LTA4H genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome.

Adjunctive dexamethasone saves lives in the treatment of tuberculous meningitis but this response is influenced by the patient's LTA4H genotype. Despite less certain benefit, adjunctive dexamethasone is also frequently used in the treatment of pyogenic bacterial meningitis, but the influence of...

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Main Authors: Sarah J Dunstan, Trinh Thi Bich Tram, Guy E Thwaites, Tran Thi Hong Chau, Nguyen Hoan Phu, Tran Tinh Hien, Jeremy J Farrar, Marcel Wolbers, Nguyen Thi Hoang Mai
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4370666?pdf=render
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author Sarah J Dunstan
Trinh Thi Bich Tram
Guy E Thwaites
Tran Thi Hong Chau
Nguyen Hoan Phu
Tran Tinh Hien
Jeremy J Farrar
Marcel Wolbers
Nguyen Thi Hoang Mai
author_facet Sarah J Dunstan
Trinh Thi Bich Tram
Guy E Thwaites
Tran Thi Hong Chau
Nguyen Hoan Phu
Tran Tinh Hien
Jeremy J Farrar
Marcel Wolbers
Nguyen Thi Hoang Mai
author_sort Sarah J Dunstan
collection DOAJ
description Adjunctive dexamethasone saves lives in the treatment of tuberculous meningitis but this response is influenced by the patient's LTA4H genotype. Despite less certain benefit, adjunctive dexamethasone is also frequently used in the treatment of pyogenic bacterial meningitis, but the influence of LTA4H genotype on outcomes has not been previously investigated. We genotyped the LTA4H promoter region SNP (rs17525495) in 390 bacterial meningitis patients and 751 population controls. rs17525495 was associated with susceptibility to bacteriologically confirmed bacterial meningitis (P = 0.01, OR 1.27 95% confidence interval [CI] 1.05-1.54) but did not influence clinical presentation, disease severity or survival following dexamethasone treatment.
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spelling doaj.art-a4f9755ca1d24c39864064b6b1e93dfe2022-12-21T18:53:08ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01103e011878910.1371/journal.pone.0118789LTA4H genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome.Sarah J DunstanTrinh Thi Bich TramGuy E ThwaitesTran Thi Hong ChauNguyen Hoan PhuTran Tinh HienJeremy J FarrarMarcel WolbersNguyen Thi Hoang MaiAdjunctive dexamethasone saves lives in the treatment of tuberculous meningitis but this response is influenced by the patient's LTA4H genotype. Despite less certain benefit, adjunctive dexamethasone is also frequently used in the treatment of pyogenic bacterial meningitis, but the influence of LTA4H genotype on outcomes has not been previously investigated. We genotyped the LTA4H promoter region SNP (rs17525495) in 390 bacterial meningitis patients and 751 population controls. rs17525495 was associated with susceptibility to bacteriologically confirmed bacterial meningitis (P = 0.01, OR 1.27 95% confidence interval [CI] 1.05-1.54) but did not influence clinical presentation, disease severity or survival following dexamethasone treatment.http://europepmc.org/articles/PMC4370666?pdf=render
spellingShingle Sarah J Dunstan
Trinh Thi Bich Tram
Guy E Thwaites
Tran Thi Hong Chau
Nguyen Hoan Phu
Tran Tinh Hien
Jeremy J Farrar
Marcel Wolbers
Nguyen Thi Hoang Mai
LTA4H genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome.
PLoS ONE
title LTA4H genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome.
title_full LTA4H genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome.
title_fullStr LTA4H genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome.
title_full_unstemmed LTA4H genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome.
title_short LTA4H genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome.
title_sort lta4h genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome
url http://europepmc.org/articles/PMC4370666?pdf=render
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