Abstract:
:The factors that govern the development of tuberculosis disease are incompletely understood. We hypothesized that some strains of Mycobacterium tuberculosis (M. tuberculosis) are more capable of causing disseminated disease than others and may be associated with polymorphisms in host genes responsible for the innate immune response to infection. We compared the host and bacterial genotype in 187 Vietnamese adults with tuberculous meningitis (TBM) and 237 Vietnamese adults with uncomplicated pulmonary tuberculosis. The host genotype of tuberculosis cases was also compared with the genotype of 392 cord blood controls from the same population. Isolates of M. tuberculosis were genotyped by large sequence polymorphisms. The hosts were defined by polymorphisms in genes encoding Toll-interleukin 1 receptor domain containing adaptor protein (TIRAP) and Toll-like receptor-2 (TLR-2). We found a significant protective association between the Euro-American lineage of M. tuberculosis and pulmonary rather than meningeal tuberculosis (Odds ratio (OR) for causing TBM 0.395, 95% confidence intervals (C.I.) 0.193-0.806, P = 0.009), suggesting these strains are less capable of extra-pulmonary dissemination than others in the study population. We also found that individuals with the C allele of TLR-2 T597C allele were more likely to have tuberculosis caused by the East-Asian/Beijing genotype (OR = 1.57 [95% C.I. 1.15-2.15]) than other individuals. The study provides evidence that M. tuberculosis genotype influences clinical disease phenotype and demonstrates, for the first time, a significant interaction between host and bacterial genotypes and the development of tuberculosis.
journal_name
PLoS Pathogjournal_title
PLoS pathogensauthors
Caws M,Thwaites G,Dunstan S,Hawn TR,Lan NT,Thuong NT,Stepniewska K,Huyen MN,Bang ND,Loc TH,Gagneux S,van Soolingen D,Kremer K,van der Sande M,Small P,Anh PT,Chinh NT,Quy HT,Duyen NT,Tho DQ,Hieu NT,Torok E,Hiendoi
10.1371/journal.ppat.1000034subject
Has Abstractpub_date
2008-03-28 00:00:00pages
e1000034issue
3eissn
1553-7366issn
1553-7374journal_volume
4pub_type
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