Mannose-binding lectin genotypes: lack of association with susceptibility to thoracic empyema

Stephen J Chapman1, Fredrik O Vannberg, Chiea C Khor

  • 1The Wellcome Trust Centre for Human Genetics, University of Oxford, UK. schapman@well.ox.ac.uk

BMC Medical Genetics
|January 19, 2010
PubMed
Abstract

Insights

Mannose-binding lectin (MBL) deficiency does not appear to increase the risk of developing thoracic empyema, a severe lung infection. This study found no link between MBL genotype and susceptibility to this serious pneumonia complication.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Genetics

Background:

  • Mannose-binding lectin (MBL) is an innate immune protein with a debated role in severe respiratory infections.
  • Thoracic empyema, a complication of pneumonia, has high mortality and poorly understood pathogenesis.
  • Genetic factors influencing thoracic empyema susceptibility are emerging, but MBL's role is unexamined.

Purpose of the Study:

  • To investigate the association between mannose-binding lectin (MBL) genotypic deficiency and susceptibility to thoracic empyema.
  • To explore if MBL deficiency correlates with specific empyema subtypes or clinical outcomes.

Main Methods:

  • Compared frequencies of six functional MBL polymorphisms in 170 European thoracic empyema patients and 225 healthy controls.
  • Analyzed MBL genotype associations with Gram-positive, pneumococcal empyema, mortality, and surgical intervention.

Main Results:

  • No significant association was found between MBL genotypic deficiency and overall susceptibility to thoracic empyema (P = 0.87).
  • MBL deficiency did not correlate with susceptibility to Gram-positive or pneumococcal empyema subgroups.
  • MBL genotypic deficiency was not associated with increased mortality or the need for surgery.

Conclusions:

  • MBL genotypic deficiency does not appear to be a risk factor for developing thoracic empyema in the studied European population.
  • The findings suggest MBL's role in host defense against thoracic empyema is likely minimal.

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