Significant Association Between TIM1 Promoter Polymorphisms and Protection Against Cerebral Malaria in Thailand
Autor: | Pornlada Nuchnoi, Hathairad Hananantachai, S. Looareesuwan, Izumi Naka, Jun Ohashi, Katsushi Tokunaga, Srivicha Krudsood, Ryosuke Kimura, Jintana Patarapotikul |
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Rok vydání: | 2008 |
Předmět: |
Adult
Linkage disequilibrium Transcription Genetic T cell Malaria Cerebral Biology Linkage Disequilibrium Immune system Asian People Gene Frequency parasitic diseases Genetics medicine Humans Genetic Predisposition to Disease Hepatitis A Virus Cellular Receptor 1 Promoter Regions Genetic Alleles Genetics (clinical) Membrane Glycoproteins Polymorphism Genetic Genome Human Haplotype T-cell receptor Membrane Proteins Thailand medicine.disease medicine.anatomical_structure Haplotypes Cerebral Malaria Immunology biology.protein Chromosomes Human Pair 5 Receptors Virus Antibody Malaria |
Zdroj: | Annals of Human Genetics. 72:327-336 |
ISSN: | 1469-1809 0003-4800 |
DOI: | 10.1111/j.1469-1809.2007.00424.x |
Popis: | Although cerebral malaria is a major life-threatening complication of Plasmodium falciparum infection, its pathophysiology is not well understood. Prolonged activation of the T helper type 1 (Th1) response characterized by the production of pro-inflammatory cytokines such as IFN-gamma and TNF-alpha has been suggested to be responsible for immunopathological process leading to cerebral malaria unless they are downregulated by the anti-inflamatory cytokines produced by the Th2 response. The T cell immunoglobulin and mucin domain (TIM) family of proteins are cell surface proteins involved in regulating Th1 and Th2 immune responses. In this study, the possible association between the polymorphisms of TIM1, TIM3, and TIMD4 genes and the severity of malaria was examined in 478 adult Thai patients infected with P. falciparum malaria. The TIM1 promoter haplotype comprising three derived alleles, -1637A (rs7702919), -1549C (rs41297577) and -1454A (rs41297579), which were in complete linkage disequilibrium, was significantly associated with protection against cerebral malaria (OR = 0.41; 95% CI = 0.24-0.71; P= 0.0009). Allele-specific transcription quantification analysis revealed that the level of mRNA transcribed from TIM1 was higher for the protective promoter haplotype than for the other promoter haplotype (P= 0.004). Engagement with TIM1 in combination with T cell receptor stimulation induces anti-inflammatory Th2 cytokine production, which can protect the development of cerebral malaria caused by overproduction of pro-inflammatory Th1 cytokines. The present results suggest that the higher TIM1 expression associated with the protective TIM1 promoter haplotype confers protection against cerebral malaria. |
Databáze: | OpenAIRE |
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