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Common Genetic Polymorphisms within NFκB-Related Genes and the Risk of Developing Invasive Aspergillosis
Carmen B Lupiañez1, María T Villaescusa2, Agostinho Carvalho3
1Genomic Oncology Area, GENYO, Center for Genomics and Oncological Research, Pfizer/University of Granada/Andalusian Regional Government, PTS GranadaGranada, Spain; Hematology Department, Virgen de las Nieves University HospitalGranada, Spain.
Abstract:
Invasive Aspergillosis (IA) is an opportunistic infection caused by Aspergillus, a ubiquitously present airborne pathogenic mold. A growing number of studies suggest a major host genetic component in disease susceptibility. Here, we evaluated whether 14 single-nucleotide polymorphisms within NFκB1, NFκB2, RelA, RelB, Rel, and IRF4 genes influence the risk of IA in a population of 834 high-risk patients (157 IA and 677 non-IA) recruited through a collaborative effort involving the aspBIOmics consortium and four European clinical institutions. No significant overall associations between selected SNPs and the risk of IA were found in this large cohort. Although a hematopoietic stem cell transplantation (HSCT)-stratified analysis revealed that carriers of the IRF4 rs12203592T/T genotype had a six-fold increased risk of developing the infection when compared with those carrying the C allele (ORREC = 6.24, 95%CI 1.25-31.2, P = 0.026), the association of this variant with IA risk did not reach significance at experiment-wide significant threshold. In addition, we found an association of the IRF4AATC and IRF4GGTC haplotypes (not including the IRF4 rs12203592T risk allele) with a decreased risk of IA but the magnitude of the association was similar to the one observed in the single-SNP analysis, which indicated that the haplotypic effect on IA risk was likely due to the IRF4 rs12203592 SNP. Finally, no evidence of significant interactions among the genetic markers tested and the risk of IA was found. These results suggest that the SNPs on the studied genes do not have a clinically relevant impact on the risk of developing IA.
Insights
Genetic variations in key immune response genes do not significantly increase the risk of Invasive Aspergillosis (IA). However, a specific IRF4 genotype showed a potential increased risk in hematopoietic stem cell transplant patients, though not reaching statistical significance.
Area of Science:
- Immunogenetics
- Infectious Diseases
- Medical Mycology
Background:
- Invasive Aspergillosis (IA) is a serious opportunistic infection caused by Aspergillus mold.
- Host genetic factors are increasingly recognized as important in IA susceptibility.
- Immune response genes, including NFκB and IRF4, are potential candidates for influencing IA risk.
Purpose of the Study:
- To investigate the association between single-nucleotide polymorphisms (SNPs) in NFκB1, NFκB2, RelA, RelB, Rel, and IRF4 genes and the risk of IA.
- To evaluate the role of these genetic markers in a large cohort of high-risk patients.
Main Methods:
- Genotyping of 14 SNPs in NFκB and IRF4 pathway genes in 834 high-risk patients (157 IA, 677 non-IA).
- Statistical analysis to determine associations between SNPs, haplotypes, and IA risk.
- Stratified analysis based on hematopoietic stem cell transplantation (HSCT) status.
Main Results:
- No significant overall association was found between the studied SNPs and IA risk in the entire cohort.
- A potential six-fold increased risk of IA was observed in HSCT patients carrying the IRF4 rs12203592T/T genotype, but this did not reach experiment-wide significance.
- IRF4 haplotypes showed associations with decreased IA risk, likely attributed to the rs12203592 SNP.
Conclusions:
- The investigated SNPs in NFκB and IRF4 pathway genes do not appear to have a clinically relevant impact on the overall risk of developing Invasive Aspergillosis.
- Further research may be needed to clarify the role of specific IRF4 variants in subgroups like HSCT recipients.
- No significant gene-gene interactions were identified for IA risk among the tested markers.
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