HLA-C(*)03 is a risk factor for cardiomyopathy in Chagas disease

Z Layrisse1, M T Fernandez, S Montagnani

  • 1Instituto Venezolano de Investigaciones Científicas, Centro de Medicina Experimental, Laboratorio de Fisiopatología, Caracas, Venezuela. zlayriss@medicina.ivic.ve

Human Immunology
|October 29, 2000
PubMed

Insights

The HLA-C*03 gene may increase the risk of developing Chagas disease cardiomyopathy in Venezuelan patients. This contrasts with findings in Chilean patients, suggesting geographical variations in genetic susceptibility to Trypanosoma cruzi infection complications.

Area of Science:

  • Immunogenetics
  • Infectious Diseases
  • Cardiology

Background:

  • Chagas disease, caused by Trypanosoma cruzi infection, affects approximately one-third of chronically infected individuals with cardiomyopathy.
  • Previous research indicated a role for Human Leukocyte Antigen (HLA) class I and class II genes in Chagas disease susceptibility and resistance.
  • The specific genetic factors influencing cardiomyopathy development in T. cruzi-infected individuals remain incompletely understood.

Purpose of the Study:

  • To investigate the association between specific HLA class I alleles and the susceptibility to cardiomyopathy in Venezuelan patients with chronic Trypanosoma cruzi infection.
  • To identify HLA alleles that may confer risk or protection against the cardiac complications of Chagas disease.

Main Methods:

  • Low and intermediate resolution DNA typing of HLA class I alleles was performed on 113 serologically positive individuals.
  • Utilized a polymerase chain reaction-sequence-specific oligonucleotide probe method and Innogenetics LiPA kits for HLA typing.
  • Compared allele frequencies between patients with and without cardiomyopathy, applying statistical corrections for multiple comparisons.

Main Results:

  • Several HLA alleles (A*11, A*31, B*15, B*35, B*45, B*49, B*51, C*03) were more frequent in patients with cardiac damage.
  • Only the HLA-C*03 allele remained statistically significant (OR = 5.8, p(c) = 0.03) after correcting for multiple comparisons.
  • HLA-C*03 showed linkage disequilibrium with B*40 and B*15; these haplotypes were increased in cardiopathic patients but not significantly.

Conclusions:

  • The HLA-C*03 allele may be associated with increased susceptibility to cardiomyopathy in Venezuelan T. cruzi-seropositive individuals.
  • These findings contrast with a previously reported protective effect of the HLA B40 Cw3 haplotype in Chilean Chagas disease patients.
  • Further research is necessary to validate the role of HLA-C*03 in the pathogenesis of Chagas disease cardiomyopathy.

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