Relevance of Fcgamma receptor and interleukin-10 polymorphisms for meningococcal disease.

Autor: van der Pol WL; University Medical Center, Dept. of Immunology, Laboratory for Immunotherapy, 3584 EA Utrecht, The Netherlands. L.vdPol@lab.azu.nl, Huizinga TW, Vidarsson G, van der Linden MW, Jansen MD, Keijsers V, de Straat FG, Westerdaal NA, de Winkel JG, Westendorp RG
Jazyk: angličtina
Zdroj: The Journal of infectious diseases [J Infect Dis] 2001 Dec 15; Vol. 184 (12), pp. 1548-55. Date of Electronic Publication: 2001 Dec 03.
DOI: 10.1086/324662
Abstrakt: The contribution of individual Fcgamma receptor (FcgammaR) subclasses to meningococcal phagocytosis was studied. In addition, functional FcgammaR polymorphisms were determined in 50 patients with meningococcal disease (MD), in 183 first-degree relatives of MD patients, and in 239 healthy control subjects, to study the association of FcgammaR genotypes with disease. Efficient internalization of opsonized Neisseria meningitidis serogroup B was mediated via multiple FcgammaR subclasses on phagocytes. Accordingly, a low-efficiency combination of FcgammaRIIa-R/R131, FcgammaRIIIa-F/F158, and FcgammaRIIIb-NA2/2 genotypes was increased significantly in relatives of patients with MD, compared with healthy control subjects (P<.05; odds ratio, 2.6; 95% confidence interval, 1.1-6.3). FcgammaRIIa and FcgammaRIIIa genotype distributions differed between patients with sepsis and those with meningitis. Combined genotypes of FcgammaRIIa and interleukin-10 -1082, which was previously reported as being associated with MD outcome, were distributed randomly in control subjects but not in relatives of patients with MD (P<.01). These data provide further evidence for the association of polymorphic genes on chromosome 1 and MD.
Databáze: MEDLINE