Significant Association of Longer Forms of CCTTT Microsatellite Repeat in the Inducible Nitric Oxide Synthase Promoter with Severe Malaria in Thailand

A CCTTT microsatellite repeat in the inducible nitric oxide synthase (iNOS) promoter was analyzed among 256 adult patients with severe Plasmodium falciparum malaria and 179 adult patients with mild malaria living in northwestern Thailand. Genotypes with longer forms of the CCTTT repeat (alleles of ⩾...

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Veröffentlicht in:The Journal of infectious diseases 2002-08, Vol.186 (4), p.578-581
Hauptverfasser: Ohashi, Jun, Naka, Izumi, Patarapotikul, Jintana, Hananantachai, Hathairad, Looareesuwan, Sornchai, Tokunaga, Katsushi
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container_issue 4
container_start_page 578
container_title The Journal of infectious diseases
container_volume 186
creator Ohashi, Jun
Naka, Izumi
Patarapotikul, Jintana
Hananantachai, Hathairad
Looareesuwan, Sornchai
Tokunaga, Katsushi
description A CCTTT microsatellite repeat in the inducible nitric oxide synthase (iNOS) promoter was analyzed among 256 adult patients with severe Plasmodium falciparum malaria and 179 adult patients with mild malaria living in northwestern Thailand. Genotypes with longer forms of the CCTTT repeat (alleles of ⩾15 repeats) were significantly associated with severe malaria (odds ratio [OR], 2.14; P=.0029, χ2 test). More interestingly, the summed repeat number of both microsatellite alleles in an individual was found to be a significant risk factor for severe malaria (OR, 1.11; logistic regression analysis, P=.0041). The single nucleotide substitution, −954G→C, in the iNOS promoter was rare in Thai patients with malaria. No variations were detected in the iNOS promoter region containing functional NF-κB elements at −5.2, −5.5, −5.8, and −6.1 kb upstream of the iNOS transcriptional start site. Thus, a CCTTT repeat in the iNOS promoter may play a key role in the pathogenesis of severe malaria
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Adult
Alleles
Animals
Biological and medical sciences
Blood
Cerebral malaria
Concise Communication
Gene Frequency
Genetic Variation
Human protozoal diseases
Humans
Infectious diseases
Logistic regression
Malaria
Malaria, Cerebral - genetics
Malaria, Cerebral - parasitology
Malaria, Cerebral - physiopathology
Malaria, Falciparum - genetics
Malaria, Falciparum - parasitology
Malaria, Falciparum - physiopathology
Medical sciences
Microsatellite repeats
Microsatellite Repeats - genetics
Microsatellites
NF-kappa B - genetics
Nitric Oxide Synthase - chemistry
Nitric Oxide Synthase - genetics
Nitric Oxide Synthase - metabolism
Nitric Oxide Synthase Type II
Oxides
Parasitic diseases
Plasmodium falciparum - pathogenicity
Polymerase chain reaction
Polymorphism, Genetic
Promoter regions
Promoter Regions, Genetic - genetics
Protozoal diseases
Risk Factors
Severity of Illness Index
Thailand
Tropical medicine
title Significant Association of Longer Forms of CCTTT Microsatellite Repeat in the Inducible Nitric Oxide Synthase Promoter with Severe Malaria in Thailand
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