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.
Abstract

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