PMID- 21447146 OWN - NLM STAT- MEDLINE DCOM- 20110915 LR - 20211020 IS - 1399-0039 (Electronic) IS - 0001-2815 (Print) IS - 0001-2815 (Linking) VI - 77 IP - 6 DP - 2011 Jun TI - Association of HLA alleles with Plasmodium falciparum severity in Malian children. PG - 562-71 LID - 10.1111/j.1399-0039.2011.01661.x [doi] AB - Pre-erythrocytic immunity to Plasmodium falciparum malaria is likely to be mediated by T-cell recognition of malaria epitopes presented on infected host cells via class I and II major histocompatibility complex (MHC) antigens. To test for associations of human leukocyte antigen (HLA) alleles with disease severity, we performed high-resolution typing of HLA class I and II loci and compared the distributions of alleles of HLA-A, -B, -C and -DRB1 loci in 359 Malian children of Dogon ethnicity with uncomplicated or severe malaria. We observed that alleles A*30:01 and A*33:01 had higher frequency in the group of patients with cerebral disease compared to patients with uncomplicated disease [A*30:01: gf = 0.2031 vs gf = 0.1064, odds ratio (OR) = 3.17, P = 0.004, confidence interval (CI) (1.94-5.19)] and [A*33:01: gf = 0.0781 vs gf = 0.0266, 4.21, P = 0.005, CI (1.89-9.84)], respectively. The A*30:01 and A*33:01 alleles share some sequence motifs and A*30:01 appears to have a unique peptide binding repertoire compared to other A*30 group alleles. Computer algorithms predicted malaria peptides with strong binding affinity for HLA-A*30:01 and HLA-A*33:01 but not to closely related alleles. In conclusion, we identified A*30:01 and A*33:01 as potential susceptibility factors for cerebral malaria, providing further evidence that polymorphism of MHC genes results in altered malaria susceptibility. CI - (c) 2011 John Wiley & Sons A/S. FAU - Lyke, K E AU - Lyke KE AD - Department of Medicine, Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD 21201, USA. FAU - Fernandez-Vina, M A AU - Fernandez-Vina MA FAU - Cao, K AU - Cao K FAU - Hollenbach, J AU - Hollenbach J FAU - Coulibaly, D AU - Coulibaly D FAU - Kone, A K AU - Kone AK FAU - Guindo, A AU - Guindo A FAU - Burdett, L A AU - Burdett LA FAU - Hartzman, R J AU - Hartzman RJ FAU - Wahl, A R AU - Wahl AR FAU - Hildebrand, W H AU - Hildebrand WH FAU - Doumbo, O K AU - Doumbo OK FAU - Plowe, C V AU - Plowe CV FAU - Sztein, M B AU - Sztein MB LA - eng GR - HHMI/Howard Hughes Medical Institute/United States GR - U19 AI065683-05/AI/NIAID NIH HHS/United States GR - U19 AI065683/AI/NIAID NIH HHS/United States GR - N01AI85346/AI/NIAID NIH HHS/United States GR - N01-AI85346/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20110330 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA-A Antigens) RN - 0 (Histocompatibility Antigens Class II) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Adolescent MH - Algorithms MH - Alleles MH - Child MH - Child, Preschool MH - Genetic Predisposition to Disease MH - HLA-A Antigens/*genetics MH - Histocompatibility Antigens Class II/*immunology MH - Humans MH - Infant MH - Interleukin-10/genetics MH - Leukocytes, Mononuclear/cytology MH - Malaria, Falciparum/genetics/*immunology MH - Mali MH - Odds Ratio MH - Plasmodium falciparum/*metabolism MH - Polymorphism, Genetic PMC - PMC3152196 MID - NIHMS277801 EDAT- 2011/03/31 06:00 MHDA- 2011/09/16 06:00 CRDT- 2011/03/31 06:00 PHST- 2011/03/31 06:00 [entrez] PHST- 2011/03/31 06:00 [pubmed] PHST- 2011/09/16 06:00 [medline] AID - 10.1111/j.1399-0039.2011.01661.x [doi] PST - ppublish SO - Tissue Antigens. 2011 Jun;77(6):562-71. doi: 10.1111/j.1399-0039.2011.01661.x. Epub 2011 Mar 30.