Candidate polymorphisms and severe malaria in a Malian population

PLoS One. 2012;7(9):e43987. doi: 10.1371/journal.pone.0043987. Epub 2012 Sep 5.

Abstract

Malaria is a major health burden in sub-Saharan African countries, including Mali. The disease is complex, with multiple genetic determinants influencing the observed variation in response to infection, progression, and severity. We assess the influence of sixty-four candidate loci, including the sickle cell polymorphism (HbS), on severe malaria in a case-control study consisting of over 900 individuals from Bamako, Mali. We confirm the known protective effects of the blood group O and the HbS AS genotype on life-threatening malaria. In addition, our analysis revealed a marginal susceptibility effect for the CD40 ligand (CD40L)+220C allele. The lack of statistical evidence for other candidates may demonstrate the need for large-scale genome-wide association studies in malaria to discover new polymorphisms. It also demonstrates the need for establishing the region-specific repertoire of functional variation in important genes, including the glucose-6-phosphatase deficiency gene, before embarking on focused genotyping.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ABO Blood-Group System
  • Adolescent
  • Anemia, Sickle Cell / genetics
  • Child
  • Child, Preschool
  • Female
  • Genetic Predisposition to Disease*
  • Genetic Variation
  • Genotype
  • Glucose-6-Phosphatase / metabolism
  • Hemoglobin, Sickle / genetics*
  • Humans
  • Infant
  • Ligands
  • Malaria / genetics*
  • Male
  • Mali
  • Models, Statistical
  • Polymorphism, Genetic*

Substances

  • ABO Blood-Group System
  • Hemoglobin, Sickle
  • Ligands
  • Glucose-6-Phosphatase