Mapping of a Novel Susceptibility Locus Suggests a Role for MC3R and CTSZ in Human Tuberculosis

Tuberculosis remains a major cause of morbidity and mortality in the developing world. A better understanding of the mechanisms of disease protection could allow novel strategies to disease management and control. To identify human genomic loci with evidence of linkage to tuberculosis susceptibility...

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Veröffentlicht in:American journal of respiratory and critical care medicine 2008-07, Vol.178 (2), p.203-207
Hauptverfasser: Cooke, Graham S, Campbell, Sarah J, Bennett, Steve, Lienhardt, Christian, McAdam, Keith P. W. J, Sirugo, Giorgio, Sow, Oumou, Gustafson, Per, Mwangulu, Frank, van Helden, Paul, Fine, Paul, Hoal, Eileen G, Hill, Adrian V. S
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container_title American journal of respiratory and critical care medicine
container_volume 178
creator Cooke, Graham S
Campbell, Sarah J
Bennett, Steve
Lienhardt, Christian
McAdam, Keith P. W. J
Sirugo, Giorgio
Sow, Oumou
Gustafson, Per
Mwangulu, Frank
van Helden, Paul
Fine, Paul
Hoal, Eileen G
Hill, Adrian V. S
description Tuberculosis remains a major cause of morbidity and mortality in the developing world. A better understanding of the mechanisms of disease protection could allow novel strategies to disease management and control. To identify human genomic loci with evidence of linkage to tuberculosis susceptibility and, within these loci, to identify individual genes influencing tuberculosis susceptibility. Affected sibling pair analysis in South African and Malawian populations. Independent case-control study in West Africa. Two novel putative loci for tuberculosis susceptibility are identified: chromosome 6p21-q23 and chromosome 20q13.31-33--the latter with the strongest evidence for any locus reported to date in human tuberculosis (single point LOD score of 3.1, P = 10(-4), with a maximum likelihood score [MLS] of 2.8). An independent, multistage genetic association study in West African populations mapped this latter region in detail, finding evidence that variation in the melanocortin 3 receptor (MC3R) and cathepsin Z (CTSZ) genes play a role in the pathogenesis of tuberculosis. These results demonstrate how a genomewide approach to the complex phenotype of human tuberculosis can identify novel targets for further research.
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To identify human genomic loci with evidence of linkage to tuberculosis susceptibility and, within these loci, to identify individual genes influencing tuberculosis susceptibility. Affected sibling pair analysis in South African and Malawian populations. Independent case-control study in West Africa. Two novel putative loci for tuberculosis susceptibility are identified: chromosome 6p21-q23 and chromosome 20q13.31-33--the latter with the strongest evidence for any locus reported to date in human tuberculosis (single point LOD score of 3.1, P = 10(-4), with a maximum likelihood score [MLS] of 2.8). An independent, multistage genetic association study in West African populations mapped this latter region in detail, finding evidence that variation in the melanocortin 3 receptor (MC3R) and cathepsin Z (CTSZ) genes play a role in the pathogenesis of tuberculosis. 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subjects Africa, Western - epidemiology
African Continental Ancestry Group - genetics
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood coagulation. Blood cells
Case-Control Studies
Cathepsin K
Cathepsin Z
Cathepsins - genetics
Ethics
Fundamental and applied biological sciences. Psychology
Gene loci
Genetic Linkage
Genetic Predisposition to Disease - ethnology
Genetic Predisposition to Disease - genetics
Genetics
Genomes
H. Tuberculosis
HIV
Human immunodeficiency virus
Humans
Intensive care medicine
Likelihood Functions
Malawi - epidemiology
Medical research
Medical sciences
Microsatellite Repeats
Molecular and cellular biology
Pathogenesis
Pedigree
Platelet
Polymorphism, Genetic
Receptor, Melanocortin, Type 3 - genetics
Regression Analysis
Siblings
South Africa - epidemiology
Tuberculosis
Tuberculosis, Pulmonary - ethnology
Tuberculosis, Pulmonary - genetics
title Mapping of a Novel Susceptibility Locus Suggests a Role for MC3R and CTSZ in Human Tuberculosis
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