Serveur d'exploration sur le lymphœdème

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HLA Class II Locus and Susceptibility to Podoconiosis

Identifieur interne : 004267 ( Main/Exploration ); précédent : 004266; suivant : 004268

HLA 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 Davey

Source :

RBID : PMC:3350841

Descripteurs français

English descriptors

Abstract

BACKGROUND

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%).

METHODS

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.

RESULTS

We found a genomewide significant association of podoconiosis with the single-nucleotide polymorphism (SNP) rs17612858, located 5.8 kb from the HLA-DQA1 locus (in the allelic model: odds ratio, 2.44; 95% confidence interval [CI], 1.82 to 3.26; P = 1.42×10−9; and in the additive model: odds ratio, 2.19; 95% CI, 1.66 to 2.90; P = 3.44×10−8), and suggestive associations (P<1.0×10−5) with seven other SNPs in or near HLA-DQB1, HLA-DQA1, and HLA-DRB1. We confirmed these associations using family-based association testing. HLA typing showed the alleles HLA-DRB1*0701 (odds ratio, 2.00), DQA1*0201 (odds ratio, 1.91), and DQB1*0202 (odds ratio, 1.79) and the HLA-DRB1*0701–DQB1*0202 haplotype (odds ratio, 1.92) were risk variants for podoconiosis.

CONCLUSIONS

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:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<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>
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<term>Adulte d'âge moyen</term>
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<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>
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<term>HLA-DQ alpha-Chains</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Elephantiasis</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Elephantiasis</term>
</keywords>
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<term>Chaines alpha des antigènes HLA-DQ</term>
<term>Éléphantiasis</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Éléphantiasis</term>
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<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>
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<term>Middle Aged</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>
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<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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<name sortKey="Adeyemo, Adebowale" sort="Adeyemo, Adebowale" uniqKey="Adeyemo A" first="Adebowale" last="Adeyemo">Adebowale Adeyemo</name>
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<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>
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