A Unique Patient Stratification Method Combined with a Machine Learning Approach Identifies Novel Genetic Susceptibility and Protective Factors for Severe COVID-19 in a Hungarian Population.

Intensive research has shown that severe COVID-19 outcomes are influenced by antiviral pathways and immune responses, both shaped by genetic predisposition. In this study, we aimed to identify genetic variants associated with disease severity in a cohort of Hungarian patients. We applied a novel stratification method based on age, disease severity, and clinical background to classify patients by susceptibility to severe COVID-19. Whole-exome sequencing (WES) was performed on 168 individuals, and gene mutation loads were assessed. Using a Random Forest machine learning approach, we identified variants of 877 genes that distinguished between severe and non-severe cases. We further categorized these genes as either susceptibility or protective factors. Gene-set enrichment analysis highlighted the most affected biological pathways. Our findings support the development of personalized diagnostic tools to assess the risk of severe COVID-19 and guide targeted treatment strategies. Our findings further extend the results of previous studies, providing novel insights into the genetic determinants of COVID-19 severity.
Chronic respiratory disease
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Care/Management
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Authors

Neller Neller, Bukva Bukva, Gálik Gálik, Kun Kun, Nagy Nagy, Somogyvári Somogyvári, Endrész Endrész, Pál Pál, Bokor Bokor, Blazovich Blazovich, Visnyovszky Visnyovszky, Bende Bende, Urbán Urbán, Kovácsné Levang Kovácsné Levang, Péterfi Péterfi, Kovács Kovács, Gombos Gombos, Gyenesei Gyenesei, Széll Széll
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