Variants of NOD2 in Leishmania guyanensis-infected patients with cutaneous leishmaniasis and correlations with plasma circulating pro-inflammatory cytokines.

Leishmaniases, a group of vector-borne diseases, are caused by the protozoan intracellular parasite Leishmania (L.) and are transmitted by the phlebotomine sandflies. A wide range of clinical manifestations in L- infection is observed. The clinical outcome ranges from asymptomatic, cutaneous leishma...

Full description

Bibliographic Details
Main Authors: Tirza Gabrielle Ramos de Mesquita, José do Espírito Santo Junior, Josué Lacerda de Souza, Lener Santos da Silva, Tuanny Arruda do Nascimento, Mara Lúcia Gomes de Souza, Marcus Vinitius de Farias Guerra, Rajendranath Ramasawmy
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0281814
_version_ 1797848196073914368
author Tirza Gabrielle Ramos de Mesquita
José do Espírito Santo Junior
Josué Lacerda de Souza
Lener Santos da Silva
Tuanny Arruda do Nascimento
Mara Lúcia Gomes de Souza
Marcus Vinitius de Farias Guerra
Rajendranath Ramasawmy
author_facet Tirza Gabrielle Ramos de Mesquita
José do Espírito Santo Junior
Josué Lacerda de Souza
Lener Santos da Silva
Tuanny Arruda do Nascimento
Mara Lúcia Gomes de Souza
Marcus Vinitius de Farias Guerra
Rajendranath Ramasawmy
author_sort Tirza Gabrielle Ramos de Mesquita
collection DOAJ
description Leishmaniases, a group of vector-borne diseases, are caused by the protozoan intracellular parasite Leishmania (L.) and are transmitted by the phlebotomine sandflies. A wide range of clinical manifestations in L- infection is observed. The clinical outcome ranges from asymptomatic, cutaneous leishmaniasis (CL) to severe mucosal leishmaniasis (ML) or visceral leishmaniasis (VL), depending on the L. species. Interestingly, only a fraction of L.-infected individuals progress to disease development, suggesting a key role of host genetics in the clinical outcome. NOD2 plays a critical role in the control of host defense and inflammation. The NOD2-RIK2 pathway is involved in developing a Th1- type response in patients with VL and C57BL/6 mice infected with L. infantum. We investigated whether variants in the NOD2 gene (R702W rs2066844, G908R rs2066845, and L1007fsinsC rs2066847) are associated with susceptibility to CL caused by L. guyanensis (Lg) in 837 patients with Lg-Cl and 797 healthy controls (HC) with no history of leishmaniasis. Both patients and HC are from the same endemic area of the Amazonas state of Brazil. The variants R702W and G908R were genotyped by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP), and L1007fsinsC was by direct nucleotide sequencing. The minor allele frequency (MAF) of L1007fsinsC was 0.5% among the patients with Lg-CL and 0.6% in the healthy controls group. R702W genotypes frequencies were similar in both groups. Only 1% and 1.6% were heterozygous for G908R among the patients with Lg-CL and HC, respectively. None of the variants revealed any association with susceptibility to the development of Lg-CL. Correlations of genotypes with the level of plasma cytokines revealed that individuals with the mutant alleles of R702W tend to have low levels of IFN-γ. G908R heterozygotes also tend to have low IFN-γ, TNF-α, IL-17, and IL-8. Variants of NOD2 are not involved in the pathogenesis of Lg-CL.
first_indexed 2024-04-09T18:23:30Z
format Article
id doaj.art-ac151397fa9748128fa2c9cb0abc5c00
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-09T18:23:30Z
publishDate 2023-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-ac151397fa9748128fa2c9cb0abc5c002023-04-12T05:32:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01182e028181410.1371/journal.pone.0281814Variants of NOD2 in Leishmania guyanensis-infected patients with cutaneous leishmaniasis and correlations with plasma circulating pro-inflammatory cytokines.Tirza Gabrielle Ramos de MesquitaJosé do Espírito Santo JuniorJosué Lacerda de SouzaLener Santos da SilvaTuanny Arruda do NascimentoMara Lúcia Gomes de SouzaMarcus Vinitius de Farias GuerraRajendranath RamasawmyLeishmaniases, a group of vector-borne diseases, are caused by the protozoan intracellular parasite Leishmania (L.) and are transmitted by the phlebotomine sandflies. A wide range of clinical manifestations in L- infection is observed. The clinical outcome ranges from asymptomatic, cutaneous leishmaniasis (CL) to severe mucosal leishmaniasis (ML) or visceral leishmaniasis (VL), depending on the L. species. Interestingly, only a fraction of L.