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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medgen</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская генетика</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Genetics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2073-7998</issn><publisher><publisher-name>Publishing House «Genius Media» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25557/2073-7998.2025.11.84-85</article-id><article-id custom-type="elpub" pub-id-type="custom">medgen-3308</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КРАТКОЕ СООБЩЕНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>BRIEF REPORT</subject></subj-group></article-categories><title-group><article-title>GWAS-значимые локусы тяжелого COVID-19 влияют на биохимические параметры у пациентов с ишемической болезнью сердца</article-title><trans-title-group xml:lang="en"><trans-title>GWAS-significant loci for severe COVID-19 affect biochemical parameters in patients with coronary artery disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Локтионов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Loktionov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>305041, Курск, ул. К. Маркса, д.3</p></bio><bio xml:lang="en"><p>3, K. Marx st., Kursk, 305041</p></bio><email xlink:type="simple">ofig27@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО Курский государственный медицинский университет Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kursk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>24</day><month>12</month><year>2025</year></pub-date><volume>24</volume><issue>11</issue><fpage>84</fpage><lpage>85</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Локтионов А.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Локтионов А.В.</copyright-holder><copyright-holder xml:lang="en">Loktionov A.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.medgen-journal.ru/jour/article/view/3308">https://www.medgen-journal.ru/jour/article/view/3308</self-uri><abstract><p>Тяжелое течение COVID-19, включая госпитализацию и смертность, обусловлено как генетическими факторами риска, так и сопутствующими хроническими заболеваниями, среди которых ишемическая болезнь сердца (ИБС) играет ведущую роль. Целью данного исследования было оценить влияние ИБС на ассоциации между биохимическими маркерами пациентов с тяжелым COVID-19 и GWAS-значимыми локусами. Генотипирование 199 пациентов, госпитализированных с тяжелым COVID19, осуществлялось методом ПЦР по 10 локусам GWAS. При наличии сопутствующей ИБС у пациентов с тяжелым COVID-19 полиморфные варианты были связаны с увеличением фибриногена в плазме: rs12610495 DPP9 (β = 1,528±0,5637, Pperm = 0,02), rs7949972 ELF5 (β = 1,345±0,5015, Pperm = 0,02), rs61882275 ELF5 (β = 1.345±0.5015, Pperm = 0.02); и с увеличением стационарной пространственной скорости роста сгустка: rs11183780 CCHCR1 (β = 14,36±6,5, Pperm = 0,03). Таким образом, ИБС модифицирует ассоциации между биохимическими маркерами и GWAS-значимыми локусами у больных с тяжелой формой COVID-19.</p></abstract><trans-abstract xml:lang="en"><p>Severe COVID-19, including hospitalization and mortality, is determined by both genetic risk factors and concomitant chronic diseases, among which coronary artery disease (CAD) plays a leading role. The aim of this study was to evaluate the impact of CAD on the associations between biochemical markers of patients with severe COVID-19 and GWAS-significant loci. Genotyping of 199 patients hospitalized with severe COVID-19 was carried out by PCR for 10 GWAS loci. In the presence of concomitant CAD in patients with severe COVID-19, polymorphic variants were associated with an increase in plasma fibrinogen: rs12610495 DPP9 (β = 1.528±0.5637, Pperm = 0.02), rs7949972 ELF5 (β = 1.345±0.5015, Pperm = 0.02), rs61882275 ELF5 (β = 1.345±0.5015, Pperm = 0.02); and with an increase in the steadystate spatial clot growth rate: rs11183780 CCHCR1 (β = 14.36±6.5, Pperm = 0.03). Thus, CAD modifies associations between biochemical markers and GWAS-significant loci in patients with severe COVID-19.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>GWAS</kwd><kwd>COVID-19</kwd><kwd>ишемическая болезнь сердца</kwd></kwd-group><kwd-group xml:lang="en"><kwd>GWAS</kwd><kwd>COVID-19</kwd><kwd>coronary artery disease</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">ФГБОУ ВО КГМУ Минздрава России</funding-statement><funding-statement xml:lang="en">Kursk State Medical University</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Pairo-Castineira E., Rawlik K., Bretherick A.D., et al. GWAS and meta-analysis identifies 49 genetic variants underlying critical COVID-19. 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