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Published on: November 16, 2016
Association of the +874 T/A interferon gamma polymorphism with infections in sickle cell disease
M O Joannes1, G Loko, J Deloumeaux
1Université des Antilles et de la Guyane, Pointe-à-Pitre, Guadeloupe, France.
Abstract:
Infectious complications are a leading cause of morbidity and mortality in patients with sickle cell disease. Several mechanisms are supposed to contribute to this susceptibility. The exact reasons for the susceptibility of sickle cell patients to infection are not clear and are still a matter of debate. Interferon gamma (IFNgamma) is a key cytokine involved mainly in the defence against intracellular pathogens. We investigated a possible association of an IFNgamma +874 T/A polymorphism and infectious complications in sickle cell patients. Seventy-two sickle cell patients were typed for +874 T/A IFNgamma polymorphism. Genotype frequencies were different between cases and controls. Indeed, the T allele frequency was significantly higher in patients with infections than in patients without infections (P = 0.014). Our results suggest that the +874 T/A IFNgamma polymorphism is associated with infectious complications in sickle cell patients. T allele could be involved in infections in sickle cell patients.
Insights
Sickle cell disease patients with a specific interferon gamma gene variation (+874 T allele) show a higher risk of infectious complications. This finding may help predict infection susceptibility in these individuals.
Area of Science:
- Immunogenetics
- Hematology
- Infectious Diseases
Background:
- Infectious complications significantly increase morbidity and mortality in sickle cell disease (SCD) patients.
- The precise mechanisms underlying heightened infection susceptibility in SCD remain incompletely understood.
- Interferon gamma (IFNγ) is crucial for combating intracellular pathogens, suggesting a potential role in SCD-related infections.
Purpose of the Study:
- To investigate the association between the Interferon gamma (+874 T/A) gene polymorphism and infectious complications in sickle cell disease patients.
- To determine if specific genotypes of the IFNγ +874 T/A polymorphism correlate with increased infection risk in SCD.
Main Methods:
- Genotyping of the IFNγ +874 T/A polymorphism was performed on 72 sickle cell disease patients.
- Patients were categorized into groups based on the presence or absence of infectious complications.
- Allele and genotype frequencies were compared between cases and controls.
Main Results:
- Significant differences in genotype frequencies were observed between patients with and without infections.
- The T allele frequency of the IFNγ +874 T/A polymorphism was significantly higher in infected sickle cell disease patients compared to non-infected patients (P = 0.014).
Conclusions:
- The IFNγ +874 T/A polymorphism is associated with infectious complications in sickle cell disease patients.
- The T allele may play a role in increasing susceptibility to infections in individuals with sickle cell disease.
- This genetic marker could potentially aid in identifying at-risk SCD patients for targeted preventive strategies.
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