Abstract:
:A periurban outbreak of visceral leishmaniasis (VL) caused by the protozoan Leishmania chagasi is ongoing outside Natal, northeast Brazil. Manifestations range from asymptomatic infection to disseminated visceral disease. Literature reports suggest that both genetic and environmental factors influence the outcome of infection. Due to the association of the tumor necrosis factor (TNF) locus with other infectious diseases, we examined whether polymorphic alleles at this locus are associated with the outcome of L. chagasi infection. Neighborhoods with ongoing transmission were identified through patients admitted to local hospitals. Altogether, 1,024 individuals from 183 families were classified with the following disease phenotypes: (i) symptomatic VL, (ii) asymptomatic infection (positive delayed-type hypersensitivity [DTH+]), or (iii) no evidence of infection (DTH-). Genotypes were determined at a microsatellite marker (MSM) upstream of the TNFB gene encoding TNF-beta and at a restriction fragment length polymorphism (RFLP) at position -307 in the promoter of the TNFA gene encoding TNF-alpha. Analyses showed that the distribution of TNFA RFLP alleles (TNF1 and TNF2) and the TNF MSM alleles (TNFa1 to TNFa15) differed between individuals with VL and those with DTH+ phenotypes. TNF1 was transmitted more frequently than expected from heterozygous parents to DTH+ offspring (P = 0.0006), and haplotypes containing TNF2 were associated with symptomatic VL (P = 0.0265, transmission disequilibrium test). Resting serum TNF-alpha levels were higher in TNF1/2 heterozygotes than in TNF1/1 homozygotes (P < 0.05). These data led us to hypothesize that an individual's genotype at the TNF locus may be associated with whether he or she develops asymptomatic or symptomatic disease after L. chagasi infection. The results preliminarily suggest that this may be the case, and follow-up with larger populations is needed for verification.
journal_name
Infect Immunjournal_title
Infection and immunityauthors
Karplus TM,Jeronimo SM,Chang H,Helms BK,Burns TL,Murray JC,Mitchell AA,Pugh EW,Braz RF,Bezerra FL,Wilson MEdoi
10.1128/iai.70.12.6919-6925.2002keywords:
subject
Has Abstractpub_date
2002-12-01 00:00:00pages
6919-25issue
12eissn
0019-9567issn
1098-5522journal_volume
70pub_type
杂志文章abstract::The cellular source of interleukin-6 (IL-6) during infection of mice with Listeria monocytogenes was investigated both in vitro and in vivo. Peritoneal cells taken at intervals from infected mice and cultured in vitro without added stimulus produced high titers of IL-6 peaking 2 days postinfection in a time course sim...
journal_title:Infection and immunity
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doi:10.1128/IAI.40.2.592-600.1983
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journal_title:Infection and immunity
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Infection and immunity
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journal_title:Infection and immunity
pub_type: 杂志文章
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更新日期:1994-09-01 00:00:00
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journal_title:Infection and immunity
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doi:10.1128/IAI.37.2.786-793.1982
更新日期:1982-08-01 00:00:00
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更新日期:1976-01-01 00:00:00
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journal_title:Infection and immunity
pub_type: 杂志文章
doi:10.1128/IAI.56.11.2891-2895.1988
更新日期:1988-11-01 00:00:00
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journal_title:Infection and immunity
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更新日期:1987-11-01 00:00:00
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journal_title:Infection and immunity
pub_type: 杂志文章
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更新日期:1994-11-01 00:00:00
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journal_title:Infection and immunity
pub_type: 杂志文章
doi:10.1128/IAI.65.7.2861-2867.1997
更新日期:1997-07-01 00:00:00
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journal_title:Infection and immunity
pub_type: 杂志文章
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更新日期:1996-12-01 00:00:00