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Variation in human genes encoding adhesion and proinflammatory molecules are associated with severe malaria in the Vietnamese.

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TLDR
Variants in six genes encoding adhesion and proinflammatory molecules are associated with severe malaria in the Vietnamese, and genotypes of rs708567 (IL17RC) correlate with parasitemia.
Abstract
The genetic basis for susceptibility to malaria has been studied widely in African populations but less is known of the contribution of specific genetic variants in Asian populations. We genotyped 67 single-nucleotide polymorphisms (SNPs) in 1030 severe malaria cases and 2840 controls from Vietnam. After data quality control, genotyping data of 956 cases and 2350 controls were analysed for 65 SNPs (3 gender confirmation, 62 positioned in/near 42 malarial candidate genes). A total of 14 SNPs were monomorphic and 2 (rs8078340 and rs33950507) were not in Hardy-Weinberg equilibrium in controls (P<0.01). In all, 7/46 SNPs in 6 genes (ICAM1, IL1A, IL17RC, IL13, LTA and TNF) were associated with severe malaria, with 3/7 SNPs in the TNF/LTA region. Genotype-phenotype correlations between SNPs and clinical parameters revealed that genotypes of rs708567 (IL17RC) correlate with parasitemia (P=0.028, r(2)=0.0086), with GG homozygotes having the lowest parasite burden. Additionally, rs708567 GG homozygotes had a decreased risk of severe malaria (P=0.007, OR=0.78 (95% CI; 0.65-0.93)) and death (P=0.028, OR=0.58 (95% CI; 0.37-0.93)) than those with AA and AG genotypes. In summary, variants in six genes encoding adhesion and proinflammatory molecules are associated with severe malaria in the Vietnamese. Further replicative studies in independent populations will be necessary to confirm these findings.

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Reappraisal of known malaria resistance loci in a large multicenter study.

Kirk A. Rockett, +81 more
- 05 Nov 2014 - 
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References
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Journal ArticleDOI

Variation in the TNF-alpha promoter region associated with susceptibility to cerebral malaria.

TL;DR: The maintenance of the TNF2 allele at a gene frequency of 0.16 in The Gambia implies that the increased risk of cerebral malaria in homozygotes is counterbalanced by some biological advantage, suggesting that regulatory polymorphisms of cytokine genes can affect the outcome of severe infection.
Journal ArticleDOI

Cutting Edge: Interleukin 17 Signals through a Heteromeric Receptor Complex

TL;DR: The biologic activity ofIL-17 is dependent on a complex composed of IL-17RA and IL- 17RC, suggesting a new paradigm for understanding the interactions between the expanded family of IL -17 ligands and their receptors.
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