HLA Class II Locus and Susceptibility to Podoconiosis
Identifieur interne : 004267 ( Main/Exploration ); précédent : 004266; suivant : 004268HLA Class II Locus and Susceptibility to Podoconiosis
Auteurs : Fasil Tekola Ayele ; Adebowale Adeyemo ; Chris Finan ; Elena Hailu ; Paul Sinnott ; Natalia Diaz Burlinson ; Abraham Aseffa ; Charles N. Rotimi ; Melanie J. Newport ; Gail DaveySource :
- The New England Journal of Medicine [ 0028-4793 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Allèles, Chaines alpha des antigènes HLA-DQ (génétique), Femelle, Gènes MHC de classe II, Génotype, Humains, Maladies endémiques, Mâle, Polymorphisme de nucléotide simple, Prédisposition génétique à une maladie, Test d'histocompatibilité, Éléphantiasis (génétique), Éléphantiasis (épidémiologie), Éthiopie, Étude d'association pangénomique, Études cas-témoins.
- MESH :
- génétique : Chaines alpha des antigènes HLA-DQ, Éléphantiasis.
- épidémiologie : Éléphantiasis.
- Adulte, Adulte d'âge moyen, Allèles, Femelle, Gènes MHC de classe II, Génotype, Humains, Maladies endémiques, Mâle, Polymorphisme de nucléotide simple, Prédisposition génétique à une maladie, Test d'histocompatibilité, Éthiopie, Étude d'association pangénomique, Études cas-témoins.
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- Adult, Alleles, Case-Control Studies, Elephantiasis (epidemiology), Elephantiasis (genetics), Endemic Diseases, Ethiopia, Female, Genes, MHC Class II, Genetic Predisposition to Disease, Genome-Wide Association Study, Genotype, HLA-DQ alpha-Chains (genetics), Histocompatibility Testing, Humans, Male, Middle Aged, Polymorphism, Single Nucleotide.
- MESH :
- chemical , genetics : HLA-DQ alpha-Chains.
- geographic : Ethiopia.
- epidemiology : Elephantiasis.
- genetics : Elephantiasis.
- Adult, Alleles, Case-Control Studies, Endemic Diseases, Female, Genes, MHC Class II, Genetic Predisposition to Disease, Genome-Wide Association Study, Genotype, Histocompatibility Testing, Humans, Male, Middle Aged, Polymorphism, Single Nucleotide.
Abstract
Podoconiosis is a tropical lymphedema resulting from long-term barefoot exposure to red-clay soil derived from volcanic rock. The World Health Organization recently designated it as a neglected tropical disease. Podoconiosis develops in only a subgroup of exposed people, and studies have shown familial clustering with high heritability (63%).
We conducted a genomewide association study of 194 case patients and 203 controls from southern Ethiopia. Findings were validated by means of family-based association testing in 202 family trios and HLA typing in 94 case patients and 94 controls.
We found a genomewide significant association of podoconiosis with the single-nucleotide polymorphism (SNP) rs17612858, located 5.8 kb from the
Association between variants in HLA class II loci with podoconiosis (a noncommuni-cable disease) suggests that the condition may be a T-cell–mediated inflammatory disease and is a model for gene–environment interactions that may be relevant to other complex genetic disorders. (Funded by the Wellcome Trust and others.)
Url:
DOI: 10.1056/NEJMoa1108448
PubMed: 22455414
PubMed Central: 3350841
Affiliations:
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Le document en format XML
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<series><title level="j">The New England Journal of Medicine</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Alleles</term>
<term>Case-Control Studies</term>
<term>Elephantiasis (epidemiology)</term>
<term>Elephantiasis (genetics)</term>
<term>Endemic Diseases</term>
<term>Ethiopia</term>
<term>Female</term>
<term>Genes, MHC Class II</term>
<term>Genetic Predisposition to Disease</term>
<term>Genome-Wide Association Study</term>
<term>Genotype</term>
<term>HLA-DQ alpha-Chains (genetics)</term>
<term>Histocompatibility Testing</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Polymorphism, Single Nucleotide</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Allèles</term>
<term>Chaines alpha des antigènes HLA-DQ (génétique)</term>
<term>Femelle</term>
<term>Gènes MHC de classe II</term>
<term>Génotype</term>
<term>Humains</term>
<term>Maladies endémiques</term>
<term>Mâle</term>
<term>Polymorphisme de nucléotide simple</term>
<term>Prédisposition génétique à une maladie</term>
<term>Test d'histocompatibilité</term>
<term>Éléphantiasis (génétique)</term>
<term>Éléphantiasis (épidémiologie)</term>
<term>Éthiopie</term>
<term>Étude d'association pangénomique</term>
