The ferroportin Q248H mutation protects from anemia, but not malaria or bacteremia

Autor: Deepti Gurdasani, James J. Gilchrist, Emily L. Webb, Sodiomon B. Sirima, Thomas N. Williams, Cristina Pomilla, J. Anthony G. Scott, Alison M. Elliott, Dominic P. Kwiatkowski, Anna Rautanen, Swaib A. Lule, Wandia Kimita, Fatou Joof, Reagan M. Mogire, Francis M. Ndungu, Alexander J. Mentzer, Amidou Diarra, Shabir A. Madhi, Philip Bejon, Neema Mturi, Sarah H. Atkinson, Tommy Carstensen, Morgan M. Goheen, Carla Cerami, Adrian V. S. Hill, Alireza Morovat, Kirk A. Rockett, Manjinder S. Sandhu, Andrew M. Prentice, Clare L. Cutland, John Muthii Muriuki, Gavin Band
Přispěvatelé: Muriuki, John Muthii [0000-0003-4369-9547], Mentzer, Alexander J [0000-0002-4502-2209], Band, Gavin [0000-0002-1710-9024], Gilchrist, James J [0000-0003-2045-6788], Carstensen, Tommy [0000-0002-3672-9931], Goheen, Morgan M [0000-0003-2297-3295], Kimita, Wandia [0000-0002-3099-7134], Mogire, Reagan [0000-0001-6454-1613], Cutland, Clare L [0000-0001-8250-8307], Pomilla, Cristina [0000-0002-2581-8365], Gurdasani, Deepti [0000-0001-9996-6929], Rockett, Kirk [0000-0002-6369-9299], Mturi, Neema [0000-0002-6585-2074], Ndungu, Francis M [0000-0002-8977-0030], Sirima, Sodiomon B [0000-0002-0972-4211], Morovat, Alireza [0000-0002-5832-7992], Prentice, Andrew M [0000-0001-5389-451X], Webb, Emily L [0000-0002-4019-7456], Elliott, Alison M [0000-0003-2818-9549], Hill, Adrian VS [0000-0003-0900-9629], Kwiatkowski, Dominic P [0000-0002-5023-0176], Cerami, Carla [0000-0002-7634-0955], Atkinson, Sarah H [0000-0002-8360-4402], Apollo - University of Cambridge Repository, Wellcome Trust
Rok vydání: 2019
Předmět:
Zdroj: Science Advances
ISSN: 2375-2548
Popis: The FPN Q248H mutation protects children from anemia, hemolysis, and iron deficiency, but not malaria or bacterial infection.
Iron acquisition is critical for life. Ferroportin (FPN) exports iron from mature erythrocytes, and deletion of the Fpn gene results in hemolytic anemia and increased fatality in malaria-infected mice. The FPN Q248H mutation (glutamine to histidine at position 248) renders FPN partially resistant to hepcidin-induced degradation and was associated with protection from malaria in human studies of limited size. Using data from cohorts including over 18,000 African children, we show that the Q248H mutation is associated with modest protection against anemia, hemolysis, and iron deficiency, but we found little evidence of protection against severe malaria or bacteremia. We additionally observed no excess Plasmodium growth in Q248H erythrocytes ex vivo, nor evidence of selection driven by malaria exposure, suggesting that the Q248H mutation does not protect from malaria and is unlikely to deprive malaria parasites of iron essential for their growth.
Databáze: OpenAIRE