2009
DOI: 10.1007/s00439-009-0713-y
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NOS2A, TLR4, and IFNGR1 interactions influence pulmonary tuberculosis susceptibility in African-Americans

Abstract: Tuberculosis (TB) has substantial mortality worldwide with 5-10% of those exposed progressing to active TB disease. Studies in mice and humans indicate that the inducible nitric oxide synthase (iNOS) molecule plays an important role in immune response to TB. A mixed case-control association study of individuals with TB, relatives, or close contact controls was performed in 726 individuals (279 case and 166 control African-Americans; 198 case and 123 control Caucasians). Thirty-nine single nucleotide polymorphi… Show more

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Cited by 71 publications
(64 citation statements)
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“…Gene-gene interactions play an important role in an individual's susceptibility to develop a disease, but gene-gene interactions in infectious diseases such as TB have been poorly studied until recently. Multilocus analyses have identified significant interactions between SNPs in NOS2A and those in TLR4 and IFNGR1 in promoting TB susceptibility (250). These findings are particularly interesting because the SNPs in TLR4 and IFNGR1 alone did not show significant effects and would not have been identified as associated with TB without the interaction with NOS2A.…”
Section: Factors That Influence the Functions Of Innate Immune Gene Pmentioning
confidence: 97%
See 1 more Smart Citation
“…Gene-gene interactions play an important role in an individual's susceptibility to develop a disease, but gene-gene interactions in infectious diseases such as TB have been poorly studied until recently. Multilocus analyses have identified significant interactions between SNPs in NOS2A and those in TLR4 and IFNGR1 in promoting TB susceptibility (250). These findings are particularly interesting because the SNPs in TLR4 and IFNGR1 alone did not show significant effects and would not have been identified as associated with TB without the interaction with NOS2A.…”
Section: Factors That Influence the Functions Of Innate Immune Gene Pmentioning
confidence: 97%
“…In other instances, polymorphisms in innate immune genes, such as INT4 and D543N of SLC11A1 (271) and R753Q of TLR2 (55), were found to be involved in altering the progression of M. tuberculosis infection to active TB. Further evidence for the potential contribution of innate immune genes in clinical TB stems from reported interactions of the innate immune genes NOS2A and TLR4 with the adaptive immunity-related gene IFNGR1 (250) or NRAMP1 with IFNGR1 (62) in influencing susceptibility to TB. Taken together, the results overwhelmingly support a strong genetic component in infectivity, disease progression, and the clinical manifestation of TB, while the relative contribution of each gene in these processes needs to be clarified.…”
Section: Role Of Innate Immune Gene Polymorphisms In Susceptibility Tmentioning
confidence: 99%
“…However, in vivo evidence suggests some protective role for iNOS in human tuberculosis (TB). Genome-wide association studies link NOS2 with an increased incidence of TB (4)(5)(6)(7)(8), although the expression and/or activity of iNOS resulting from these polymorphisms are unknown. Still other investigators reported that iNOS and NO production in TB patients correlates with less severe disease, and NO production by human alveolar MFs ex vivo inhibits mycobacterial growth (9)(10)(11)(12)(13)(14)(15).…”
mentioning
confidence: 99%
“…Gene-gene interaction has been shown in some studies. A single gene that is not associated with susceptibility to TB will show an association if combined with other genes [38,39]. Besides, gene-agent interaction showed association of a certain host gene with a certain strain of Mycobacterium tuberculosis [40,41].…”
Section: Discussionmentioning
confidence: 99%