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Published on: April 1, 2019
Toll-like receptor-3 gene polymorphism in patients with Japanese encephalitis
Sumant Biyani1, Ravindra Kumar Garg1, Amita Jain2
1Department of Neurology, King George Medical University, Uttar Pradesh, Lucknow, India.
Introduction:
Japanese encephalitis (JE) is one of the most lethal mosquito-borne viral encephalitis seen in India. Toll-like receptors (TLRs) play a critical role in host defence mechanism against flaviviruses causing encephalitis. We assessed whether abnormalities in toll-like receptor (TLR3) increase the susceptibly for JE.
Method:
A total of 103 JE patients (all from an endemic area) and 103 healthy control subjects were examined for TLR3 Leu412Phe polymorphism with the help of polymerase chain reaction (PCR) and genetic sequencing method.
Results:
A significantly higher frequency of Leu412Phe polymorphism was noted in JE patients as compared with healthy controls [mutant (TT) genotype, P-value=0.019; mutant (TT)+heterozygous (CT) genotype, P-value=0.013]. Furthermore, frequency of 412Phe allele (T) of TLR3 gene was significantly higher in patients with JE than in controls (P-value=0.001). There was no significant difference in the distribution of any of the TLR3 Leu412Phe (L412F) polymorphism genotype with death within 1month.
Conclusion:
TLR3 gene polymorphism might confer host genetic susceptibility to JE in Indian population. TLR3 polymorphism did not affect the mortality.
Insights
Genetic variations in Toll-like receptor 3 (TLR3) are linked to increased susceptibility to Japanese encephalitis (JE) in India. However, TLR3 gene polymorphism does not appear to influence mortality rates from the disease.
Area of Science:
- Immunogenetics
- Neurovirology
- Infectious Diseases
Background:
- Japanese encephalitis (JE) is a severe mosquito-borne viral encephalitis prevalent in India.
- Toll-like receptors (TLRs) are crucial in the host immune response against flaviviruses.
- Investigating TLR3's role may reveal genetic factors influencing JE susceptibility.
Purpose of the Study:
- To determine if Toll-like receptor 3 (TLR3) gene abnormalities increase susceptibility to Japanese encephalitis (JE).
- To analyze the association between TLR3 Leu412Phe polymorphism and JE risk in the Indian population.
Main Methods:
- Genotyping of TLR3 Leu412Phe polymorphism using polymerase chain reaction (PCR) and genetic sequencing.
- Comparison of TLR3 polymorphism frequencies between 103 JE patients and 103 healthy controls from an endemic area.
Main Results:
- A significantly higher frequency of TLR3 Leu412Phe polymorphism (TT and CT genotypes) was observed in JE patients compared to controls (P=0.013-0.019).
- The 412Phe allele (T) of the TLR3 gene was significantly more prevalent in JE patients (P=0.001).
- No significant association was found between TLR3 Leu412Phe polymorphism and mortality within one month of JE diagnosis.
Conclusions:
- TLR3 gene polymorphism may contribute to host genetic susceptibility to Japanese encephalitis in the Indian population.
- TLR3 polymorphism does not appear to be a significant factor in JE-related mortality.
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