Abstract
To test whether African ancestry is protective for severe dengue, we genotyped 49 hospitalized cases of dengue hemorrhagic fever (DHF) as well as 293 neighborhood cases of dengue fever and 294 asymptomatic controls in Salvador, Bahia, Brazil. Ancestry-informative markers and 282 unlinked SNPs not associated with the clinical presentation of dengue were used to estimate ancestry. After controlling for income, both self-defined Afro-Brazilian ethnicity and African ancestry were protective for DHF (P=0.02, OR=0.28 and P=0.02, OR=0.13, respectively). Income or an index of income indicators, however, was also independently associated with the diagnosis of DHF.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
de la CSB, Garcia G, Perez AB et al: Ethnicity and difference in dengue virus-specific memory T cell responses in Cuban individuals. Viral Immunol 2006; 19: 662–668.
Halstead SB, Streit TG, Lafontant JG et al: Haiti: absence of dengue hemorrhagic fever despite hyperendemic dengue virus transmission. Am J Trop Med Hyg 2001; 65: 180–183.
Gubler DJ : Dengue and dengue hemorrhagic fever. Clin Microbiol Rev 1998; 11: 480–496.
Guha-Sapir D, Schimmer B : Dengue fever: new paradigms for a changing epidemiology. Emerg Themes Epidemiol 2005; 2: 1.
Brown T, Babb K, Nimrod M, Carrington C, Salas R, Monteil M : A retrospective study of the 1996 DEN-1 Epidemic in Trinidad: demographic and clinical features. Dengue Bull 2004; 28: 7–19.
World Health Organization: Dengue Haemorrhagic Fever: Diagnosis, Treatment, Prevention and Control. Geneva: WHO, 1997.
Nguyen TH, Nguyen TL, Lei HY et al: Association between sex, nutritional status, severity of dengue hemorrhagic fever, and immune status in infants with dengue hemorrhagic fever. Am J Trop Med Hyg 2005; 72: 370–374.
Parra EJ, Kittles RA, Shriver MD : Implications of correlations between skin color and genetic ancestry for biomedical research. Nat Genet 2004; 36: S54–S60.
Pritchard JK, Stephens M, Donnelly P : Inference of population structure using multilocus genotype data. Genetics 2000; 155: 945–959.
Rosenberg NA : DISTRUCT: a program for the graphical display of population structure. Mol Ecol Notes 2004; 4: 137–138.
Tang H, Peng J, Wang P, Risch NJ : Estimation of individual admixture: analytical and study design considerations. Genet Epidemiol 2005; 28: 289–301.
Sakuntabhai A, Turbpaiboon C, Casademont I et al: A variant in the CD209 promoter is associated with severity of dengue disease. Nat Genet 2005; 37: 507–513.
Smith WR, Betancourt JR, Wynia MK et al: Recommendations for teaching about racial and ethnic disparities in health and health care. Ann Intern Med 2007; 147: 654–665.
Barata RB, de Almeida MF, Montero CV, da Silva ZP : Health inequalities based on ethnicity in individuals aged 15–64, Brazil, 1998. Cad Saude Publica 2007; 23: 305–313.
Vasconcelos PF, Lima JW, da Rosa AP et al: [Dengue epidemic in Fortaleza, Ceará: randomized seroepidemiologic survey]. Rev Saude Publica 1998; 32: 447–454.
Acknowledgements
This work was supported by NIH R21 AI056263. The authors thank Dr Niranjian Kanesa-thasan for his useful comments on serologies and the design of this project.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Blanton, R., Silva, L., Morato, V. et al. Genetic ancestry and income are associated with dengue hemorrhagic fever in a highly admixed population. Eur J Hum Genet 16, 762–765 (2008). https://doi.org/10.1038/ejhg.2008.4
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/ejhg.2008.4
Keywords
This article is cited by
-
Genetic association study of interferon lambda 3, CD27, and human leukocyte antigen-DPB1 with dengue severity in Thailand
BMC Infectious Diseases (2020)
-
Molecular docking and QSAR theoretical model for prediction of phthalazinone derivatives as new class of potent dengue virus inhibitors
Beni-Suef University Journal of Basic and Applied Sciences (2020)
-
The effect of KIR and HLA polymorphisms on dengue infection and disease severity in northeastern Thais
Medical Microbiology and Immunology (2020)
-
Dengue fever in Dar es Salaam, Tanzania: clinical features and outcome in populations of black and non-black racial category
BMC Infectious Diseases (2018)
-
Transovarial transmission of DENV in Aedes aegypti in the Amazon basin: a local model of xenomonitoring
Parasites & Vectors (2017)