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Published on: April 1, 2019
Association of toll-like receptor 3 gene polymorphism with subacute sclerosing panencephalitis
Yoshito Ishizaki1, Megumi Takemoto, Ryutaro Kira
1Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Higashi-ku, Fukuoka, Japan. ishizaki@pediatr.med.kyushu-u.ac.jp
Abstract:
Innate immunity plays an important role in measles virus (MV) infection. MV-derived double-stranded RNA is recognized by toll-like receptor 3 (TLR3), retinoic acid-inducible protein I (RIG-I) and melanoma differentiation-associated gene 5 (MDA5). We investigated whether genes encoding these molecules contributed to the development of subacute sclerosing panencephalitis (SSPE) in Japanese individuals. Four single nucleotide polymorphisms (SNPs) of the three genes (TLR3 rs3775291:Leu412Phe, RIG1 rs277729 and rs9695310, and MDA5 rs4664463) were assessed in 40 SSPE patients and 84 controls. Because the TLR3 SNP showed a positive association with SSPE, three additional SNPs were subjected to haplotype analysis. The frequency of 412Phe allele of TLR3 rs3775291 in SSPE patients was significantly higher than that in controls (P=.03). In haplotype analysis of four SNPs in the TLR3 gene, the frequency of -7C/IVS3+71C/Phe412/c.1377C haplotype was significantly increased in SSPE patients (P=.006, odds ration [OR]: 2.2). TLR3 gene may confer host genetic susceptibility to SSPE in Japanese individuals.
Insights
Japanese individuals with subacute sclerosing panencephalitis (SSPE) show a higher frequency of a specific toll-like receptor 3 (TLR3) gene variant. This genetic marker may increase susceptibility to SSPE, a severe measles virus complication.
Area of Science:
- Immunology
- Genetics
- Neuroscience
Background:
- Innate immunity is crucial in measles virus (MV) infection, with toll-like receptor 3 (TLR3), RIG-I, and MDA5 recognizing viral RNA.
- Subacute sclerosing panencephalitis (SSPE) is a rare, fatal neurological complication of measles virus infection.
Purpose of the Study:
- To investigate the association between genetic variations in TLR3, RIG-I, and MDA5 and the development of SSPE in Japanese individuals.
- To identify specific genetic markers that may confer susceptibility to SSPE.
Main Methods:
- Genotyping of four single nucleotide polymorphisms (SNPs) in TLR3, RIG-I, and MDA5 genes in 40 SSPE patients and 84 healthy controls.
- Association analysis of SNPs and haplotype analysis for TLR3 gene variations.
- Statistical analysis to determine significant differences in allele and haplotype frequencies between SSPE patients and controls.
Main Results:
- The TLR3 rs3775291 (Leu412Phe) SNP showed a significantly higher frequency of the 412Phe allele in SSPE patients compared to controls (P=.03).
- Haplotype analysis of four TLR3 SNPs revealed a significantly increased frequency of the -7C/IVS3+71C/Phe412/c.1377C haplotype in SSPE patients (P=.006, OR: 2.2).
Conclusions:
- The TLR3 gene, particularly the rs3775291 polymorphism and associated haplotypes, may contribute to host genetic susceptibility to SSPE in the Japanese population.
- These findings highlight the role of innate immune genetic factors in the pathogenesis of SSPE.
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