PMID- 21756958 OWN - NLM STAT- MEDLINE DCOM- 20120111 LR - 20221207 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 72 IP - 10 DP - 2011 Oct TI - Human leukocyte antigen class I polymorphisms influence the mild clinical manifestation of Plasmodium falciparum infection in Ghanaian children. PG - 881-8 LID - 10.1016/j.humimm.2011.06.007 [doi] AB - A prospective study that included 429 children for active detection of mild malaria was conducted in a coastal region of Ghana to reveal whether the incidence of malaria is affected by human leukocyte antigen (HLA) polymorphism. During 12 months of follow-up, 85 episodes of mild clinical malaria in 74 individuals were observed, and 34 episodes among them were accompanied with significant parasitemia at >5000 infected red blood cells per cubic millimeter. Attributable and relative risks conferred by genetic factors in the HLA region were evaluated by comparison of the incidence in children, stratified by carrier status, of a given allele of HLA-A, -B, -DRB1 and TNFA promoter polymorphism. HLA-B*35:01 reduced the incidence by 0.178 events per person per year (0.060 versus 0.239 for B*35:01-positive and -negative subpopulations, respectively), and a relative risk of 0.25, which remained statistically significant after Bonferroni's correction for multiple testing (p(c) = 8.2 x 10(-5)). Further, HLA-B*35:01 and -B*53:01 exhibited opposite effects on the incidence of malaria with significant parasitemia. When parasite densities in different HLA carriers status were compared, HLA-A*01 conferred an increase in parasite load (p = 6.0 x 10(-7)). In addition, we found a novel DRB1 allele that appears to have emerged from DRB1*03:02 by single nucleotide substitution. CI - Copyright (c) 2011 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Yamazaki, Akiko AU - Yamazaki A AD - Department of Immunogenetics, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Nagasaki, Japan. FAU - Yasunami, Michio AU - Yasunami M FAU - Ofori, Michael AU - Ofori M FAU - Horie, Hitomi AU - Horie H FAU - Kikuchi, Mihoko AU - Kikuchi M FAU - Helegbe, Gideon AU - Helegbe G FAU - Takaki, Akiko AU - Takaki A FAU - Ishii, Kazunari AU - Ishii K FAU - Omar, Ahmeddin Hassan AU - Omar AH FAU - Akanmori, Bartholomew D AU - Akanmori BD FAU - Hirayama, Kenji AU - Hirayama K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110701 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Alleles MH - *Black People MH - Child MH - Child, Preschool MH - *Disease Susceptibility MH - Female MH - Gene Frequency MH - Genetic Association Studies MH - Genotype MH - Ghana/epidemiology MH - HLA-A Antigens/analysis/genetics/immunology MH - HLA-B Antigens/analysis/genetics/immunology MH - HLA-DRB1 Chains/analysis/genetics/immunology MH - Histocompatibility Testing/*methods MH - Humans MH - Incidence MH - Leukocytes/chemistry/cytology/*immunology MH - Malaria, Falciparum/ethnology/*genetics/immunology/parasitology/physiopathology MH - Male MH - Parasite Load MH - Phenotype MH - Plasmodium falciparum/*physiology MH - *Polymorphism, Genetic/immunology MH - Prospective Studies MH - Severity of Illness Index MH - Tumor Necrosis Factor-alpha/analysis/genetics/immunology EDAT- 2011/07/16 06:00 MHDA- 2012/01/12 06:00 CRDT- 2011/07/16 06:00 PHST- 2011/03/01 00:00 [received] PHST- 2011/06/13 00:00 [revised] PHST- 2011/06/27 00:00 [accepted] PHST- 2011/07/16 06:00 [entrez] PHST- 2011/07/16 06:00 [pubmed] PHST- 2012/01/12 06:00 [medline] AID - S0198-8859(11)00153-4 [pii] AID - 10.1016/j.humimm.2011.06.007 [doi] PST - ppublish SO - Hum Immunol. 2011 Oct;72(10):881-8. doi: 10.1016/j.humimm.2011.06.007. Epub 2011 Jul 1.