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Published on: April 1, 2019
Association between the lymphotoxin-alpha gene polymorphism and chagasic cardiopathy
Cristina Wide Pissetti1, Rafael Faria de Oliveira, Dalmo Correia
1Laboratory of Immunology, Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil. cristinawpissetti@gmail.com
Insights
Genetic variations in Lymphotoxin-alpha (LT-alpha) increase the risk of developing cardiac Chagas
Area of Science:
- Immunology
- Genetics
- Infectious Diseases
Background:
- Lymphotoxin-alpha (LT-alpha) is a key inflammatory cytokine involved in immune responses and tissue organization.
- Its role in chronic inflammation suggests a potential link to the pathogenesis of chronic Chagas' disease, particularly cardiac complications.
Purpose of the Study:
- To investigate the genetic associations of LT-alpha polymorphisms with chronic Chagas' disease.
- To explore the biological expression and function of LT-alpha in patients with chronic Chagas' disease.
Main Methods:
- Genotyping of the LT-alpha (+252) single-nucleotide polymorphism using PCR-RFLP in 284 subjects.
- Quantification of LT-alpha expression via ELISA in supernatants and flow cytometry on T lymphocytes.
- Analysis of LT-alpha expression in relation to Trypanosoma cruzi antigen stimulation.
Main Results:
- Carriers of LT-alpha genotypes GG and GA showed a significantly higher risk (2.8x and 2.4x, respectively) of developing cardiac Chagas' disease compared to genotype AA.
- Individuals with the G allele exhibited higher LT-alpha production.
- LT-alpha was predominantly expressed by CD8(+) T lymphocytes, both spontaneously and upon T. cruzi stimulation.
Conclusions:
- Genetic variations in LT-alpha are associated with an increased susceptibility to cardiac Chagas' disease.
- LT-alpha plays a significant biological role in the inflammatory processes underlying cardiac manifestations of chronic Chagas' disease.
- CD8(+) T cells are a primary source of LT-alpha in the context of Chagas' disease.
Abstract:
Lymphotoxin-alpha (LT-alpha or LTA) is an inflammatory cytokine that is involved in the organization and maintenance of the inflammatory process and in the arrangement of cells at the site of inflammation. These features suggest an important role in the development of chronic Chagas' disease, especially the cardiac form. The objective of this study was to evaluate LT-alpha genetics and its biological role in chronic Chagas' disease. A total of 284 subjects were studied. The LT-alpha single-nucleotide polymorphism (+252) was analyzed by the polymerase chain reaction-restriction fragment length polymorphism and expression by enzyme-linked immunosorbent assay in culture supernatants and in individual T lymphocytes by flow cytometry. The risk of developing the cardiac form was 2.8 times higher among carriers of genotype GG and 2.4 times among carriers of genotype GA when compared to subjects carrying genotype AA. Seropositive subjects carrying the G allele produced significantly higher levels of LT-alpha. The cytokine was mainly expressed by CD8(+) T lymphocytes in the absence of any stimulus and after stimulation with the Trypanosoma cruzi antigen. This study provides genetic and biological evidence for an important role of LT-alpha in the development of the cardiac form of Chagas' disease.
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