Abstract

BackgroundHuman nasopharynx is often colonized by potentially pathogenic bacteria. Gene polymorphisms in mannose-binding lectin (MBL), toll-like receptor (TLR) 2 and TLR4 have been reported. The present study aimed to investigate possible association between nasopharyngeal bacterial colonization and gene polymorphisms of MBL, TLR2 and TLR4 in healthy infants.Methodology/Principal FindingsFrom August 2008 to June 2010, 489 nasopharyngeal swabs and 412 blood samples were taken from 3-month-old healthy Finnish infants. Semi-quantitative culture was performed and pyrosequencing was used for detection of polymorphisms in MBL structural gene at codons 52, 54, and 57, TLR2 Arg753Gln and TLR4 Asp299Gly. Fifty-nine percent of subjects were culture positive for at least one of the four species: 11% for Streptococcus pneumoniae, 23% for Moraxella catarrhalis, 1% for Haemophilus influenzae and 25% for Staphylococcus aureus. Thirty-two percent of subjects had variant types in MBL, 5% had polymorphism of TLR2, and 18% had polymorphism of TLR4. Colonization rates of S. pneumoniae and S. aureus were significantly higher in infants with variant types of MBL than those with wild type (p = .011 and p = .024). Colonization rates of S. aureus and M. catarrhalis were significantly higher in infants with polymorphisms of TLR2 and of TLR4 than those without (p = .027 and p = .002).ConclusionsOur study suggests that there is an association between nasopharyngeal bacterial colonization and genetic variation of MBL, TLR2 and TLR4 in young infants. This finding supports a role for these genetic variations in susceptibility of children to respiratory infections.

Highlights

  • Nasopharynx is a complex ecosystem and contains various bacteria

  • Our study suggests that there is an association between nasopharyngeal bacterial colonization and genetic variation of mannosebinding lectin (MBL), TLR2 and TLR4 in young infants

  • No significant difference was found in colonization rates of S. pneumoniae, M. catarrhalis, H. influenzae, and S. aureus, when seasonal variation was examined

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Summary

Introduction

Nasopharynx is a complex ecosystem and contains various bacteria. These bacteria can asymptomatically colonize infants and young children but are associated with respiratory diseases [1,2]. Bacterial respiratory infections are mainly caused by extracellular encapsulated bacteria like Streptococcus pneumoniae, Haemophilus influenzae, or Moraxella catarrhalis. S. pneumoniae and M. catarrhalis can colonize up to 54% and 72% of children, respectively, by 1 year of age [3]. Infants younger than 3 months of age, who have been colonized by these pathogens, have a greater risk in developing respiratory infections in the 6 to 9 months of their early life [5]. The present study aimed to investigate possible association between nasopharyngeal bacterial colonization and gene polymorphisms of MBL, TLR2 and TLR4 in healthy infants

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