Abstract
A minority of individuals infected with the parasite Schistosoma mansoni develops hepatic fibrosis. HLA studies in Egypt and a candidate gene search in a Sudanese population indicate that the host's genetics contribute to disease susceptibility. In an Egyptian community, 32.7% of individuals 11 years and older had significant fibrosis by WHO ultrasound criteria. Linkage to 10 candidate genes was tested using 89 affected sibling pairs from 40 pedigrees in this community. The candidates included genes that initiate fibrosis, participate in collagen synthesis, or control collagen degradation. Two to four single-nucleotide polymorphisms (SNPs) were genotyped per locus, and 188 individuals were genotyped at 48 markers. Model-free modified Haseman–Elston analysis identified linkage to a SNP in the interferon gamma receptor locus (P=0.000001). There was also weak evidence for linkage to the interleukin 13-4 region and tissue growth factor beta 1.
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References
Blanton RE, Salam EA, Kariuki HC et al: Population-based differences in Schistosoma mansoni- and hepatitis C-induced disease. J Infect Dis 2002; 185: 1644–1649.
Dessein AJ, Hillaire D, Elwali NE et al: Severe hepatic fibrosis in Schistosoma mansoni infection is controlled by a major locus that is closely linked to the interferon-gamma receptor gene. Am J Hum Genet 1999; 65: 709–721.
Cline BL, Richards FO, el Alamy MA et al: 1983 Nile Delta schistosomiasis survey: 48 years after Scott. Am J Trop Med Hyg 1989; 41: 56–62.
Richter J, Hatz C, Campagne G, Berquist N, Jenkins J : Ultrasound in schistosomiasis. A practical Guide to the standardized use of ultrasonography for the assessment of schistosomiasis-related morbidity; Second International Workshop, Niamey, Niger, UNDP/World Bank/WHO Special Progamme for Research & Training in Tropical Diseases, 2000, pp 1–56.
Kariuki HC, Mbugua G, Magak P et al: Prevalence and familial aggregation of schistosomal liver morbidity in Kenya: evaluation by new ultrasound criteria. J Infect Dis 2001; 183: 960–966.
King CH, Magak P, Salam EA, Ouma JH, Kariuki HC, Blanton RE : Measuring morbidity in Schistosomiasis mansoni: the relationship between image pattern, portal branch, and portal vein measurements in new WHO guidelines for ultrasound in schistosomiasis. Int J Trop Med 2002; 8: 109–117.
Homeida M, Abdel-Gadir AF, Cheever AW, Bennett JL : Diagnosis of pathologically confirmed Symmer's periportal fibrosis by ultrasonography: a prospective blinded study. Am J Trop Med Hyg 1988; 38: 86–91.
Abdel-Wahab M, Esmat G, Milad M, Abdel-Razek S, Strickland G : Characteristic sonographic pattern of schistosomal hepatic fibrosis. Am J Trop Med Hyg 1989; 40: 72–76.
Hirayama K : Genetic factors associated with development of cerebral malaria and fibrotic schistosomiasis. Korean J Parasitol 2002; 40: 165–172.
Bell PA, Chaturvedi S, Gelfand CA et al: SNPstream UHT: ultra-high throughput SNP genotyping for pharmacogenomics and drug discovery. Biotechniques 2002; 74 (Suppl 70–72): 76–77.
Kruglyak L, Daly MJ, Reeve-Daly MP, Lander ES : Parametric and nonparametric linkage analysis: a unified multipoint approach. Am J Hum Genet 1996; 58: 1347–1363.
Elston RC, Buxbaum S, Jacobs KB, Olson JM : Haseman and Elston revisited. Genet Epidemiol 2000; 19: 1–17.
Goddard KA, Witte JS, Suarez BK, Catalona WJ, Olson JM : Model-free linkage analysis with covariates confirms linkage of prostate cancer to chromosomes 1 and 4. Am J Hum Genet 2001; 68: 1197–1206.
Rousset F, Raymond M : Testing heterozygote excess and deficiency. Genetics 1995; 140: 1413–1419.
Czaja MJ, Weiner FR, Takahashi S et al: Gamma-interferon treatment inhibits collagen deposition in murine schistosomiasis. Hepatology 1989; 10: 795–800.
Rockey DC, Chung JJ : Interferon gamma inhibits lipocyte activation and extracellular matrix mRNA expression during experimental liver injury: implications for treatment of hepatic fibrosis. J Invest Med 1994; 42: 660–670.
Baroni GS, D’Ambrosio L, Curto P et al: Interferon gamma decreases hepatic stellate cell activation and extracellular matrix deposition in rat liver fibrosis. Hepatology 1996; 23: 1189–1199.
