Diversity of KIR genes and their HLA-C ligands in Ugandan populations with historically varied malaria transmission intensity

Abstract Background Malaria is one of the most serious infectious diseases in the world. The malaria burden is greatly affected by human immunity, and immune responses vary between populations. Genetic diversity in KIR and HLA-C genes, which are important in immunity to infectious diseases, is likel...

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Main Authors: Stephen Tukwasibwe, James A. Traherne, Olympe Chazara, Jyothi Jayaraman, John Trowsdale, Ashley Moffett, Wei Jiang, Joaniter I. Nankabirwa, John Rek, Emmanuel Arinaitwe, Samuel L. Nsobya, Maxine Atuheirwe, Mubiru Frank, Anguzu Godwin, Prasanna Jagannathan, Stephen Cose, Moses R. Kamya, Grant Dorsey, Philip J. Rosenthal, Francesco Colucci, Annettee Nakimuli
Format: Article
Language:English
Published: BMC 2021-02-01
Series:Malaria Journal
Subjects:
Online Access:https://doi.org/10.1186/s12936-021-03652-y
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author Stephen Tukwasibwe
James A. Traherne
Olympe Chazara
Jyothi Jayaraman
John Trowsdale
Ashley Moffett
Wei Jiang
Joaniter I. Nankabirwa
John Rek
Emmanuel Arinaitwe
Samuel L. Nsobya
Maxine Atuheirwe
Mubiru Frank
Anguzu Godwin
Prasanna Jagannathan
Stephen Cose
Moses R. Kamya
Grant Dorsey
Philip J. Rosenthal
Francesco Colucci
Annettee Nakimuli
author_facet Stephen Tukwasibwe
James A. Traherne
Olympe Chazara
Jyothi Jayaraman
John Trowsdale
Ashley Moffett
Wei Jiang
Joaniter I. Nankabirwa
John Rek
Emmanuel Arinaitwe
Samuel L. Nsobya
Maxine Atuheirwe
Mubiru Frank
Anguzu Godwin
Prasanna Jagannathan
Stephen Cose
Moses R. Kamya
Grant Dorsey
Philip J. Rosenthal
Francesco Colucci
Annettee Nakimuli
author_sort Stephen Tukwasibwe
collection DOAJ
description Abstract Background Malaria is one of the most serious infectious diseases in the world. The malaria burden is greatly affected by human immunity, and immune responses vary between populations. Genetic diversity in KIR and HLA-C genes, which are important in immunity to infectious diseases, is likely to play a role in this heterogeneity. Several studies have shown that KIR and HLA-C genes influence the immune response to viral infections, but few studies have examined the role of KIR and HLA-C in malaria infection, and these have used low-resolution genotyping. The aim of this study was to determine whether genetic variation in KIR and their HLA-C ligands differ in Ugandan populations with historically varied malaria transmission intensity using more comprehensive genotyping approaches. Methods High throughput multiplex quantitative real-time PCR method was used to genotype KIR genetic variants and copy number variation and a high-throughput real-time PCR method was developed to genotype HLA-C1 and C2 allotypes for 1344 participants, aged 6 months to 10 years, enrolled from Ugandan populations with historically high (Tororo District), medium (Jinja District) and low (Kanungu District) malaria transmission intensity. Results The prevalence of KIR3DS1, KIR2DL5, KIR2DS5, and KIR2DS1 genes was significantly lower in populations from Kanungu compared to Tororo (7.6 vs 13.2%: p = 0.006, 57.2 vs 66.4%: p = 0.005, 33.2 vs 46.6%: p < 0.001, and 19.7 vs 26.7%: p = 0.014, respectively) or Jinja (7.6 vs 18.1%: p < 0.001, 57.2 vs 63.8%: p = 0.048, 33.2 vs 43.5%: p = 0.002, and 19.7 vs 30.4%: p < 0.001, respectively). The prevalence of homozygous HLA-C2 was significantly higher in populations from Kanungu (31.6%) compared to Jinja (21.4%), p = 0.043, with no significant difference between Kanungu and Tororo (26.7%), p = 0.296. Conclusions The KIR3DS1, KIR2DL5, KIR2DS5 and KIR2DS1 genes may partly explain differences in transmission intensity of malaria since these genes have been positively selected for in places with historically high malaria transmission intensity. The high-throughput, multiplex, real-time HLA-C genotyping PCR method developed will be useful in disease-association studies involving large cohorts.
