Background
Human African Trypanosomiasis (HAT) is a neglected tropical disease caused by infections due to
Trypanosoma brucei
subspecies. In addition to the well-established environmental and behavioural risks of becoming infected, there is evidence for a genetic component to the response to trypanosome infection. We undertook a candidate gene case-control study to investigate genetic associations further.
Methodology
We genotyped one polymorphism in each of seven genes (
IL1A
,
IL1RN
,
IL4RN
,
IL6
,
HP
,
HPR
, and
HLA-G
) in 73 cases and 250 controls collected from 19 ethno-linguistic subgroups stratified into three major ethno-linguistic groups, 2 pooled ethno-linguistic groups and 11 ethno-linguistic subgroups from three Cameroonian HAT foci. The seven polymorphic loci tested consisted of three SNPs, three variable numbers of tandem repeat (VNTR) and one INDEL.
Results
We found that the genotype (TT) and minor allele (T) of
IL1A
gene as well as the genotype 1A3A of
IL1RN
were associated with an increased risk of getting
Trypanosoma brucei gambiense
and develop HAT when all data were analysed together and also when stratified by the three major ethno-linguistic groups, 2 pooled ethno-linguistic subgroups and 11 ethno-linguistic subgroups.
Conclusion
This study revealed that one SNP rs1800794 of
IL1A
and one VNTR rs2234663 of
IL1RN
were associated with the increased risk to be infected by
Trypanosoma brucei gambiense
and develop sleeping sickness in southern Cameroon. The minor allele T and the genotype TT of SNP rs1800794 in
IL1A
as well as the genotype 1A3A of
IL1RN
rs2234663 VNTR seem to increase the risk of getting
Trypanosoma brucei gambiense
infections and develop sleeping sickness in southern Cameroon.