Abstract

BackgroundWhen infected with Mycobacterium tuberculosis, only a small proportion of the population will develop active TB, and the role of host genetic factors in different TB infection status was not fully understood.MethodsForty-three patients with active tuberculosis and 49 with latent tuberculosis were enrolled in the prospective cohort. Expressing levels of 27 candidate mRNAs, which were previously demonstrated to differentially expressed in latent and active TB, were measured by dual color reverse transcription multiplex ligation dependent probe amplification assay (dcRT-MLPA). Using expression levels of these mRNAs as quantitative traits, associations between expression abundance and genome-wild single nucleotide polymorphisms (SNPs) were calculated. Finally, identified candidate SNPs were further assessed for their associations with TB infection status in a validation cohort with 313 Chinese Han cases.ResultsWe identified 9 differentially expressed mRNAs including il7r, il4, il8, tnfrsf1b, pgm5, ccl19, il2ra, marco and fpr1 in the prospective cohort. Through expression quantitative trait loci mapping, we screened out 8 SNPs associated with these mRNAs. Then, CG genotype of the SNP rs62292160 was finally verified to be significantly associated with higher transcription levels of IL4 in LTBI than in TB patients.ConclusionWe reported that the SNP rs62292160 in Chinese Han population may link to higher expression of il4 in latent tuberculosis. Our findings provided a new genetic variation locus for further exploration of the mechanisms of TB and a possible target for TB genetic susceptibility studies, which might aid the clinical decision to precision treatment of TB.

Highlights

  • When infected with Mycobacterium tuberculosis, only a small proportion of the population will develop active TB, and the role of host genetic factors in different TB infection status was not fully understood

  • The study enrolling 202 co-twins suggested that the tuberculosis incidence among identical twins was higher than that among fraternal twins, which provided more evidence that the host genetic factors might affect the susceptibility to active tuberculosis infections [7]

  • We screened out 27 mRNAs for further analysis after reviewing the recent studies on biomarkers differently expressed in two TB infection status

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Summary

Introduction

When infected with Mycobacterium tuberculosis, only a small proportion of the population will develop active TB, and the role of host genetic factors in different TB infection status was not fully understood. Most people infected with Mycobacterium tuberculosis (Mtb) can clear Mtb. approximately a quarter to three quarters of the population would keep a latent tuberculosis infection (LTBI) status and among them, about 5–10% persons will develop active tuberculosis (ATB) infections within their lifetimes [2]. The study enrolling 202 co-twins suggested that the tuberculosis incidence among identical twins was higher than that among fraternal twins, which provided more evidence that the host genetic factors might affect the susceptibility to active tuberculosis infections [7]

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