Across rheumatic diseases

Genome-Wide Association Study Identifies Genetic Loci for Antibody Response to SARS-CoV-2 Vaccines in Patients With Systemic Autoimmune Diseases and Healthy Individuals

J RheumatolPublished Genome-wide association study

Authors' conclusion

This study highlights both MHC and non-MHC genetic contributions to SARS-CoV-2 vaccine responses and suggests these effects are consistent across patients with SADs and healthy individuals

Study context

Population
Patients with systemic autoimmune diseases and healthy individuals, all of whom received nucleic acid-based SARS-CoV-2 vaccines
Participants
165 patients
Comparison
Patients with systemic autoimmune diseases vs healthy individuals
  • Systemic autoimmune diseases (SADs)n = 138
  • Healthy controlsn = 27reference
Outcome
Postvaccination anti-SARS-CoV-2 IgG antibody levels (spike protein receptor-binding domain (RBD) and nucleocapsid)
Follow-up
Between 1 and 12 months after vaccination
Methodological detailsmeta-analysis with a previously published genome-wide association study (GWAS) of 1076 healthy individuals
  • Meta-analysis with a previously published GWAS of 1076 healthy individuals

Pooled result

As reported in the abstract

Genetic loci associated with postvaccination anti-SARS-CoV-2 IgG levels (meta-analysis)

Novel association near RACGAP1 (rs706785), βmeta

−0.30

Novel association near RACGAP1 (rs706785), P meta

3.85 × 10-8

Replicated association at HLA-DRB1 position 71, βmeta

−0.23

Replicated association at HLA-DRB1 position 71, P meta

1.94 × 10-11

Further pooled results

No significant interactions between genotype and disease status

Original publication

Genome-Wide Association Study Identifies Genetic Loci for Antibody Response to SARS-CoV-2 Vaccines in Patients With Systemic Autoimmune Diseases and Healthy Individuals. J Rheumatol. Published 1 February 2026. doi:10.3899/jrheum.2025-0770

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