<term>Études cas-témoins</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en"><term>HLA-DQ alpha-Chains</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ethiopia</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Elephantiasis</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr"><term>Chaines alpha des antigènes HLA-DQ</term>
<term>Éléphantiasis</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Éléphantiasis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Alleles</term>
<term>Case-Control Studies</term>
<term>Endemic Diseases</term>
<term>Female</term>
<term>Genes, MHC Class II</term>
<term>Genetic Predisposition to Disease</term>
<term>Genome-Wide Association Study</term>
<term>Genotype</term>
<term>Histocompatibility Testing</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Polymorphism, Single Nucleotide</term>
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<term>Adulte d'âge moyen</term>
<term>Allèles</term>
<term>Femelle</term>
<term>Gènes MHC de classe II</term>
<term>Génotype</term>
<term>Humains</term>
<term>Maladies endémiques</term>
<term>Mâle</term>
<term>Polymorphisme de nucléotide simple</term>
<term>Prédisposition génétique à une maladie</term>
<term>Test d'histocompatibilité</term>
<term>Éthiopie</term>
<term>Étude d'association pangénomique</term>
<term>Études cas-témoins</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>BACKGROUND</title>
<p id="P1">Podoconiosis is a tropical lymphedema resulting from long-term barefoot exposure to red-clay soil derived from volcanic rock. The World Health Organization recently designated it as a neglected tropical disease. Podoconiosis develops in only a subgroup of exposed people, and studies have shown familial clustering with high heritability (63%).</p>
</sec>
<sec id="S2"><title>METHODS</title>
<p id="P2">We conducted a genomewide association study of 194 case patients and 203 controls from southern Ethiopia. Findings were validated by means of family-based association testing in 202 family trios and HLA typing in 94 case patients and 94 controls.</p>
</sec>
<sec id="S3"><title>RESULTS</title>
<p id="P3">We found a genomewide significant association of podoconiosis with the single-nucleotide polymorphism (SNP) rs17612858, located 5.8 kb from the <italic>HLA-DQA1</italic>
locus (in the allelic model: odds ratio, 2.44; 95% confidence interval [CI], 1.82 to 3.26; P = 1.42×10<sup>−9</sup>
; and in the additive model: odds ratio, 2.19; 95% CI, 1.66 to 2.90; P = 3.44×10<sup>−8</sup>
), and suggestive associations (P<1.0×10<sup>−5</sup>
) with seven other SNPs in or near <italic>HLA-DQB1, HLA-DQA1,</italic>
and <italic>HLA-DRB1</italic>
. We confirmed these associations using family-based association testing. HLA typing showed the alleles <italic>HLA-DRB1*0701</italic>
(odds ratio, 2.00), <italic>DQA1*0201</italic>
(odds ratio, 1.91), and <italic>DQB1*0202</italic>
(odds ratio, 1.79) and the <italic>HLA-DRB1*0701–DQB1*0202</italic>
haplotype (odds ratio, 1.92) were risk variants for podoconiosis.</p>
</sec>
<sec id="S4"><title>CONCLUSIONS</title>
<p id="P4">Association between variants in HLA class II loci with podoconiosis (a noncommuni-cable disease) suggests that the condition may be a T-cell–mediated inflammatory disease and is a model for gene–environment interactions that may be relevant to other complex genetic disorders. (Funded by the Wellcome Trust and others.)</p>
</sec>
</div>
</front>
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<tree><noCountry><name sortKey="Adeyemo, Adebowale" sort="Adeyemo, Adebowale" uniqKey="Adeyemo A" first="Adebowale" last="Adeyemo">Adebowale Adeyemo</name>
<name sortKey="Aseffa, Abraham" sort="Aseffa, Abraham" uniqKey="Aseffa A" first="Abraham" last="Aseffa">Abraham Aseffa</name>
<name sortKey="Ayele, Fasil Tekola" sort="Ayele, Fasil Tekola" uniqKey="Ayele F" first="Fasil Tekola" last="Ayele">Fasil Tekola Ayele</name>
<name sortKey="Burlinson, Natalia Diaz" sort="Burlinson, Natalia Diaz" uniqKey="Burlinson N" first="Natalia Diaz" last="Burlinson">Natalia Diaz Burlinson</name>
<name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name>
<name sortKey="Finan, Chris" sort="Finan, Chris" uniqKey="Finan C" first="Chris" last="Finan">Chris Finan</name>
<name sortKey="Hailu, Elena" sort="Hailu, Elena" uniqKey="Hailu E" first="Elena" last="Hailu">Elena Hailu</name>
<name sortKey="Newport, Melanie J" sort="Newport, Melanie J" uniqKey="Newport M" first="Melanie J." last="Newport">Melanie J. Newport</name>
<name sortKey="Rotimi, Charles N" sort="Rotimi, Charles N" uniqKey="Rotimi C" first="Charles N." last="Rotimi">Charles N. Rotimi</name>
<name sortKey="Sinnott, Paul" sort="Sinnott, Paul" uniqKey="Sinnott P" first="Paul" last="Sinnott">Paul Sinnott</name>
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