Abstract

BackgroundTo determine the distribution of Human leukocyte antigen (HLA) class I genotypes in a Ugandan population of persons with tuberculosis (TB) and establish the relationship between class I HLA types and Mycobacterium tuberculosis (MTB) disease.MethodsBlood samples were drawn from HIV negative individuals with active TB and HIV negative household controls. DNA was extracted from blood samples and HLA typed by the polymerase chain reaction-sequence specific primer method. The allelic frequencies were determined by direct count.ResultsHLA-A*02, B*15, C*07, C*03, B*58, C*04, A*01, A*74, C*02 and A*30 were the dominant genotypes in this Ugandan cohort. There were differences in the distribution of HLA types between the individuals with active TB and the household controls with only HLA-A*03 allele showing a statistically significant difference (p = 0.017 crude; OR = 6.29 and p = 0.016; OR = 11.67 after adjustment for age). However, after applying the Benjamini and Hochberg adjustment for multiple comparisons the difference was no longer statistically significant (p = 0.374 and p = 0.176 respectively).ConclusionsWe identified a number of HLA class I alleles in a population from Central Uganda which will enable us to carry out a functional characterization of CD8+ T-cell mediated immune responses to MTB. Our results do not show a positive association between the HLA class I alleles and TB in this Ugandan population however the study sample was too small to draw any firm conclusions about the role of HLA class I alleles and TB development in Uganda.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-1833-3) contains supplementary material, which is available to authorized users.

Highlights

  • To determine the distribution of Human leukocyte antigen (HLA) class I genotypes in a Ugandan population of persons with tuberculosis (TB) and establish the relationship between class I HLA types and Mycobacterium tuberculosis (MTB) disease

  • The identification of HLA alleles in individuals exposed to TB in Uganda as well as determining which alleles are associated with the various TB outcomes will help in screening individuals in high-risk areas in Uganda for susceptibility to TB and to predict their resistance to MTB infection or their progression to active TB

  • The aim of this study was to determine the distribution of HLA class I genotypes in a Ugandan population of persons with TB and to establish the relationship between class I HLA types and Mycobacterium tuberculosis (MTB) disease

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Summary

Introduction

To determine the distribution of Human leukocyte antigen (HLA) class I genotypes in a Ugandan population of persons with tuberculosis (TB) and establish the relationship between class I HLA types and Mycobacterium tuberculosis (MTB) disease. The identification of HLA alleles in individuals exposed to TB in Uganda as well as determining which alleles are associated with the various TB outcomes will help in screening individuals in high-risk areas in Uganda for susceptibility to TB and to predict their resistance to MTB infection or their progression to active TB. This would inevitably lead to better clinical management of TB. The aim of this study was to determine the distribution of HLA class I genotypes in a Ugandan population of persons with TB and to establish the relationship between class I HLA types and Mycobacterium tuberculosis (MTB) disease

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