Abstract

BackgroundSLC11A1 has pleiotropic effects on macrophage function and remains a strong candidate for infectious disease susceptibility. 5' and/or 3' polymorphisms have been associated with tuberculosis, leprosy, and visceral leishmaniasis (VL). Most studies undertaken to date were under-powered, and none has been replicated within a population. Association with tuberculosis has replicated variably across populations. Here we investigate SLC11A1 and VL in India.MethodsNine polymorphisms (rs34448891, rs7573065, rs2276631, rs3731865, rs17221959, rs2279015, rs17235409, rs17235416, rs17229009) that tag linkage disequilibrium blocks across SLC11A1 were genotyped in primary family-based (313 cases; 176 families) and replication (941 cases; 992 controls) samples. Family- and population-based analyses were performed to look for association between SLC11A1 variants and VL. Quantitative RT/PCR was used to compare SLC11A1 expression in mRNA from paired splenic aspirates taken before and after treatment from 24 VL patients carrying different genotypes at the functional promoter GTn polymorphism (rs34448891).ResultsNo associations were observed between VL and polymorphisms at SLC11A1 that were either robust to correction for multiple testing or replicated across primary and replication samples. No differences in expression of SLC11A1 were observed when comparing pre- and post-treatment samples, or between individuals carrying different genotypes at the GTn repeat.ConclusionsThis is the first well-powered study of SLC11A1 as a candidate for VL, which we conclude does not have a major role in regulating VL susceptibility in India.

Highlights

  • SLC11A1 has pleiotropic effects on macrophage function and remains a strong candidate for infectious disease susceptibility. 5’ and/or 3’ polymorphisms have been associated with tuberculosis, leprosy, and visceral leishmaniasis (VL)

  • Visceral leishmaniasis (VL) is a debilitating vector borne disease caused by parasites of the Leishmania donovani complex

  • Amongst the genes studied to date, the most compelling candidate for VL susceptibility is SLC11A1

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Summary

Introduction

SLC11A1 has pleiotropic effects on macrophage function and remains a strong candidate for infectious disease susceptibility. 5’ and/or 3’ polymorphisms have been associated with tuberculosis, leprosy, and visceral leishmaniasis (VL). SLC11A1 has pleiotropic effects on macrophage function and remains a strong candidate for infectious disease susceptibility. 5’ and/or 3’ polymorphisms have been associated with tuberculosis, leprosy, and visceral leishmaniasis (VL). Most studies undertaken to date were under-powered, and none has been replicated within a population. Association with tuberculosis has replicated variably across populations. Visceral leishmaniasis (VL) is a debilitating vector borne disease caused by parasites of the Leishmania donovani complex. The range of clinical outcomes from asymptomatic to fatal disease within and Amongst the genes studied to date, the most compelling candidate for VL susceptibility is SLC11A1 (formerly NRAMP1). SLC11A1 encodes solute carrier family 11a member 1, a transporter that regulates divalent cation homeostasis in macrophages and has many pleiotropic effects on macrophage activation (reviewed [8,9]). The gene was first identified for its role in controlling

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