A SNP upstream of the cyclic GMP-AMP synthase (cGAS) gene protects from relapse and extra-pulmonary TB and relates to BCG vaccination status in an Indian cohort

Tuberculosis (TB) caused by Mycobacterium tuberculosis ( M.tb ) is a major health care threat worldwide causing over a million deaths annually. Host-pathogen interaction is complex, and a strong genetic contribution to disease susceptibility has been proposed. We have investigated single-nucleotide...

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Veröffentlicht in:Genes and immunity 2020-01, Vol.21 (1), p.13-26
Hauptverfasser: Thada, Shruthi, Burkert, Sanne, Sivangala, Ramya, Hussain, Abid, Sur, Saubashya, Dittrich, Nickel, Conrad, Melanie L., Slevogt, Hortense, Latha Gaddam, Suman, Schumann, Ralf R.
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container_issue 1
container_start_page 13
container_title Genes and immunity
container_volume 21
creator Thada, Shruthi
Burkert, Sanne
Sivangala, Ramya
Hussain, Abid
Sur, Saubashya
Dittrich, Nickel
Conrad, Melanie L.
Slevogt, Hortense
Latha Gaddam, Suman
Schumann, Ralf R.
description Tuberculosis (TB) caused by Mycobacterium tuberculosis ( M.tb ) is a major health care threat worldwide causing over a million deaths annually. Host-pathogen interaction is complex, and a strong genetic contribution to disease susceptibility has been proposed. We have investigated single-nucleotide polymorphisms (SNPs) within cGAS/STING in Indian TB patients and healthy cohorts from India and Germany by Lightcycler®480 genotyping technique. The cGAS/STING pathway is an essential defense pathway within the cytosol after M.tb is internalized and mycobacterial DNA is released inducing the production of type I IFNs. We found that the rs311686 SNP upstream of cGAS provides protection from getting TB overall and is differently distributed in pulmonary TB patients compared with extra-pulmonary and particularly relapse cases. This SNP furthermore differs in distribution when comparing individuals with respect to BCG vaccination status. Taken together, our results show that the presence of the rs311686 SNP influences the course of TB significantly. However, structural conformation changes were found only for the cGAS rs610913 SNP. These findings underscore the importance of M.tb DNA recognition for TB pathogenesis and may eventually help in risk stratification of individuals. This may ultimately help in prevention of disease and aid in developing new vaccination and treatment strategies.
doi_str_mv 10.1038/s41435-019-0080-1
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Host-pathogen interaction is complex, and a strong genetic contribution to disease susceptibility has been proposed. We have investigated single-nucleotide polymorphisms (SNPs) within cGAS/STING in Indian TB patients and healthy cohorts from India and Germany by Lightcycler®480 genotyping technique. The cGAS/STING pathway is an essential defense pathway within the cytosol after M.tb is internalized and mycobacterial DNA is released inducing the production of type I IFNs. We found that the rs311686 SNP upstream of cGAS provides protection from getting TB overall and is differently distributed in pulmonary TB patients compared with extra-pulmonary and particularly relapse cases. This SNP furthermore differs in distribution when comparing individuals with respect to BCG vaccination status. Taken together, our results show that the presence of the rs311686 SNP influences the course of TB significantly. However, structural conformation changes were found only for the cGAS rs610913 SNP. These findings underscore the importance of M.tb DNA recognition for TB pathogenesis and may eventually help in risk stratification of individuals. This may ultimately help in prevention of disease and aid in developing new vaccination and treatment strategies.