Candidate Human Genetic Polymorphisms and Severe Malaria in a Tanzanian Population 英文参考文献.docVIP
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Candidate Human Genetic Polymorphisms and Severe Malaria in a Tanzanian Population 英文参考文献
CandidateHumanGeneticPolymorphismsandSevere
MalariainaTanzanianPopulation
AlphaxardManjurano1,2.,TaaneG.Clark2,3.,BehzadNadjm1,2,GeorgeMtove1,HannahWangai1,
NunoSepulveda3,SusanaG.Campino4,CarolineMaxwell2,RaimosOlomi1,KirkR.Rockett5,
AnnaJeffreys5,MalariaGenConsortium,EleanorM.Riley2,HughReyburn1,2,ChristopherDrakeley1,2
*
1JointMalariaProgramme,KilimanjaroChristianMedicalCentre,Moshi,Tanzania,2FacultyofInfectiousandTropicalDiseases,LondonSchoolofHygieneandTropical
Medicine, London, United Kingdom, 3Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom,
4WellcomeTrustSangerInstitute,Hinxton,Cambridge,UnitedKingdom,5WellcomeTrustCentreforHumanGenetics,UniversityofOxford,Oxford,UnitedKingdom
Abstract
Humangeneticbackgroundstronglyinfluencessusceptibility tomalariainfectionandprogressiontoseverediseaseand
death.Classicalgeneticstudiesidentifiedhaemoglobinopathiesanderythrocyte-associatedpolymorphisms,asprotective
against severe disease. High throughput genotyping by mass spectrometry allows multiple single nucleotide
polymorphisms (SNPs) to be examined simultaneously. We compared the prevalence of 65 human SNP’s, previously
associatedwithalteredriskofmalaria,betweenTanzanianchildrenwithandwithoutseveremalaria.Fivehundredchildren,
aged1–10years,withseveremalariawererecruitedfromthoseadmittedtohospitalinMuheza,Tanzaniaandcompared
with matched controls. Genotyping was performed by Sequenom MassArray, and conventional PCR was used to detect
deletionsinthealpha-thalassaemiagene.SNPsintwoX-linkedgeneswereassociatedwithalteredriskofseveremalariain
femalesbutnotinmales:heterozygosityforoneorotheroftwoSNPsintheG6PDgenewasassociatedwithprotection
fromallformsofseverediseasewhilsttwoSNPsinthegeneencodingCD40Lwereassociatedwithrespiratorydistress.A
SNPintheadenylcyclase9(ADCY9)genewasassociatedwithprotectionfromacidosiswhilstapolymorphismintheIL-1a
gene(IL1A)wasassociatedwithanincreasedriskofacidosis.SNPsinthe
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