iNOS promoter variants and severe malaria in Ghanaian children.
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iNOS promoter variants and severe malaria in Ghanaian children. / Cramer, Jakob; Mockenhaupt, Frank P; Ehrhardt, Stephan; Burkhardt, Jana; Otchwemah, Rowland N; Dietz, Ekkehardt; Gellert, Sabine; Bienzle, Ulrich.
In: TROP MED INT HEALTH, Vol. 9, No. 10, 10, 2004, p. 1074-1080.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - iNOS promoter variants and severe malaria in Ghanaian children.
AU - Cramer, Jakob
AU - Mockenhaupt, Frank P
AU - Ehrhardt, Stephan
AU - Burkhardt, Jana
AU - Otchwemah, Rowland N
AU - Dietz, Ekkehardt
AU - Gellert, Sabine
AU - Bienzle, Ulrich
PY - 2004
Y1 - 2004
N2 - Nitric oxide is an important mediator in the host defence against Plasmodium falciparum malaria. It has antiparasitic effects in vitro. However, its role in clinical disease remains controversial. Polymorphisms in the inducible nitric oxide synthase promoter (iNOS; -954G-->C, -1173C-->T, -2.6 kb CCTTT(n) microsatellite) may influence susceptibility to and severity of malaria. We tested this hypothesis in a case-control study among Ghanaian children with severe malaria (SM) and asymptomatic parasitaemia, respectively, and in healthy controls. In this study, the respective frequencies of iNOS-954G-->C and -1173C-->T did not differ between groups but > or =13 microsatellite copies were associated with SM. -954G-->C and -1173C-->T were in linkage disequilibrium with CCTTT(8) and CCTTT(13), respectively. -954G-->C/CCTTT(8) protected against hyperparasitaemia whereas -1173C-->T/CCTTT(13) increased fatality. These findings suggest that iNOS promoter haplotypes rather than single nucleotide polymorphisms are associated with malaria in Ghanaian children.
AB - Nitric oxide is an important mediator in the host defence against Plasmodium falciparum malaria. It has antiparasitic effects in vitro. However, its role in clinical disease remains controversial. Polymorphisms in the inducible nitric oxide synthase promoter (iNOS; -954G-->C, -1173C-->T, -2.6 kb CCTTT(n) microsatellite) may influence susceptibility to and severity of malaria. We tested this hypothesis in a case-control study among Ghanaian children with severe malaria (SM) and asymptomatic parasitaemia, respectively, and in healthy controls. In this study, the respective frequencies of iNOS-954G-->C and -1173C-->T did not differ between groups but > or =13 microsatellite copies were associated with SM. -954G-->C and -1173C-->T were in linkage disequilibrium with CCTTT(8) and CCTTT(13), respectively. -954G-->C/CCTTT(8) protected against hyperparasitaemia whereas -1173C-->T/CCTTT(13) increased fatality. These findings suggest that iNOS promoter haplotypes rather than single nucleotide polymorphisms are associated with malaria in Ghanaian children.
M3 - SCORING: Zeitschriftenaufsatz
VL - 9
SP - 1074
EP - 1080
JO - TROP MED INT HEALTH
JF - TROP MED INT HEALTH
SN - 1360-2276
IS - 10
M1 - 10
ER -