Spain.; Department of Genetics & Epigenetics, Saarland University, Saarbrücken, Germany.; Department of Infectious Diseases, Hospital Universitario Clinico San Cecilio, Granada, Spain.; Infectious Diseases Service, Osakidetza, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.; Department of Research, St. Olav Hospital, Trondheim University Hospital, Trondheim, Norway.; Medical Department, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.; Research Center Borstel, BioMaterialBank Nord, Borstel, Germany.; German Center for Lung Research (DZL), Airway Research Center North (ARCN), Borstel, Germany.; Popgen 2.0 Network (P2N), Kiel, Germany.; Department of Clinical Science, University of Bergen, Bergen, Norway.; Biodonostia Health Research Institute, Donostia University Hospital, San Sebastian, Spain.; Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA, USA.; Stanley Center for Psychiatric Research & Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.; Clinic of Medicine and Rehabilitation, Levanger Hospital, Nord-Trondelag Hospital Trust, Levanger, Norway.; HLA Laboratory, E.O. Ospedali Galliera, Genova, Italy.; ISGlobal, Barcelona, Spain.; Universitat Pompeu Fabra (UPF), Barcelona, Spain.; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.; Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, Essen, Germany.; Stefan-Morsch-Stiftung, Birkenfeld, Germany.; Osakidetza, OSI Donostialdea, Altza Primary Care, Biodonostia Health Research Institute, San Sebastián, Spain.; Internal Medicine Department, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Center of Bioinformatics, Biostatistics and Bioimaging, School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.; Department of Internal Medicine, Infectious Diseases, University Hospital Frankfurt & Goethe University Frankfurt, Frankfurt am Main, Germany.; Phase 1 Research Centre, ASST Monza, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.; Division of Surgery, Inflammatory Diseases and Transplantation, Research Institute for Internal Medicine, Oslo University Hospital Rikshospitalet and University of Oslo, Oslo, Norway.; Division of Surgery, Inflammatory Diseases and Transplantation, Department of Transplantation Medicine, Norwegian PSC Research Center, Oslo University Hospital Rikshospitalet, Oslo, Norway.; Department of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Hannover, Germany.; Gastrointestinal Genetics Lab, CIC bioGUNE-BRTA, Derio, Spain.; Department of Medicine and Surgery, LUM University, Casamassima, Italy.; Department of Pneumology and Intensive Care Medicine, University Hospital Aachen, Aachen, Germany.; Munich Clinic Schwabing, Academic Teaching Hospital, Ludwig-Maximilians-University (LMU), Munich, Germany.; Division of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Innsbruck, Austria.; University Hospital Schleswig-Holstein, Kiel, Germany.; Department of Human Genetics, Center of Human and Molecular Biology, University Hospital Saarland, Homburg/Saar, Germany.; Department of Internal Medicine I, RWTH Aachen University Hospital, Aachen, Germany.; Department of Anesthesiology, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.; Faculty of Medicine and University Hospital Cologne, Clinical Trials Centre Cologne (ZKS Köln), University of Cologne, Cologne, Germany.; Department of Infectious Diseases, University Hospital Essen, University Duisburg-Essen, Essen, Germany.; Gastroenterology Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.; Pulmonary Unit, San Gerardo Hospital, Monza, Italy.; Infectious Diseases Unit, San Gerardo Hospital, Monza, Italy.; Intensive Care Department, Vall d'Hebron University Hospital, SODIR-VHIR research group, Barcelona, Spain.; Department of Medicine, Møre & Romsdal Hospital Trust, Molde, Norway.; Institute of Medical Virology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.; German Centre for Infection Research (DZIF), Frankfurt am Main, Germany.; Zentrum für Humangenetik Regensburg, Regensburg, Germany.; Department of Neurology, Bezirksklinikum Regensburg, University of Regensburg, Regensburg, Germany.; Hannover Unified Biobank, Hannover Medical School, Hannover, Germany.; Centre for Genetics and Genomics Versus Arthritis, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.; School of Biological Sciences, Monash University, Clayton, VIC, Australia.; Department of Microbiology, University Hospital Vall d'Hebron, Barcelona, Spain.; Autonoma University of Barcelona, Barcelona, Spain.; Division for Cancer Medicine, Surgery and Transplantation, Section for Gastroenterology, Department of Transplantation Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.; Biochemistry Unit, Hospital Universitario Clinico San Cecilio, Granada, Spain.; Berlin Institute of Health, Charite Universitätsmedizin Berlin, Berlin Germany.; Institute of Virology, Technical University Munich/Helmholtz Zentrum München, Munich, Germany.; German Center for Infection Research (DZIF), Munich, Germany.; Department of Infectious Diseases, University Hospital of North Norway, Tromsø, Norway.; Faculty of Health Sciences, UIT The Arctic University of Norway, Norway.; Catalan Institute of Oncology (ICO), Barcelona, Spain.; Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.; Universitat de Barcelona (UB), Barcelona, Spain.; Faculty of Medicine and University Hospital Cologne, Institute for Transfusion Medicine, University of Cologne, Cologne, Germany.; Institute of Transfusionsmedicine, University Hospital Schleswig-Holstein (UKSH), Kiel, Germany.; Institute of Immunology, Christian-Albrechts-University of Kiel and UKSH Schleswig-Holstein, Kiel, Germany.; Institute of Psychiatric Phenomics and Genomics, University Medical Center, University of Munich, Munich, Germany.; Department of Psychiatry, University Medical Center, University of Munich, Munich, Germany.; European Foundation for the Study of Chronic Liver Failure (EF-CLIF), Barcelona, Spain.; ICREA, Barcelona, Spain.; University Hospital Schleswig-Holstein (UKSH), Kiel, Germany.
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