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Updated: Aug 8, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Slc11a1 (formerly Nramp1) polymorphisms and susceptibility to post-transplant lymphoproliferative disease following
N R Barshes1, T R Lee, J A Goss
1Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Insights
Genetic variations in the solute carrier family 11 member 1 (Slc11a1) gene, specifically 3'-UTR polymorphisms, are linked to post-transplant lymphoproliferative disease (PTLD) risk and Epstein-Barr virus (EBV) titers in pediatric liver transplant recipients.
Area of Science:
- Immunogenetics
- Transplantation immunology
Background:
- Solute carrier family 11 member 1 (Slc11a1) gene polymorphisms are linked to infectious disease, anti-tumor immunity, and autoimmune conditions.
- Post-transplant lymphoproliferative disease (PTLD) is associated with impaired immune response to Epstein-Barr virus (EBV) in immunosuppressed patients.
Purpose of the Study:
- To investigate the association between Slc11a1 gene polymorphisms and susceptibility to PTLD in pediatric liver transplant recipients.
- To determine if Slc11a1 polymorphisms correlate with Epstein-Barr virus (EBV) serum titers post-transplantation.
Main Methods:
- Whole blood samples from 45 pediatric liver transplant recipients were analyzed.
- Polymerase chain reaction (PCR) was used to identify D543N and 3 -UTR polymorphisms in the Slc11a1 gene.
- PTLD status and EBV serum titers were correlated with identified Slc11a1 polymorphisms.
Main Results:
- Six out of 45 pediatric recipients developed PTLD.
- A significant association was observed between 3 -UTR polymorphisms of Slc11a1 and PTLD incidence (P = 0.005).
- Higher post-transplant EBV serum titers were noted in recipients with specific Slc11a1 polymorphisms (P = 0.009).
- No association was found between the D543N polymorphism and PTLD incidence.
Conclusions:
- 3 -UTR polymorphisms of the Slc11a1 gene are associated with PTLD susceptibility and EBV immune response in pediatric liver transplant patients.
- Genotyping for Slc11a1 polymorphisms may aid in identifying high-risk pediatric patients for PTLD and elevated EBV titers.
Background:
Polymorphisms of the solute carrier family 11 member 1 (Slc11a1) gene have previously been associated with susceptibility to infectious disease, anti-tumor defenses, and autoimmune diseases. We postulated that polymorphisms of the gene may also be associated with susceptibility to post-transplant lymphoproliferative disease (PTLD), a disease thought to be related to an impaired immune response to Epstein-Barr virus (EBV) in immunosuppressed patients.
Methods:
Whole blood samples were obtained from 45 pediatric patients who underwent liver transplantation. Polymerase chain reaction (PCR) was used to amplify a 3' region of the gene that includes an exon 15 single-nucleotide substitution (referred to as D543N) and a 4-bp deletion polymorphism (referred to as 3'-UTR). PCR products were digested using AvaII and FokI restriction enzymes for the D543N and 3'-UTR polymorphisms, respectively. PTLD disease status and EBV virus serum titers of all patients were obtained from hospital records.
Results:
Six of the 45 pediatric transplant recipients developed PTLD. An association was found between 3'-UTR polymorphisms of Slc11a1 and incidence of PTLD after liver transplantation (P = 0.005). In addition, post-transplant serum EBV titers were higher (P = 0.009) for recipients with certain Slc11a1 polymorphisms. No association was found between the D543N polymorphism and incidence of PTLD.
Conclusion:
3'-UTR polymorphisms of the Slc11a1 gene appear to be associated with susceptibility to PTLD and the immune response to EBV in pediatric liver transplant recipients. Genotyping of pediatric patients undergoing liver transplantation may enable early identification of patients at high risk for developing high EBV titers and/or PTLD.
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