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spelling doaj.art-43d22a087802415eb09d389bde9ea02e2022-12-21T22:23:39ZengBMCMalaria Journal1475-28752021-02-0120111110.1186/s12936-021-03652-yDiversity of KIR genes and their HLA-C ligands in Ugandan populations with historically varied malaria transmission intensityStephen Tukwasibwe0James A. Traherne1Olympe Chazara2Jyothi Jayaraman3John Trowsdale4Ashley Moffett5Wei Jiang6Joaniter I. Nankabirwa7John Rek8Emmanuel Arinaitwe9Samuel L. Nsobya10Maxine Atuheirwe11Mubiru Frank12Anguzu Godwin13Prasanna Jagannathan14Stephen Cose15Moses R. Kamya16Grant Dorsey17Philip J. Rosenthal18Francesco Colucci19Annettee Nakimuli20Department of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health SciencesDepartment of Pathology, University of CambridgeDepartment of Pathology, University of CambridgeDepartment of Pathology, University of CambridgeDepartment of Pathology, University of CambridgeDepartment of Pathology, University of CambridgeDepartment of Pathology, University of CambridgeDepartment of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health SciencesInfectious Diseases Research CollaborationInfectious Diseases Research CollaborationDepartment of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health SciencesDepartment of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health SciencesDepartment of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health SciencesDepartment of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health SciencesStanford University, School of MedicineMRC/UVRI and LSHTM Uganda Research UnitDepartment of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health SciencesUniversity of CaliforniaUniversity of CaliforniaUniversity of Cambridge Centre for Trophoblast ResearchDepartment of Obstetrics and Gynaecology, School of Medicine, Makerere University College of Health SciencesAbstract Background Malaria is one of the most serious infectious diseases in the world. The malaria burden is greatly affected by human immunity, and immune responses vary between populations. Genetic diversity in KIR and HLA-C genes, which are important in immunity to infectious diseases, is likely to play a role in this heterogeneity. Several studies have shown that KIR and HLA-C genes influence the immune response to viral infections, but few studies have examined the role of KIR and HLA-C in malaria infection, and these have used low-resolution genotyping. The aim of this study was to determine whether genetic variation in KIR and their HLA-C ligands differ in Ugandan populations with historically varied malaria transmission intensity using more comprehensive genotyping approaches. Methods High throughput multiplex quantitative real-time PCR method was used to genotype KIR genetic variants and copy number variation and a high-throughput real-time PCR method was developed to genotype HLA-C1 and C2 allotypes for 1344 participants, aged 6 months to 10 years, enrolled from Ugandan populations with historically high (Tororo District), medium (Jinja District) and low (Kanungu District) malaria transmission intensity. Results The prevalence of KIR3DS1, KIR2DL5, KIR2DS5, and KIR2DS1 genes was significantly lower in populations from Kanungu compared to Tororo (7.6 vs 13.2%: p = 0.006, 57.2 vs 66.4%: p = 0.005, 33.2 vs 46.6%: p < 0.001, and 19.7 vs 26.7%: p = 0.014, respectively) or Jinja (7.6 vs 18.1%: p < 0.001, 57.2 vs 63.8%: p = 0.048, 33.2 vs 43.5%: p = 0.002, and 19.7 vs 30.4%: p < 0.001, respectively). The prevalence of homozygous HLA-C2 was significantly higher in populations from Kanungu (31.6%) compared to Jinja (21.4%), p = 0.043, with no significant difference between Kanungu and Tororo (26.7%), p = 0.296. Conclusions The KIR3DS1, KIR2DL5, KIR2DS5 and KIR2DS1 genes may partly explain differences in transmission intensity of malaria since these genes have been positively selected for in places with historically high malaria transmission intensity. The high-throughput, multiplex, real-time HLA-C genotyping PCR method developed will be useful in disease-association studies involving large cohorts.https://doi.org/10.1186/s12936-021-03652-yGenetic diversityHuman leukocyte antigenKiller-cell immunoglobulin-like receptorMalariaUganda
spellingShingle Stephen Tukwasibwe
James A. Traherne
Olympe Chazara
Jyothi Jayaraman
John Trowsdale
Ashley Moffett
Wei Jiang
Joaniter I. Nankabirwa
John Rek
Emmanuel Arinaitwe
Samuel L. Nsobya
Maxine Atuheirwe
Mubiru Frank
Anguzu Godwin
Prasanna Jagannathan
Stephen Cose
Moses R. Kamya
Grant Dorsey
Philip J. Rosenthal
Francesco Colucci
Annettee Nakimuli
Diversity of KIR genes and their HLA-C ligands in Ugandan populations with historically varied malaria transmission intensity
Malaria Journal
Genetic diversity
Human leukocyte antigen
Killer-cell immunoglobulin-like receptor
Malaria
Uganda
title Diversity of KIR genes and their HLA-C ligands in Ugandan populations with historically varied malaria transmission intensity
title_full Diversity of KIR genes and their HLA-C ligands in Ugandan populations with historically varied malaria transmission intensity
title_fullStr Diversity of KIR genes and their HLA-C ligands in Ugandan populations with historically varied malaria transmission intensity
title_full_unstemmed Diversity of KIR genes and their HLA-C ligands in Ugandan populations with historically varied malaria transmission intensity
title_short Diversity of KIR genes and their HLA-C ligands in Ugandan populations with historically varied malaria transmission intensity
title_sort diversity of kir genes and their hla c ligands in ugandan populations with historically varied malaria transmission intensity
topic Genetic diversity
Human leukocyte antigen
Killer-cell immunoglobulin-like receptor
Malaria
Uganda
url https://doi.org/10.1186/s12936-021-03652-y
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