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Urban-rural differences in the gene expression profiles of Ghanaian children
A S Amoah1, B B Obeng1, L May2
11] Department of Parasitology, Noguchi Memorial Institute for Medical Research, Accra, Ghana [2] Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands.
Insights
Urbanization significantly alters immune gene expression in Ghanaian children, with environmental factors playing a key role. These changes in immune activation and regulation genes may explain observed shifts in disease patterns.
Area of Science:
- Immunology
- Environmental Health
- Genetics
Background:
- Urbanization impacts disease patterns in developing nations.
- Understanding the immunological underpinnings of these changes is crucial.
Purpose of the Study:
- To investigate mRNA expression of immune genes in children from rural and urban settings in Ghana.
- To explore the relationship between socioeconomic status, environment, and immune gene profiles.
Main Methods:
- Analyzed whole blood mRNA expression of immune genes in 151 children (aged 5-13).
- Compared gene expression across rural, urban low-SES, and urban high-SES schools.
- Assessed helminth and malaria infections and analyzed specific gene polymorphisms (IL-10, TLR-2, TLR-4).
Main Results:
- Significant differences in immune gene expression were found between rural and urban areas, and within urban settings.
- Interleukin-10 (IL-10) and programmed cell death protein 1 expression increased from urban high-SES to rural areas.
- Toll-like receptor (TLR) gene expression varied significantly between urban schools, independent of parasitic infection.
Conclusions:
- Immune gene expression patterns are strongly influenced by environmental determinants, not solely genetics.
- Environmental factors associated with urbanization play a significant role in shaping immune responses.
- These immune alterations may underlie observed changes in health outcomes related to urbanization.
Abstract:
Recent studies indicate that urbanization is having a pronounced effect on disease patterns in developing countries. To understand the immunological basis of this, we examined mRNA expression in whole blood of genes involved in immune activation and regulation in 151 children aged 5-13 years attending rural, urban low socioeconomic status (SES) and urban high-SES schools in Ghana. Samples were also collected to detect helminth and malaria infections. Marked differences in gene expression were observed between the rural and urban areas as well as within the urban area. The expression of both interleukin (IL)-10 and programmed cell death protein 1 increased significantly across the schools from urban high SES to urban low SES to rural (P-trend <0.001). Although IL-10 gene expression was significantly elevated in the rural compared with the urban schools (P<0.001), this was not associated with parasitic infection. Significant differences in the expression of toll-like receptors (TLRs) and their signaling genes were seen between the two urban schools. Genetic differences could not fully account for the gene expression profiles in the different groups as shown by analysis of IL-10, TLR-2 and TLR-4 gene polymorphisms. Immune gene expression patterns are strongly influenced by environmental determinants and may underlie the effects of urbanization seen on health outcomes.
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