Rezende SA, Oliveira VR, Silva AM, Alves JB, Goes AM, Reis LF : Mice lacking the gamma interferon receptor have an impaired granulomatous reaction to Schistosoma mansoni infection. Infect Immun 1997; 65: 3457–3461.
Oliveira VR, El-Cheikh MC, Aguiar AM et al: Schistosoma mansoni egg-induced hepatic granulomas in mice deficient for the interferon-gamma receptor have altered populations of macrophages, lymphocytes and connective tissue cells. Microbes Infect 2000; 2: 1817–1826.
Ebrahimi B, Dutia BM, Brownstein DG, Nash AA : Murine gammaherpesvirus-68 infection causes multi-organ fibrosis and alters leukocyte trafficking in interferon-gamma receptor knockout mice. Am J Pathol 2001; 158: 2117–2125.
Jouanguy E, Lamhamedi-Cherradi S, Altare F et al: Partial interferon-gamma receptor 1 deficiency in a child with tuberculoid bacillus Calmette-Guerin infection and a sibling with clinical tuberculosis. J Clin Invest 1997; 100: 2658–2664.
Altare F, Jouanguy E, Lamhamedi-Cherradi S et al: A causative relationship between mutant IFNgR1 alleles and impaired cellular response to IFNgamma in a compound heterozygous child. Am J Hum Genet 1998; 62: 723–726.
Koch O, Awomoyi A, Usen S et al: IFNGR1 gene promoter polymorphisms and susceptibility to cerebral malaria. J Infect Dis 2002; 185: 1684–1687.
Thye T, Burchard GD, Nilius M, Muller-Myhsok B, Horstmann RD : Genomewide linkage analysis identifies polymorphism in the human interferon-gamma receptor affecting Helicobacter pylori infection. Am J Hum Genet 2003; 72: 448–453.
Juliger S, Bongartz M, Luty AJ, Kremsner PG, Kun JF : Functional analysis of a promoter variant of the gene encoding the interferon-gamma receptor chain I. Immunogenetics 2003; 54: 675–680.
Mateu E, Calafell F, Lao O et al: Worldwide genetic analysis of the CFTR region. Am J Hum Genet 2001; 68: 103–117.
Bourgain C, Genin E, Clerget-Darpoux F : Comparison of family based haplotype methods using intragenic SNPs in candidate genes. Eur J Hum Genet 2002; 10: 313–319.
Bensen JT, Langefeld CD, Hawkins GA et al: Nucleotide variation, haplotype structure, and association with end-stage renal disease of the human interleukin-1 gene cluster. Genomics 2003; 82: 194–217.
Saunders CL, Crockford GP, Bishop DT, Barrett JH : Using single nucleotide polymorphisms to investigate association between a candidate gene and disease. Genet Epidemiol 2001; 21 (Suppl 1): S415–S420.
Cox A, Camp NJ, Nicklin MJ, di Giovine FS, Duff GW : An analysis of linkage disequilibrium in the interleukin-1 gene cluster, using a novel grouping method for multiallelic markers. Am J Hum Genet 1998; 62: 1180–1188.
Zhu X, Bouzekri N, Southam L et al: Linkage and association analysis of angiotensin I-converting enzyme (ACE)-gene polymorphisms with ACE concentration and blood pressure. Am J Hum Genet 2001; 68: 1139–1148.
Abecasis GR, Wigginton JE : Linkage Analysis with markers that are in linkage disequilibrium; American Society of Human Genetics Annual Meeting, Toronto 2004, Abstract 93.
Huang Q, Shete S, Amos C : Ignoring linkage disequilibrium between markers induces false positive evidence of linkage for affected sib-pair analysis; American Society of Human Genetics Annual Meeting, Toronto 2004, Abstract 94.
Broman KW, Feingold E : SNPs made routine. Nat Methods 2004; 1: 104–105.
Acknowledgements
This work was supported in part by Grants AI41680 and AI45473 from the National Institute of Allergy and Infectious Diseases of the US National Institutes of Health. The results of this paper were obtained by using the program package S.A.G.E., which is supported by a US Public Health Service Resource Grant (RR03655) from the National Center for Research Resources.
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Blanton, R., Salam, E., Ehsan, A. et al. Schistosomal hepatic fibrosis and the interferon gamma receptor: a linkage analysis using single-nucleotide polymorphic markers. Eur J Hum Genet 13, 660–668 (2005). https://doi.org/10.1038/sj.ejhg.5201388
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DOI: https://doi.org/10.1038/sj.ejhg.5201388
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