Mannose-binding lectin gene polymorphisms as a susceptibility factor for chronic necrotizing pulmonary aspergillosis

D J Crosdale1, K V Poulton, W E Ollier

  • 1Arthritis Research Campaign Epidemiology Unit, University of Manchester, Manchester, United Kingdom. dan.crosdale@sheffield.ac.uk

Insights

A mannose-binding lectin (MBL) deficiency may explain chronic necrotizing pulmonary aspergillosis (CNPA) in non-immunocompromised patients. Low MBL protein levels and specific mutations were more common in CNPA patients than controls.

Area of Science:

  • Immunology
  • Pulmonology
  • Genetics

Background:

  • Mannose-binding lectin (MBL) binds Aspergillus species in vitro.
  • Chronic necrotizing pulmonary aspergillosis (CNPA) often affects non-immunocompromised individuals.
  • The role of MBL deficiency in CNPA pathogenesis is unclear.

Purpose of the Study:

  • To investigate if MBL deficiency is associated with CNPA.
  • To determine MBL haplotype profiles in CNPA patients and controls.

Main Methods:

  • Blood samples from 11 CNPA patients and 82 controls were analyzed.
  • Polymerase chain reaction with sequence-specific primers and oligonucleotide probing was used.
  • MBL haplotype profiles, including codon 52 mutation, were determined.

Main Results:

  • Seven of ten white CNPA patients (70%) had MBL haplotypes encoding low protein levels.
  • This contrasts with 25.6% of white control subjects (P=.004).
  • The MBL codon 52 mutation was significantly more frequent in CNPA patients (P=.015).

Conclusions:

  • MBL deficiency is associated with chronic necrotizing pulmonary aspergillosis.
  • Low MBL levels and the codon 52 mutation may contribute to CNPA development.
  • Further research into MBL's role in fungal lung infections is warranted.

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