Abstract
Background
Patients with coronavirus disease 2019 (COVID-19) were vulnerable to venous thromboembolism (VTE), which further increases the risk of unfavorable outcomes. However, neither genetic correlations nor shared genes underlying COVID-19 and VTE are well understood.
Objective
This study aimed to characterize genetic correlations and common pathogenic mechanisms between COVID-19 and VTE.
Methods
We used linkage disequilibrium score (LDSC) regression and Mendelian Randomization (MR) analysis to investigate the genetic associations and causal effects between COVID-19 and VTE, respectively. Then, the COVID-19 and VTE-related datasets were obtained from the Gene Expression Omnibus (GEO) database and analyzed by bioinformatics and systems biology approaches with R software, including weighted gene co-expression network analysis (WGCNA), enrichment analysis, and single-cell transcriptome sequencing analysis. The miRNA–genes and transcription factor (TF)–genes interaction networks were conducted by NetworkAnalyst. We performed the secondary analysis of the ATAC-seq and Chip-seq datasets to address the epigenetic-regulating relationship of the shared genes.
Results
This study demonstrated positive correlations between VTE and COVID-19 by LDSC and bidirectional MR analysis. A total of 26 potential shared genes were discovered from the COVID-19 dataset (GSE196822) and the VTE dataset (GSE19151), with 19 genes showing positive associations and 7 genes exhibiting negative associations with these diseases. After incorporating two additional datasets, GSE164805 (COVID-19) and GSE48000 (VTE), two hub genes TP53I3 and SLPI were identified and showed up-regulation and diagnostic capabilities in both illnesses. Furthermore, this study illustrated the landscapes of immune processes in COVID-19 and VTE, revealing the downregulation in effector memory CD8+ T cells and activated B cells. The single-cell sequencing analysis suggested that the hub genes were predominantly expressed in the monocytes of COVID-19 patients at high levels. Additionally, we identified common regulators of hub genes, including five miRNAs (miR-1-3p, miR-203a-3p, miR-210-3p, miR-603, and miR-124-3p) and one transcription factor (RELA).
Conclusions
Collectively, our results highlighted the significant correlations between COVID-19 and VTE and pinpointed TP53I3 and SLPI as hub genes that potentially link the severity of both conditions. The hub genes and their common regulators might present an opportunity for the simultaneous treatment of these two diseases.
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Availability of data and materials
The original contributions presented in the study are included in the article/ Supplementary Material. Further inquiries can be directed to the corresponding authors.
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Acknowledgements
We acknowledge GEO databases for providing their platforms and contributors for uploading their meaningful datasets. We acknowledge the support of the National Natural Science Foundation of China (82101947), China Postdoctoral Science Foundation (2021TQ0371, 2021M703636) and the Fundamental Research Funds for the Central Universities of Central South University (2020zzts269).
Funding
This work was supported by the National Natural Science Foundation of China (82101947), China Postdoctoral Science Foundation (2021TQ0371, 2021M703636) and the Fundamental Research Funds for the Central Universities of Central South University (2020zzts269).
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Conceptualization, LY and SL; methodology, LY; software, LY; validation, LY and SL; formal analysis, SL; investigation, QH; writing-original draft preparation, QH and DL; writing-review and editing, QH; visualization, DL; supervision, DL.
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Yan, L., Li, S., Hu, Q. et al. Genetic correlations, shared risk genes and immunity landscapes between COVID-19 and venous thromboembolism: evidence from GWAS and bulk transcriptome data. Inflamm. Res. 73, 619–640 (2024). https://doi.org/10.1007/s00011-024-01857-w
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DOI: https://doi.org/10.1007/s00011-024-01857-w