1. Plasmodium falciparum Malaria Susceptibility and Severity: Influence of MyD88-Adaptor-Like Gene (rs8177374) Polymorphism
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Ammar AI, El-Hefnawy SM, Shehab-Eldeen S, Essa A, ELnaidany SS, Mostafa RG, Alsalman MH, and El-Refai SA
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mal ,malaria ,p. falciparum ,tnf-alpha ,il-12 ,Infectious and parasitic diseases ,RC109-216 - Abstract
Amany I Ammar,1 Sally M El-Hefnawy,2 Somaia Shehab-Eldeen,3,4 Abdallah Essa,3,4 Sherin S ELnaidany,2 Rasha G Mostafa,5 Mortadah H Alsalman,4 Samar A El-Refai1 1Department of Medical Parasitology, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt; 2Department of Medical Biochemistry & Molecular Biology, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt; 3Tropical Medicine Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt; 4Internal Medicine Department, College of Medicine, King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia; 5Department of Medical Microbiology and Immunology, Faculty of Medicine, Menoufia University, Shebin Elkom, EgyptCorrespondence: Somaia Shehab-Eldeen, Faculty of Medicine, Menoufia University, Yassen Abd Al Ghafar Street, Shebin Elkom, Menoufia, 32511, Egypt, Tel +20 1117251523, Email somaia.shehab@med.menofia.edu.egBackground: MyD88-adapter-like (MAL), as an essential adapter protein for a variety of TLRs (Toll-like receptors), modulates the inflammatory response. Many infectious illnesses are influenced by single nucleotide polymorphisms (SNPs) that modify MAL function. We aimed to examine the influence of the MAL rs8177374 polymorphism on Plasmodium falciparum malaria susceptibility and severity.Patients and Methods: Samples from 141 Plasmodium falciparum malaria patients and 147 healthy controls were used in the study. Patients were subdivided into mild and severe groups based on their clinical results, as defined by the World Health Organization (WHO). Genotypes for MAL rs8177374 were identified by allele-specific PCR technique, and TNF-alpha and IL-12 levels were measured using ELISA.Results: The MAL rs8177374 (CT) genotype is associated with an increased risk of malaria (OR: 2.52; 95% CI: 1.44– 4.41). Furthermore, the CT and TT genotypes gave considerable protection against severe malaria (OR: 0.07; 95% CI: 0.03– 0.19 and OR: 0.03; 95% CI: 0.007– 0.1 respectively). And the T allele was linked to a higher risk of malaria (OR: 1.7; 95% CI: 1.18– 2.5), while protecting patients from severe malaria (OR: 0.135; 95% CI: 0.07– 0.3). Mutants (CT and TT) have greater TNF-alpha and IL-12 levels compared to wild-type (CC).Conclusion: Malaria risk is linked to single nucleotide polymorphism in the MyD88-adaptor-like gene. People with the MAL rs8177374 mutant variant may be less likely to get severe malaria.Keywords: MAL, malaria, P. falciparum, TNF-alpha, IL-12
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- 2022