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Published on: January 27, 2019
Genetic epidemiology of Trypanosoma cruzi infection and Chagas' disease
Sarah Williams-Blangero1, John L VandeBerg, John Blangero
1Department of Genetics, Southwest Foundation for Biomedical Research, 7620 NW Loop 410, San Antonio, TX 78227, USA. sarah@darwin.sfbr.org
Insights
Genetic factors influence susceptibility and disease severity in Chagas' disease, a major cause of heart disease in Latin America. Understanding these genetic links is crucial for developing new treatments for this widespread zoonotic illness.
Area of Science:
- Genetics
- Infectious Diseases
- Cardiology
Background:
- Chagas' disease is a significant cause of heart disease in Latin America, impacting millions.
- Eradication is unlikely due to numerous hosts, necessitating alternative control strategies.
- Individual variation in susceptibility and disease outcome suggests a role for genetic factors.
Purpose of the Study:
- To review evidence for genetic control of Trypanosoma cruzi infection susceptibility.
- To examine genetic influences on Chagas' disease severity.
- To highlight the potential of genetic studies for drug development.
Main Methods:
- Review of existing human and animal model research.
- Analysis of evidence for genetic factors in infection and disease outcome.
- Discussion of genome scans in human pedigrees.
Main Results:
- Evidence supports a significant role for genetic factors in Chagas' disease susceptibility.
- Genetic variations influence the severity of disease outcomes.
- Genetic studies offer insights into disease determinants.
Conclusions:
- Genetic factors are key determinants of Chagas' disease susceptibility and severity.
- Further genetic research, including genome scans, can identify new drug targets.
- Understanding genetic influences is vital for future therapeutic strategies.
Abstract:
Chagas' disease is a leading cause of heart disease throughout Latin America, affecting an estimated 16 to 18 million individuals. Given the large pool of primary hosts for this zoonotic disease, complete eradication of Chagas' disease through control of the arthropod vector is unlikely. Research with both humans and animal models indicates that there is considerable variation in susceptibility to infection and disease outcome, and that this variation may be due in part to genetic factors. This paper summarizes the evidence for genetic control of susceptibility to Trypanosoma cruzi infection and severity of disease outcome in Chagas' disease. The lack of an effective treatment or prevention for Chagas' disease indicates the great potential for genetic studies, and particularly for genome scans of extended human pedigrees, to improve our understanding of the determinants of this complex disease, and ultimately to suggest new pathways to be targeted in drug development efforts.
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