Variation at HLA-DRB1 is associated with resistance to enteric fever

被引:78
作者
Dunstan, Sarah J. [1 ,2 ,3 ]
Nguyen Thi Hue [1 ,4 ]
Buhm Han [5 ,6 ,7 ,8 ]
Li, Zheng [9 ]
Trinh Thi Bich Tram [1 ]
Sim, Kar Seng [9 ]
Parry, Christopher M. [1 ,10 ]
Nguyen Tran Chinh [11 ]
Ha Vinh [11 ]
Nguyen Phu Huong Lan [11 ]
Nga Tran Vu Thieu [1 ]
Phat Voong Vinh [1 ]
Koirala, Samir [12 ]
Dongol, Sabina [12 ]
Arjyal, Amit [12 ]
Karkey, Abhilasha [12 ]
Shilpakar, Olita [12 ]
Dolecek, Christiane [1 ,2 ]
Foo, Jia Nee [9 ]
Le Thi Phuong [13 ]
Mai Ngoc Lanh [13 ]
Tan Do [14 ]
Aung, Tin [15 ]
Do Nu Hon [14 ]
Teo, Yik Ying [16 ,17 ]
Hibberd, Martin L. [9 ,18 ]
Anders, Katherine L. [1 ,2 ]
Okada, Yukinori [19 ,20 ]
Raychaudhuri, Soumya [6 ,7 ,8 ,21 ,22 ]
Simmons, Cameron P. [1 ,2 ,23 ]
Baker, Stephen [1 ,2 ,18 ]
de Bakker, Paul I. W. [24 ,25 ]
Basnyat, Buddha [12 ]
Tran Tinh Hien [1 ]
Farrar, Jeremy J. [1 ,2 ]
Khor, Chiea Chuen [9 ,15 ,17 ,26 ,27 ]
机构
[1] Hosp Trop Dis, Oxford Univ Clin Res Unit, Ho Chi Minh City, Vietnam
[2] Univ Oxford, Nuffield Dept Clin Med, Ctr Trop Med, Oxford, England
[3] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Nossal Inst Global Hlth, Melbourne, Vic, Australia
[4] Vietnam Natl Univ, Univ Sci, Fac Biol, Ho Chi Minh City, Vietnam
[5] Univ Ulsan, Coll Med, Asan Med Ctr, Asan Inst Life Sci, Seoul, South Korea
[6] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med,Div Genet, Boston, MA 02115 USA
[7] Broad Inst, Program Med & Populat Genet, Cambridge, MA USA
[8] Partners Ctr Personalized Genet Med, Boston, MA USA
[9] Genome Inst Singapore, Singapore, Singapore
[10] Univ Liverpool, Liverpool Sch Trop Med, Liverpool L3 5QA, Merseyside, England
[11] Hosp Trop Dis, Ho Chi Minh City, Vietnam
[12] Patan Hosp, Patan Acad Hlth Sci, Oxford Univ Clin Res Unit Nepal, Patan, Nepal
[13] Dong Thap Prov Hosp, Cao Lanh, Vietnam
[14] Vietnam Natl Inst Ophthalmol, Hanoi, Vietnam
[15] Singapore Eye Res Inst, Singapore, Singapore
[16] Natl Univ Singapore, Dept Stat & Appl Probabil, Singapore 117548, Singapore
[17] Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore 117548, Singapore
[18] Univ London London Sch Hyg & Trop Med, London WC1E 7HT, England
[19] Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Human Genet & Dis Divers, Tokyo, Japan
[20] RIKEN Ctr Integrat Med Sci, Lab Stat Anal, Yokohama, Kanagawa, Japan
[21] Brigham & Womens Hosp, Dept Med, Div Rheumatol Immunol & Allergy, Boston, MA 02115 USA
[22] Univ Manchester, Fac Med & Human Sci, Manchester, Lancs, England
[23] Univ Melbourne, Dept Microbiol & Immunol, Melbourne, Vic, Australia
[24] Univ Med Ctr Utrecht, Ctr Mol Med, Dept Med Genet, Utrecht, Netherlands
[25] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Dept Epidemiol, Utrecht, Netherlands
[26] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Paediat, Singapore 117595, Singapore
[27] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Ophthalmol, Singapore 117595, Singapore
基金
英国惠康基金;
关键词
GENOME-WIDE ASSOCIATION; TYPHOID-FEVER; COMMON VARIANTS; SUSCEPTIBILITY LOCI; CLASS-II; HLA; SALMONELLA; DISEASE; REGION; DETERMINANTS;
D O I
10.1038/ng.3143
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Enteric fever affects more than 25 million people annually and results from systemic infection with Salmonella enterica serovar Typhi or Paratyphi pathovars A, B or C-1. We conducted a genome-wide association study of 432 individuals with blood culture-confirmed enteric fever and 2,011 controls from Vietnam. We observed strong association at rs7765379 (odds ratio (OR) for the minor allele = 0.18, P = 4.5 x 10(-10)), a marker mapping to the H LA class II region, in proximity to HLA-DQB1 and HLA-DRB1. We replicated this association in 595 enteric fever cases and 386 controls from Nepal and also in a second independent collection of 151 cases and 668 controls from Vietnam. Imputation-based fine-mapping across the extended MHC region showed that the classical HLA-DRB1*04:05 allele (OR = 0.14, P = 2.60 x 10(-11)) could entirely explain the association at rs7765379, thus implicating HLA-DRB1 as a major contributor to resistance against enteric fever, presumably through antigen presentation.
引用
收藏
页码:1333 / 1336
页数:4
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