-infected individuals progress to disease development, suggesting a key role of host genetics in the clinical outcome. NOD2 plays a critical role in the control of host defense and inflammation. The NOD2-RIK2 pathway is involved in developing a Th1- type response in patients with VL and C57BL/6 mice infected with L. infantum. We investigated whether variants in the NOD2 gene (R702W rs2066844, G908R rs2066845, and L1007fsinsC rs2066847) are associated with susceptibility to CL caused by L. guyanensis (Lg) in 837 patients with Lg-Cl and 797 healthy controls (HC) with no history of leishmaniasis. Both patients and HC are from the same endemic area of the Amazonas state of Brazil. The variants R702W and G908R were genotyped by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP), and L1007fsinsC was by direct nucleotide sequencing. The minor allele frequency (MAF) of L1007fsinsC was 0.5% among the patients with Lg-CL and 0.6% in the healthy controls group. R702W genotypes frequencies were similar in both groups. Only 1% and 1.6% were heterozygous for G908R among the patients with Lg-CL and HC, respectively. None of the variants revealed any association with susceptibility to the development of Lg-CL. Correlations of genotypes with the level of plasma cytokines revealed that individuals with the mutant alleles of R702W tend to have low levels of IFN-γ. G908R heterozygotes also tend to have low IFN-γ, TNF-α, IL-17, and IL-8. Variants of NOD2 are not involved in the pathogenesis of Lg-CL.https://doi.org/10.1371/journal.pone.0281814
spellingShingle Tirza Gabrielle Ramos de Mesquita
José do Espírito Santo Junior
Josué Lacerda de Souza
Lener Santos da Silva
Tuanny Arruda do Nascimento
Mara Lúcia Gomes de Souza
Marcus Vinitius de Farias Guerra
Rajendranath Ramasawmy
Variants of NOD2 in Leishmania guyanensis-infected patients with cutaneous leishmaniasis and correlations with plasma circulating pro-inflammatory cytokines.
PLoS ONE
title Variants of NOD2 in Leishmania guyanensis-infected patients with cutaneous leishmaniasis and correlations with plasma circulating pro-inflammatory cytokines.
title_full Variants of NOD2 in Leishmania guyanensis-infected patients with cutaneous leishmaniasis and correlations with plasma circulating pro-inflammatory cytokines.
title_fullStr Variants of NOD2 in Leishmania guyanensis-infected patients with cutaneous leishmaniasis and correlations with plasma circulating pro-inflammatory cytokines.
title_full_unstemmed Variants of NOD2 in Leishmania guyanensis-infected patients with cutaneous leishmaniasis and correlations with plasma circulating pro-inflammatory cytokines.
title_short Variants of NOD2 in Leishmania guyanensis-infected patients with cutaneous leishmaniasis and correlations with plasma circulating pro-inflammatory cytokines.
title_sort variants of nod2 in leishmania guyanensis infected patients with cutaneous leishmaniasis and correlations with plasma circulating pro inflammatory cytokines
url https://doi.org/10.1371/journal.pone.0281814
work_keys_str_mv AT tirzagabrielleramosdemesquita variantsofnod2inleishmaniaguyanensisinfectedpatientswithcutaneousleishmaniasisandcorrelationswithplasmacirculatingproinflammatorycytokines
AT josedoespiritosantojunior variantsofnod2inleishmaniaguyanensisinfectedpatientswithcutaneousleishmaniasisandcorrelationswithplasmacirculatingproinflammatorycytokines
AT josuelacerdadesouza variantsofnod2inleishmaniaguyanensisinfectedpatientswithcutaneousleishmaniasisandcorrelationswithplasmacirculatingproinflammatorycytokines
AT lenersantosdasilva variantsofnod2inleishmaniaguyanensisinfectedpatientswithcutaneousleishmaniasisandcorrelationswithplasmacirculatingproinflammatorycytokines
AT tuannyarrudadonascimento variantsofnod2inleishmaniaguyanensisinfectedpatientswithcutaneousleishmaniasisandcorrelationswithplasmacirculatingproinflammatorycytokines
AT maraluciagomesdesouza variantsofnod2inleishmaniaguyanensisinfectedpatientswithcutaneousleishmaniasisandcorrelationswithplasmacirculatingproinflammatorycytokines
AT marcusvinitiusdefariasguerra variantsofnod2inleishmaniaguyanensisinfectedpatientswithcutaneousleishmaniasisandcorrelationswithplasmacirculatingproinflammatorycytokines
AT rajendranathramasawmy variantsofnod2inleishmaniaguyanensisinfectedpatientswithcutaneousleishmaniasisandcorrelationswithplasmacirculatingproinflammatorycytokines