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Interferon (IFN)-gamma is a critical mediator of immunity to malaria. This study explored the relationship between polymorphisms in the promoter region of the gene encoding IFN-gamma receptor 1 (IFNGR1) and susceptibility to malaria in African children. Four polymorphisms were found in the region between -1400 and +100 nt of the translational start site by sequencing, and analysis of 562 nuclear families revealed 6 haplotypes. Case-control analysis of 562 Gambian children with severe malaria and 569 umbilical cord blood samples (controls) showed that in Mandinka, the major Gambian ethnic group, heterozygotes for the IFNGR1-56 polymorphism were protected against cerebral malaria (odds ratio, 0.54; P=.016) and against death resulting from cerebral malaria (odds ratio, 0.22; P=.006). Analysis of a family study by transmission disequilibrium testing revealed a similar result. Further data are needed to validate this finding, but these results are reminiscent of those for other well-established heterozygote advantages, such as that associated with hemoglobin S.

Original publication

DOI

10.1086/340516

Type

Journal article

Journal

The Journal of infectious diseases

Publication Date

06/2002

Volume

185

Pages

1684 - 1687

Addresses

Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford OX3 7BN, United Kingdom. oliverk@well.ox.ac.uk

Keywords

Humans, Malaria, Cerebral, Genetic Predisposition to Disease, Receptors, Interferon, Case-Control Studies, Sequence Analysis, DNA, Family, Gene Expression Regulation, Mutation, Polymorphism, Genetic, Adult, Child, Child, Preschool, Gambia, Female, Male, Promoter Regions, Genetic