Assessment of co-segregated TLR4 genotypes among Nigerian children with asymptomatic and clinical malaria
- Author:
Iwalokun Abiodun Bamidele
;
Iwalokun Olusola Senapon
;
Udoh Enobong Bernice
;
Balogun Modinat
- Keywords:
TLR4 polymorphism;
TLR4 co-segregated genotypes;
Asymptomatic malaria;
Clinical malaria;
Nigeria
- From:Asian Pacific Journal of Tropical Biomedicine
2017;7(2):96-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To assess the occurrence and pattern of Toll-like receptor 4 (TLR4) co-segregated genotypes among children with Plasmodium falciparum malaria in Nigeria. Methods: In this case-control study, a total of 79 Plasmodium falciparum infected children aged 2–7 years and 105 age-matched uninfected controls of Yoruba descents in Lagos were studied. The extracted DNA samples were used for TLR4 genotyping at codons 299 (Asp> Gly) and 399 (Thr >Ile) by PCR-restriction fragment length poly-morphism. Malaria infection was diagnosed by blood smear microscopy and infected children were stratified into asymptomatic, uncomplicated and severe malaria sub-groups. Malnutrition was determined by measuring the mid upper arm circumference and anemia was defined as hemoglobin<11 g/dL. Results: The proportions of children with acute malnutrition and severe anemia were 12.0%and 3.2%, respectively. Parasitemia and malnutrition were not correlated and four distinct patterns of TLR4 genotypes were found in the study population: Asp299Asp/Thr399Thr (90.2%), Asp299Gly/Thr399Thr (4.3%), Gly299Gly/Thr399Thr (3.8%) and Asp299Gly/Thr399Ile (1.6%). These genotypes did not differ significantly (P>0.05) in frequency between infected and non-infected children. However, low and high occur-rences of the TLR4 Asp299Asp/Thr399Thr and Asp299Gly/Thr399Thr genotypes were observed in the severe malaria subgroup. Conclusions: This study reveals a protective role for TLR4 Asp299Gly/Thr399Ile and Asp299Asp/Thr399Thr genotypes against severe malaria in Nigerian children.
