RT Journal Article T1 Whole blood DNA methylation analysis reveals respiratory environmental traits involved in COVID-19 severity following SARS-CoV-2 infection. A1 Barturen, Guillermo A1 Carnero-Montoro, Elena A1 Martinez-Bueno, Manuel A1 Rojo-Rello, Silvia A1 Sobrino, Beatriz A1 Porras-Perales, Oscar A1 Alcantara-Dominguez, Clara A1 Bernardo, David A1 Alarcon-Riquelme, Marta E K1 DNA Methylation K1 Cytokine Release Syndrome K1 Transcription Factors K1 Epigenomic AB SARS-CoV-2 infection can cause an inflammatory syndrome (COVID-19) leading, in many cases, to bilateral pneumonia, severe dyspnea, and in ~5% of these, death. DNA methylation is known to play an important role in the regulation of the immune processes behind COVID-19 progression, however it has not been studied in depth. In this study, we aim to evaluate the implication of DNA methylation in COVID-19 progression by means of a genome-wide DNA methylation analysis combined with DNA genotyping. The results reveal the existence of epigenomic regulation of functional pathways associated with COVID-19 progression and mediated by genetic loci. We find an environmental trait-related signature that discriminates mild from severe cases and regulates, among other cytokines, IL-6 expression via the transcription factor CEBP. The analyses suggest that an interaction between environmental contribution, genetics, and epigenetics might be playing a role in triggering the cytokine storm described in the most severe cases. PB Nature Publishing Group YR 2022 FD 2022-08-06 LK http://hdl.handle.net/10668/19543 UL http://hdl.handle.net/10668/19543 LA en NO Barturen G, Carnero-Montoro E, Martínez-Bueno M, Rojo-Rello S, Sobrino B, Porras-Perales Ó, et al. Whole blood DNA methylation analysis reveals respiratory environmental traits involved in COVID-19 severity following SARS-CoV-2 infection. Nat Commun. 2022 Aug 6;13(1):4597 NO This work has been supported through Consejería de Transformación Económica, Industria, Conocimiento y Universidades of the regional government of Andalucía, cofunded by the European Union through the European Regional Development Fund to MEAR (FEDER, CV20-10150), Consejo Superior de Investigaciones Científicas (CSIC-COV19-016/202020E155) and Junta de Castilla y León (Proyectos COVID 07.04.467B04.74011.0 and Programa Estratégico Instituto de Biología y Genética Molecular, IBGM excellence programme references CLU-2029-02 and CCVC8485) to D.B., D.B. is also part of the CSIC’s Global Health Platform (PTI Salud Global), Consejería de Salud y Familias of the regional government of Andalucía (PECOVID-0072-2020) to E.C.M. G.B. is supported by the Instituto de Salud Carlos III (ISCIII, Spanish Health Ministry) through the Sara Borrell subprogram (CD18/00153). The authors would like to particularly express their gratitude to the patients, nurses, and many others who helped directly or indirectly in the consecution of this study. DS RISalud RD Apr 11, 2025