Role of mannose-binding lectin deficiency in HIV-1 and schistosoma infections in a rural adult population in Zimbabwe

Rutendo B L Zinyama-Gutsire, Charles Chasela, Hans O. Madsen, Simbarashe Rusakaniko, Per Kallestrup, Michael Christiansen, Exnevia Gomo, Henrik Ullum, Christian Erikstrup, Shungu Munyati, Edith N Kurewa, Babill Stray-Pedersen, Peter Garred, Takafira Mduluza

9 Citationer (Scopus)

Abstract

Background Polymorphism in the MBL2 gene lead to MBL deficiency, which has been shown to increase susceptibility to various bacterial, viral and parasitic infections. We assessed role of MBL deficiency in HIV-1 and schistosoma infections in Zimbabwean adults enrolled in the Mupfure Schistosomiasis and HIV Cohort (MUSH Cohort). Methods HIV-1, S. haematobium and S. mansoni infections were determined at baseline. Plasma MBL concentration was measured by ELISA and MBL2 genotypes determined by PCR.We calculated and compared the proportions of plasma MBL deficiency, MBL2 structural variant alleles B (codon 54AG), C (codon 57AG), and D (codon 52TC) as well as MBL2 promoter variants -550(H/L), -221(X/Y) and +4(P/Q) between HIV-1 and schistosoma co-infection and control groups using Chi Square test. Results We assessed 379 adults, 80% females, median age (IQR) 30 (17-41) years. HIV-1, S. haematobium and S. mansoni prevalence were 26%, 43% and 18% respectively in the MUSH baseline survey. Median (IQR) plasma MBL concentration was 800g/L (192-1936 g/L). Prevalence of plasma MBL deficiency was 18% with high frequency of the C (codon 57GA) mutant allele (20%). There was no significant difference in median plasma MBL levels between HIV negative (912g/L) and HIV positive (688g/L), p = 0.066. However plasma MBL levels at the assay detection limit of 20g/L were more frequent among the HIV-1 infected (p = 0.007). S. haematobium and S. mansoni infected participants had significantly higher MBL levels than uninfected. All MBL2 variants were not associated with HIV-1 infection but promoter variants LY and LL were significantly associated with S. haematobium infection. Conclusion Our data indicate high prevalence of MBL deficiency, no evidence of association between MBL deficiency and HIV-1 infection. However, lower plasma MBL levels were protective against both S. haematobium and S. mansoni infections and MBL2 promoter and variants LY and LL increased susceptibility to S . haematobium infection.

OriginalsprogEngelsk
Artikelnummere0122659
TidsskriftP L o S One
Vol/bind10
Udgave nummer4
Sider (fra-til)1-23
Antal sider23
ISSN1932-6203
DOI
StatusUdgivet - 1 apr. 2015

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