Common variation in the ABO glycosyltransferase is associated with susceptibility to severe Plasmodium falciparum malaria.

There is growing epidemiological and molecular evidence that ABO blood group affects host susceptibility to severe Plasmodium falciparum infection. The high frequency of common ABO alleles means that even modest differences in susceptibility could have a significant impact on the health of people li...

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Main Authors: Fry, A, Griffiths, M, Auburn, S, Diakite, M, Forton, J, Green, A, Richardson, A, Wilson, J, Jallow, M, Sisay-Joof, F, Pinder, M, Peshu, N, Williams, T, Marsh, K, Molyneux, M, Taylor, T, Rockett, K, Kwiatkowski, D
Format: Journal article
Language:English
Published: 2008
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author Fry, A
Griffiths, M
Auburn, S
Diakite, M
Forton, J
Green, A
Richardson, A
Wilson, J
Jallow, M
Sisay-Joof, F
Pinder, M
Peshu, N
Williams, T
Marsh, K
Molyneux, M
Taylor, T
Rockett, K
Kwiatkowski, D
author_facet Fry, A
Griffiths, M
Auburn, S
Diakite, M
Forton, J
Green, A
Richardson, A
Wilson, J
Jallow, M
Sisay-Joof, F
Pinder, M
Peshu, N
Williams, T
Marsh, K
Molyneux, M
Taylor, T
Rockett, K
Kwiatkowski, D
author_sort Fry, A
collection OXFORD
description There is growing epidemiological and molecular evidence that ABO blood group affects host susceptibility to severe Plasmodium falciparum infection. The high frequency of common ABO alleles means that even modest differences in susceptibility could have a significant impact on the health of people living in malaria endemic regions. We performed an association study, the first to utilize key molecular genetic variation underlying the ABO system, genotyping >9000 individuals across three African populations. Using population- and family-based tests, we demonstrated that alleles producing functional ABO enzymes are associated with greater risk of severe malaria phenotypes (particularly malarial anemia) in comparison with the frameshift deletion underlying blood group O: case-control allelic odds ratio (OR), 1.2; 95% confidence interval (CI), 1.09-1.32; P = 0.0003; family-studies allelic OR, 1.19; 95% CI, 1.08-1.32; P = 0.001; pooled across all studies allelic OR, 1.18; 95% CI, 1.11-1.26; P = 2 x 10(-7). We found suggestive evidence of a parent-of-origin effect at the ABO locus by analyzing the family trios. Non-O haplotypes inherited from mothers, but not fathers, are significantly associated with severe malaria (likelihood ratio test of Weinberg, P = 0.046). Finally, we used HapMap data to demonstrate a region of low F(ST) (-0.001) between the three main HapMap population groups across the ABO locus, an outlier in the empirical distribution of F(ST) across chromosome 9 (approximately 99.5-99.9th centile). This low F(ST) region may be a signal of long-standing balancing selection at the ABO locus, caused by multiple infectious pathogens including P. falciparum.
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spelling oxford-uuid:ee8956a6-62bd-4f64-89f0-e492e25314d32022-03-27T11:33:36ZCommon variation in the ABO glycosyltransferase is associated with susceptibility to severe Plasmodium falciparum malaria.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ee8956a6-62bd-4f64-89f0-e492e25314d3EnglishSymplectic Elements at Oxford2008Fry, AGriffiths, MAuburn, SDiakite, MForton, JGreen, ARichardson, AWilson, JJallow, MSisay-Joof, FPinder, MPeshu, NWilliams, TMarsh, KMolyneux, MTaylor, TRockett, KKwiatkowski, DThere is growing epidemiological and molecular evidence that ABO blood group affects host susceptibility to severe Plasmodium falciparum infection. The high frequency of common ABO alleles means that even modest differences in susceptibility could have a significant impact on the health of people living in malaria endemic regions. We performed an association study, the first to utilize key molecular genetic variation underlying the ABO system, genotyping >9000 individuals across three African populations. Using population- and family-based tests, we demonstrated that alleles producing functional ABO enzymes are associated with greater risk of severe malaria phenotypes (particularly malarial anemia) in comparison with the frameshift deletion underlying blood group O: case-control allelic odds ratio (OR), 1.2; 95% confidence interval (CI), 1.09-1.32; P = 0.0003; family-studies allelic OR, 1.19; 95% CI, 1.08-1.32; P = 0.001; pooled across all studies allelic OR, 1.18; 95% CI, 1.11-1.26; P = 2 x 10(-7). We found suggestive evidence of a parent-of-origin effect at the ABO locus by analyzing the family trios. Non-O haplotypes inherited from mothers, but not fathers, are significantly associated with severe malaria (likelihood ratio test of Weinberg, P = 0.046). Finally, we used HapMap data to demonstrate a region of low F(ST) (-0.001) between the three main HapMap population groups across the ABO locus, an outlier in the empirical distribution of F(ST) across chromosome 9 (approximately 99.5-99.9th centile). This low F(ST) region may be a signal of long-standing balancing selection at the ABO locus, caused by multiple infectious pathogens including P. falciparum.
spellingShingle Fry, A
Griffiths, M
Auburn, S
Diakite, M
Forton, J
Green, A
Richardson, A
Wilson, J
Jallow, M
Sisay-Joof, F
Pinder, M
Peshu, N
Williams, T
Marsh, K
Molyneux, M
Taylor, T
Rockett, K
Kwiatkowski, D
Common variation in the ABO glycosyltransferase is associated with susceptibility to severe Plasmodium falciparum malaria.
title Common variation in the ABO glycosyltransferase is associated with susceptibility to severe Plasmodium falciparum malaria.
title_full Common variation in the ABO glycosyltransferase is associated with susceptibility to severe Plasmodium falciparum malaria.
title_fullStr Common variation in the ABO glycosyltransferase is associated with susceptibility to severe Plasmodium falciparum malaria.
title_full_unstemmed Common variation in the ABO glycosyltransferase is associated with susceptibility to severe Plasmodium falciparum malaria.
title_short Common variation in the ABO glycosyltransferase is associated with susceptibility to severe Plasmodium falciparum malaria.
title_sort common variation in the abo glycosyltransferase is associated with susceptibility to severe plasmodium falciparum malaria
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