Association of Fcgamma receptor IIa (CD32) polymorphism with severe malaria in West Africa.

Malaria continues to claim the lives of more children worldwide than any other infectious disease, and improved understanding of disease immunology is a priority for the development of new therapeutic and vaccination strategies. FcgammaRIIa (CD32) contains a polymorphic variant (H/R131) that has bee...

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Main Authors: Cooke, G, Aucan, C, Walley, A, Segal, S, Greenwood, B, Kwiatkowski, D, Hill, A
Format: Journal article
Language:English
Published: 2003
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author Cooke, G
Aucan, C
Walley, A
Segal, S
Greenwood, B
Kwiatkowski, D
Hill, A
author_facet Cooke, G
Aucan, C
Walley, A
Segal, S
Greenwood, B
Kwiatkowski, D
Hill, A
author_sort Cooke, G
collection OXFORD
description Malaria continues to claim the lives of more children worldwide than any other infectious disease, and improved understanding of disease immunology is a priority for the development of new therapeutic and vaccination strategies. FcgammaRIIa (CD32) contains a polymorphic variant (H/R131) that has been associated with variability in susceptibility to both bacterial diseases and Plasmodium falciparum parasitemia. We investigated the role of this polymorphism in West Africans with mild and severe malarial disease. The HH131 genotype was significantly associated with susceptibility to severe malaria (P = 0.03, odds ratio = 1.40, 95% confidence interval = 1.02-1.91). In contrast to studies of parasitemia, the presence of the R131 allele, rather than the RR131 genotype, appeared to be the important factor in protection from disease. This is the first evidence for an association between CD32 polymorphism and severe malaria and provides an example of balancing selective pressures from different infectious diseases operating at the same genetic locus.
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spelling oxford-uuid:28894e0f-9c86-40be-82be-63583935c6672022-03-26T12:13:26ZAssociation of Fcgamma receptor IIa (CD32) polymorphism with severe malaria in West Africa.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:28894e0f-9c86-40be-82be-63583935c667EnglishSymplectic Elements at Oxford2003Cooke, GAucan, CWalley, ASegal, SGreenwood, BKwiatkowski, DHill, AMalaria continues to claim the lives of more children worldwide than any other infectious disease, and improved understanding of disease immunology is a priority for the development of new therapeutic and vaccination strategies. FcgammaRIIa (CD32) contains a polymorphic variant (H/R131) that has been associated with variability in susceptibility to both bacterial diseases and Plasmodium falciparum parasitemia. We investigated the role of this polymorphism in West Africans with mild and severe malarial disease. The HH131 genotype was significantly associated with susceptibility to severe malaria (P = 0.03, odds ratio = 1.40, 95% confidence interval = 1.02-1.91). In contrast to studies of parasitemia, the presence of the R131 allele, rather than the RR131 genotype, appeared to be the important factor in protection from disease. This is the first evidence for an association between CD32 polymorphism and severe malaria and provides an example of balancing selective pressures from different infectious diseases operating at the same genetic locus.
spellingShingle Cooke, G
Aucan, C
Walley, A
Segal, S
Greenwood, B
Kwiatkowski, D
Hill, A
Association of Fcgamma receptor IIa (CD32) polymorphism with severe malaria in West Africa.
title Association of Fcgamma receptor IIa (CD32) polymorphism with severe malaria in West Africa.
title_full Association of Fcgamma receptor IIa (CD32) polymorphism with severe malaria in West Africa.
title_fullStr Association of Fcgamma receptor IIa (CD32) polymorphism with severe malaria in West Africa.
title_full_unstemmed Association of Fcgamma receptor IIa (CD32) polymorphism with severe malaria in West Africa.
title_short Association of Fcgamma receptor IIa (CD32) polymorphism with severe malaria in West Africa.
title_sort association of fcgamma receptor iia cd32 polymorphism with severe malaria in west africa
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AT segals associationoffcgammareceptoriiacd32polymorphismwithseveremalariainwestafrica
AT greenwoodb associationoffcgammareceptoriiacd32polymorphismwithseveremalariainwestafrica
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