Interestingly, the expression of MHC-related genes could distinguish the RP patient from MM or severe patients, i.e. the downregulation of MHC-related genes was related to severe COVID-19, while the upregulation of MHC-related genes was associated with MM COVID-19 and unaltered expression of MHC-related genes was linked to prolonged SARS-CoV-2 RNA shedding (Figure 5E). Here, HLA-C is linked to Miyoshi myopathy.