Academic Journal
Human NCR3 gene variants rs2736191 and rs11575837 alter longitudinal risk for development of pediatric malaria episodes and severe malarial anemia
العنوان: | Human NCR3 gene variants rs2736191 and rs11575837 alter longitudinal risk for development of pediatric malaria episodes and severe malarial anemia |
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المؤلفون: | Onyango, Clinton O., Cheng, Qiuying, Munde, Elly O., Raballah, Evans, Anyona, Samuel B., McMahon, Benjamin H., Lambert, Christophe G., Onyango, Patrick O., Schneider, Kristan A., Perkins, Douglas J., Ouma, Collins |
المساهمون: | National Institutes of Health |
المصدر: | BMC Genomics ; volume 24, issue 1 ; ISSN 1471-2164 |
بيانات النشر: | Springer Science and Business Media LLC |
سنة النشر: | 2023 |
الوصف: | Background Plasmodium falciparum malaria is a leading cause of pediatric morbidity and mortality in holoendemic transmission areas. Severe malarial anemia [SMA, hemoglobin (Hb) < 5.0 g/dL in children] is the most common clinical manifestation of severe malaria in such regions. Although innate immune response genes are known to influence the development of SMA, the role of natural killer (NK) cells in malaria pathogenesis remains largely undefined. As such, we examined the impact of genetic variation in the gene encoding a primary NK cell receptor, natural cytotoxicity-triggering receptor 3 (NCR3), on the occurrence of malaria and SMA episodes over time. Methods Susceptibility to malaria, SMA, and all-cause mortality was determined in carriers of NCR3 genetic variants (i.e., rs2736191:C > G and rs11575837:C > T) and their haplotypes. The prospective observational study was conducted over a 36 mos. follow-up period in a cohort of children ( n = 1,515, aged 1.9–40 mos.) residing in a holoendemic P. falciparum transmission region, Siaya, Kenya. Results Poisson regression modeling, controlling for anemia-promoting covariates, revealed a significantly increased risk of malaria in carriers of the homozygous mutant allele genotype (TT) for rs11575837 after multiple test correction [Incidence rate ratio (IRR) = 1.540, 95% CI = 1.114–2.129, P = 0.009]. Increased risk of SMA was observed for rs2736191 in children who inherited the CG genotype (IRR = 1.269, 95% CI = 1.009–1.597, P = 0.041) and in the additive model (presence of 1 or 2 copies) (IRR = 1.198, 95% CI = 1.030–1.393, P = 0.019), but was not significant after multiple test correction. Modeling of the haplotypes revealed that the CC haplotype had a significant additive effect for protection against SMA (i.e., reduced risk for development of SMA) after multiple test correction (IRR = 0.823, 95% CI = 0.711–0.952, P = 0.009). Although increased susceptibility to SMA was present in carriers of the GC haplotype (IRR = 1.276, 95% CI = 1.030–1.581, P = ... |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
DOI: | 10.1186/s12864-023-09565-1 |
DOI: | 10.1186/s12864-023-09565-1.pdf |
DOI: | 10.1186/s12864-023-09565-1/fulltext.html |
الاتاحة: | http://dx.doi.org/10.1186/s12864-023-09565-1 https://link.springer.com/content/pdf/10.1186/s12864-023-09565-1.pdf https://link.springer.com/article/10.1186/s12864-023-09565-1/fulltext.html |
Rights: | https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0 |
رقم الانضمام: | edsbas.40A128AE |
قاعدة البيانات: | BASE |
DOI: | 10.1186/s12864-023-09565-1 |
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