</description><identifier>ISSN: 1466-4879</identifier><identifier>EISSN: 1476-5470</identifier><identifier>DOI: 10.1038/s41435-019-0080-1</identifier><identifier>PMID: 31118495</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>45 ; 45/22 ; 45/43 ; 45/77 ; 631/208/457 ; 631/250/255/1856 ; Adult ; AMP ; Bacillus Calmette-Guerin vaccine ; BCG ; BCG Vaccine - administration &amp; dosage ; BCG Vaccine - immunology ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Case-Control Studies ; Cohort Studies ; Conformation ; Cyclic GMP ; Cytosol ; Deoxyribonucleic acid ; DNA ; Female ; Gene Expression ; Genetic aspects ; Genotyping ; Health aspects ; Host-Pathogen Interactions ; Human Genetics ; Human immunogenetics ; Humans ; Immunization ; Immunology ; India - epidemiology ; Male ; Mycobacterium tuberculosis - genetics ; Nucleotidyltransferases - genetics ; Nucleotidyltransferases - metabolism ; Patients ; Polymorphism, Single Nucleotide ; Recurrence ; Signal Transduction ; Single nucleotide polymorphisms ; Single-nucleotide polymorphism ; Tuberculosis ; Tuberculosis - enzymology ; Tuberculosis - genetics ; Tuberculosis - immunology ; Tuberculosis - microbiology ; Vaccination</subject><ispartof>Genes and immunity, 2020-01, Vol.21 (1), p.13-26</ispartof><rights>Springer Nature Limited 2019</rights><rights>COPYRIGHT 2020 Nature Publishing Group</rights><rights>Springer Nature Limited 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-1a5860a6b6c3cc30cc08a589bc30fa09918e20ce2f7f9bba37d82b3b8ae6ccba3</citedby><cites>FETCH-LOGICAL-c439t-1a5860a6b6c3cc30cc08a589bc30fa09918e20ce2f7f9bba37d82b3b8ae6ccba3</cites><orcidid>0000-0001-7002-628X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41435-019-0080-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41435-019-0080-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31118495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thada, Shruthi</creatorcontrib><creatorcontrib>Burkert, Sanne</creatorcontrib><creatorcontrib>Sivangala, Ramya</creatorcontrib><creatorcontrib>Hussain, Abid</creatorcontrib><creatorcontrib>Sur, Saubashya</creatorcontrib><creatorcontrib>Dittrich, Nickel</creatorcontrib><creatorcontrib>Conrad, Melanie L.</creatorcontrib><creatorcontrib>Slevogt, Hortense</creatorcontrib><creatorcontrib>Latha Gaddam, Suman</creatorcontrib><creatorcontrib>Schumann, Ralf R.</creatorcontrib><title>A SNP upstream of the cyclic GMP-AMP synthase (cGAS) gene protects from relapse and extra-pulmonary TB and relates to BCG vaccination status in an Indian cohort</title><title>Genes and immunity</title><addtitle>Genes Immun</addtitle><addtitle>Genes Immun</addtitle><description>Tuberculosis (TB) caused by Mycobacterium tuberculosis ( M.tb ) is a major health care threat worldwide causing over a million deaths annually. 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subjects 45
45/22
45/43
45/77
631/208/457
631/250/255/1856
Adult
AMP
Bacillus Calmette-Guerin vaccine
BCG
BCG Vaccine - administration & dosage
BCG Vaccine - immunology
Biomedical and Life Sciences
Biomedicine
Cancer Research
Case-Control Studies
Cohort Studies
Conformation
Cyclic GMP
Cytosol
Deoxyribonucleic acid
DNA
Female
Gene Expression
Genetic aspects
Genotyping
Health aspects
Host-Pathogen Interactions
Human Genetics
Human immunogenetics
Humans
Immunization
Immunology
India - epidemiology
Male
Mycobacterium tuberculosis - genetics
Nucleotidyltransferases - genetics
Nucleotidyltransferases - metabolism
Patients
Polymorphism, Single Nucleotide
Recurrence
Signal Transduction
Single nucleotide polymorphisms
Single-nucleotide polymorphism
Tuberculosis
Tuberculosis - enzymology
Tuberculosis - genetics
Tuberculosis - immunology
Tuberculosis - microbiology
Vaccination
title A SNP upstream of the cyclic GMP-AMP synthase (cGAS) gene protects from relapse and extra-pulmonary TB and relates to BCG vaccination status in an Indian cohort
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