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Updated: Feb 12, 2026

Genotyping of Sea Anemone during Early Development
Published on: May 13, 2019
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
Background:
The role of the innate immune protein mannose-binding lectin (MBL) in host defence against severe respiratory infection remains controversial. Thoracic empyema is a suppurative lung infection that arises as a major complication of pneumonia and is associated with a significant mortality. Although the pathogenesis of thoracic empyema is poorly understood, genetic susceptibility loci for this condition have recently been identified. The possible role of MBL genotypic deficiency in susceptibility to thoracic empyema has not previously been reported.
Methods:
To investigate this further we compared the frequencies of the six functional MBL polymorphisms in 170 European individuals with thoracic empyema and 225 healthy control individuals.
Results:
No overall association was observed between MBL genotypic deficiency and susceptibility to thoracic empyema (2 x 2 Chi square = 0.02, P = 0.87). Furthermore, no association was seen between MBL deficiency and susceptibility to the Gram-positive or pneumococcal empyema subgroups. MBL genotypic deficiency did not associate with progression to death or requirement for surgery.
Conclusions:
Our results suggest that MBL genotypic deficiency does not associate with susceptibility to thoracic empyema in humans.
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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