PMID- 23945374 OWN - NLM STAT- MEDLINE DCOM- 20140224 LR - 20220317 IS - 1537-6613 (Electronic) IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 209 IP - 2 DP - 2014 Jan 15 TI - Associations between human leukocyte antigen class I variants and the Mycobacterium tuberculosis subtypes causing disease. PG - 216-23 LID - 10.1093/infdis/jit443 [doi] AB - BACKGROUND: The development of active tuberculosis disease has been shown to be multifactorial. Interactions between host and bacterial genotype may influence disease outcome, with some studies indicating the adaptation of M. tuberculosis strains to specific human populations. Here we investigate the role of the human leukocyte antigen (HLA) class I genes in this biological process. METHODS: Three hundred patients with tuberculosis from South Africa were typed for their HLA class I alleles by direct sequencing. Mycobacterium tuberculosis genotype classification was done by IS6110 restriction fragment length polymorphism genotyping and spoligotyping. RESULTS: We showed that Beijing strain occurred more frequently in individuals with multiple disease episodes (P < .001) with the HLA-B27 allele lowering the odds of having an additional episode (odds ratio, 0.21; P = .006). Associations were also identified for specific HLA types and disease caused by the Beijing, LAM, LCC, and Quebec strains. HLA types were also associated with disease caused by strains from the Euro-American or East Asian lineages, and the frequencies of these alleles in their sympatric human populations identified potential coevolutionary events between host and pathogen. CONCLUSIONS: This is the first report of the association of human HLA types and M. tuberculosis strain genotype, highlighting that both host and pathogen genetics need to be taken into consideration when studying tuberculosis disease development. FAU - Salie, Muneeb AU - Salie M AD - MRC Centre for Molecular and Cellular Biology and the DST/NRF Centre of Excellence for Biomedical TB Research, Division of Molecular Biology and Human Genetics, Stellenbosch University, Tygerberg. FAU - van der Merwe, Lize AU - van der Merwe L FAU - Moller, Marlo AU - Moller M FAU - Daya, Michelle AU - Daya M FAU - van der Spuy, Gian D AU - van der Spuy GD FAU - van Helden, Paul D AU - van Helden PD FAU - Martin, Maureen P AU - Martin MP FAU - Gao, Xiao-Jiang AU - Gao XJ FAU - Warren, Robin M AU - Warren RM FAU - Carrington, Mary AU - Carrington M FAU - Hoal, Eileen G AU - Hoal EG LA - eng GR - 053844/Z/98/Z/WT_/Wellcome Trust/United Kingdom GR - D43 TW000231/TW/FIC NIH HHS/United States GR - HHSN261200800001E/CA/NCI NIH HHS/United States GR - 2 D43 TW000231 16/TW/FIC NIH HHS/United States GR - HHSN261200800001C/RC/CCR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130814 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (DNA Transposable Elements) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adult MH - Alleles MH - DNA Transposable Elements MH - Female MH - Genotype MH - Histocompatibility Antigens Class I/*genetics/*immunology MH - *Host-Pathogen Interactions MH - Humans MH - Male MH - Middle Aged MH - Molecular Typing MH - Mycobacterium tuberculosis/*genetics/*immunology MH - Polymorphism, Restriction Fragment Length MH - Sequence Analysis, DNA MH - South Africa MH - Tuberculosis/*immunology/*microbiology MH - Young Adult PMC - PMC3873786 OTO - NOTNLM OT - Mycobacterium tuberculosis OT - coadaptation OT - host-pathogen OT - human leukocyte antigens OT - susceptibility OT - tuberculosis EDAT- 2013/08/16 06:00 MHDA- 2014/02/25 06:00 PMCR- 2015/01/15 CRDT- 2013/08/16 06:00 PHST- 2013/08/16 06:00 [entrez] PHST- 2013/08/16 06:00 [pubmed] PHST- 2014/02/25 06:00 [medline] PHST- 2015/01/15 00:00 [pmc-release] AID - jit443 [pii] AID - 10.1093/infdis/jit443 [doi] PST - ppublish SO - J Infect Dis. 2014 Jan 15;209(2):216-23. doi: 10.1093/infdis/jit443. Epub 2013 Aug 14.