A Toll-like receptor-1 variant and its characteristic cellular phenotype is associated with severe malaria in Papua New Guinean children
Details
Publication Year 2016-01,Volume 17,Issue #1,Page 52-9
Journal Title
Genes Immun
Publication Type
Journal Article
Abstract
Genetic factors are likely to contribute to low severe malaria case fatality rates in Melanesian populations, but association studies can be underpowered and may not provide plausible mechanistic explanations if significant associations are detected. In preparation for a genome-wide association study, 29 candidate single-nucleotide polymorphisms (SNPs) with minor allele frequencies >5% were examined in a case-control study of 504 Papua New Guinean children with severe malaria. In parallel, an immunological substudy was performed on convalescent peripheral blood mononuclear cells (PBMCs) from cases and controls. Following stimulation with a Toll-like receptor (TLR) 1/2 agonist, effector cytokines and chemokines were assayed. The only significant genetic association observed involved a nonsynonymous SNP (TLR1rs4833095) in the TLR1 gene. A recessive (TT) genotype was associated with reduced odds of severe malaria of 0.52 (95% confidence interval (0.29-0.90), P=0.006). Concentrations of pro-inflammatory cytokines interleukin-1beta and tumour necrosis factor alpha were significantly higher in severe malaria cases compared with healthy controls, but lower in children with the protective recessive (TT) genotype. A genetic variant in TLR1 may contribute to the low severe malaria case fatality rates in this region through a reduced pro-inflammatory cellular phenotype.Genes and Immunity advance online publication, 3 December 2015; doi:10.1038/gene.2015.50.; CLINICAL
Publisher
NPG
Research Division(s)
Population Health And Immunity
PubMed ID
26633000
NHMRC Grants
NHMRC/513782NHMRC/516735NHMRC/637406
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Creation Date: 2015-12-10 11:27:49
Last Modified: 2019-04-01 08:57:20
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