PMID- 35254093 OWN - NLM STAT- MEDLINE DCOM- 20220425 LR - 20240214 IS - 1098-5522 (Electronic) IS - 0019-9567 (Print) IS - 0019-9567 (Linking) VI - 90 IP - 4 DP - 2022 Apr 21 TI - Genetic Susceptibility to Enteric Fever in Experimentally Challenged Human Volunteers. PG - e0038921 LID - 10.1128/iai.00389-21 [doi] LID - e00389-21 AB - Infections with Salmonella enterica serovars Typhi and Paratyphi A cause an estimated 14 million cases of enteric fever annually. Here, the controlled nature of challenge studies is exploited to identify genetic variants associated with enteric fever susceptibility. Human challenge participants were genotyped by Illumina OmniExpress-24 BeadChip array (n = 176) and/or transcriptionally profiled by RNA sequencing (n = 174). While the study was underpowered to detect any single nucleotide polymorphisms (SNPs) significant at the whole-genome level, two SNPs within CAPN14 and MIATNB were identified with P < 10(-5) for association with development of symptoms or bacteremia following oral S. Typhi or S. Paratyphi A challenge. Imputation of classical human leukocyte antigen (HLA) types from genomic and transcriptomic data identified HLA-B*27:05, previously associated with nontyphoidal Salmonella-induced reactive arthritis, as the HLA type most strongly associated with enteric fever susceptibility (P = 0.011). Gene sets relating to the unfolded protein response/heat shock and endoplasmic reticulum-associated protein degradation were overrepresented in HLA-B*27:05(+) participants following challenge. Furthermore, intracellular replication of S. Typhi is higher in C1R cells transfected with HLA-B*27:05 (P = 0.02). These data suggest that activation of the unfolded protein response by HLA-B*27:05 misfolding may create an intracellular environment conducive to S. Typhi replication, increasing susceptibility to enteric fever. FAU - Barton, Amber AU - Barton A AUID- ORCID: 0000-0001-8313-8643 AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. AD - Clinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom. FAU - Hill, Jennifer AU - Hill J AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Bibi, Sagida AU - Bibi S AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Chen, Liye AU - Chen L AD - Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxfordgrid.4991.5, Oxford, United Kingdom. FAU - Jones, Claire AU - Jones C AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Jones, Elizabeth AU - Jones E AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Camara, Susana AU - Camara S AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Shrestha, Sonu AU - Shrestha S AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Jin, Celina AU - Jin C AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Gibani, Malick M AU - Gibani MM AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. AD - Department of Infectious Disease, Imperial College London, London, United Kingdom. FAU - Dobinson, Hazel AU - Dobinson H AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Waddington, Claire AU - Waddington C AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. AD - Department of Medicine, University of Cambridge, Cambridge, United Kingdom. FAU - Darton, Thomas C AU - Darton TC AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. AD - Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, United Kingdom. AD - Florey Institute for Host-Pathogen Interactions, University of Sheffield, Sheffield, United Kingdom. FAU - Blohmke, Christoph J AU - Blohmke CJ AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Pollard, Andrew J AU - Pollard AJ AD - Oxford Vaccine Group, Department of Paediatrics, University of Oxfordgrid.4991.5 and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - 090532/Z/09/Z/WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220307 PL - United States TA - Infect Immun JT - Infection and immunity JID - 0246127 SB - IM MH - Genetic Predisposition to Disease MH - Healthy Volunteers MH - Humans MH - *Paratyphoid Fever MH - *Salmonella enterica MH - Salmonella paratyphi A MH - Salmonella typhi MH - *Typhoid Fever/genetics PMC - PMC9022534 OTO - NOTNLM OT - HLA antigens OT - Salmonella Typhi OT - genomics OT - single nucleotide polymorphism OT - transcriptome OT - typhoid fever OT - unfolded protein response COIS- The authors declare a conflict of interest. A.J.P. is Chair of the UK Department of Health and Social Care's (DHSC) Joint Committee on Vaccination & Immunisation (JCVI) and is a member of the WHO's Strategic Advisory Group of Experts. C.J.B. is currently employed by GlaxoSmithKline. EDAT- 2022/03/08 06:00 MHDA- 2022/04/26 06:00 PMCR- 2022/03/07 CRDT- 2022/03/07 12:15 PHST- 2022/03/08 06:00 [pubmed] PHST- 2022/04/26 06:00 [medline] PHST- 2022/03/07 12:15 [entrez] PHST- 2022/03/07 00:00 [pmc-release] AID - 00389-21 [pii] AID - iai.00389-21 [pii] AID - 10.1128/iai.00389-21 [doi] PST - ppublish SO - Infect Immun. 2022 Apr 21;90(4):e0038921. doi: 10.1128/iai.00389-21. Epub 2022 Mar 7.