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1.
Am J Hum Genet ; 90(6): 973-85, 2012 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-22608500

RESUMO

Both sequence variation and copy-number variation (CNV) of the genes encoding receptors for immunoglobulin G (Fcγ receptors) have been genetically and functionally associated with a number of autoimmune diseases. However, the molecular nature and evolutionary context of this variation is unknown. Here, we describe the structure of the CNV, estimate its mutation rate and diversity, and place it in the context of the known functional alloantigen variation of these genes. Deletion of Fcγ receptor IIIB, associated with systemic lupus erythematosus, is a result of independent nonallelic homologous recombination events with a frequency of approximately 0.1%. We also show that pathogen diversity, in particular helminth diversity, has played a critical role in shaping the functional variation at these genes both between mammalian species and between human populations. Positively selected amino acids are involved in the interaction with IgG and include some amino acids that are known polymorphic alloantigens in humans. This supports a genetic contribution to the hygiene hypothesis, which states that past evolution in the context of helminth diversity has left humans with an array of susceptibility alleles for autoimmune disease in the context of a helminth-free environment. This approach shows the link between pathogens and autoimmune disease at the genetic level and provides a strategy for interrogating the genetic variation underlying autoimmune-disease risk and infectious-disease susceptibility.


Assuntos
Doenças Autoimunes/genética , Evolução Molecular , Helmintíase/parasitologia , Mutação , Receptores de IgG/genética , Alelos , Deleção de Genes , Dosagem de Genes , Predisposição Genética para Doença/genética , Variação Genética , Haplótipos , Humanos , Imunoglobulina G/metabolismo , Modelos Genéticos , Taxa de Mutação , Filogenia , Recombinação Genética
2.
BMC Infect Dis ; 13: 536, 2013 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-24219137

RESUMO

BACKGROUND: The role of copy number variation of the CCL3L1 gene, encoding MIP1α, in contributing to the host variation in susceptibility and response to HIV infection is controversial. Here we analyse a sub-Saharan African cohort from Tanzania and Ethiopia, two countries with a high prevalence of HIV-1 and a high co-morbidity of HIV with tuberculosis. METHODS: We use a form of quantitative PCR called the paralogue ratio test to determine CCL3L1 gene copy number in 1134 individuals and validate our copy number typing using array comparative genomic hybridisation and fiber-FISH. RESULTS: We find no significant association of CCL3L1 gene copy number with HIV load in antiretroviral-naïve patients prior to initiation of combination highly active anti-retroviral therapy. However, we find a significant association of low CCL3L1 gene copy number with improved immune reconstitution following initiation of highly active anti-retroviral therapy (p = 0.012), replicating a previous study. CONCLUSIONS: Our work supports a role for CCL3L1 copy number in immune reconstitution following antiretroviral therapy in HIV, and suggests that the MIP1α -CCR5 axis might be targeted to aid immune reconstitution.


Assuntos
Quimiocinas CC/genética , Variações do Número de Cópias de DNA , Infecções por HIV/genética , Infecções por HIV/imunologia , HIV-1/isolamento & purificação , Adulto , Etiópia/epidemiologia , Feminino , Estudos de Associação Genética , Predisposição Genética para Doença , Infecções por HIV/epidemiologia , Infecções por HIV/virologia , Humanos , Masculino , Tanzânia/epidemiologia , Carga Viral
3.
J Prev Interv Community ; 35(2): 19-32, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-19842356

RESUMO

In this study, motivational components in the personal styles of sociotropy and autonomy were examined in a sample of 284 women. One hypothesis was that self-validation needs would account for the vulnerability for depressive symptoms in these personal styles. A second hypothesis was that the association of these personal styles with depressive symptoms would be moderated by expectations and perceptions of how likely these validation needs would be met. As predicted, it was found that validation seeking mediated the association of sociotropy and autonomy with depressive symptoms in these women. Another finding was that expectancies moderated the effects of sociotropy and autonomy to predict depressive symptoms. Negative expectancies in women high on these personal styles together further increased the level of depressive symptoms. These findings are compatible with theories emphasizing the importance of situational factors in the onset and maintenance of depression in women.


Assuntos
Adaptação Psicológica , Depressão/epidemiologia , Depressão/psicologia , Qualidade de Vida/psicologia , Autoimagem , Populações Vulneráveis/estatística & dados numéricos , Adulto , Idoso , Feminino , Humanos , Controle Interno-Externo , Relações Interpessoais , Estilo de Vida , Pessoa de Meia-Idade , Nova Escócia/epidemiologia , Populações Vulneráveis/psicologia
4.
PLoS One ; 8(11): e78165, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24250791

RESUMO

AIDS, caused by the retrovirus HIV, remains the largest cause of morbidity in sub-Saharan Africa yet almost all genetic studies have focused on cohorts from Western countries. HIV shows high co-morbidity with tuberculosis (TB), as HIV stimulates the reactivation of latent tuberculosis (TB). Recent clinical trials suggest that an effective anti-HIV response correlates with non-neutralising antibodies. Given that Fcγ receptors are critical in mediating the non-neutralising effects of antibodies, analysis of the extensive variation at Fcγ receptor genes is important. Single nucleotide variation and copy number variation (CNV) of Fcγ receptor genes affects the expression profile, activatory/inhibitory balance, and IgG affinity of the Fcγ receptor repertoire of each individual. In this study we investigated whether CNV of FCGR2C, FCGR3A and FCGR3B as well as the HNA1 allotype of FCGR3B is associated with HIV load, response to highly-active antiretroviral therapy (HAART) and co-infection with TB. We confirmed an effect of TB-co-infection status on HIV load and response to HAART, but no conclusive effect of the genetic variants we tested. We observed a small effect, in Ethiopians, of FCGR3B copy number, where deletion was more frequent in HIV-TB co-infected patients than those infected with HIV alone.


Assuntos
Coinfecção/genética , Variações do Número de Cópias de DNA/genética , Infecções por HIV/genética , Tuberculose/genética , África Subsaariana , Anticorpos/genética , Anticorpos/imunologia , Coinfecção/imunologia , Coinfecção/patologia , Feminino , Proteínas Ligadas por GPI/genética , Proteínas Ligadas por GPI/imunologia , HIV/imunologia , HIV/patogenicidade , Infecções por HIV/imunologia , Infecções por HIV/patologia , Humanos , Masculino , Receptores de IgG/genética , Receptores de IgG/imunologia , Tuberculose/imunologia , Tuberculose/patologia
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