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Published on: April 1, 2019
Association of rs12722 COL5A1 with pulmonary tuberculosis: a preliminary case-control study in a Kazakhstani
Sanzhar Zhetkenev1, Ayauly Khassan1, Armanay Khamzina1
1School of Medicine, Nazarbayev University, Nur-Sultan city, Kazakhstan.
Abstract:
Lung cavitation is the classic hallmark of TB, which facilitates the disease development and transmission. It involves the degradation of lung parenchyma which is mainly made up of collagen fibers by metalloproteinases (MMPs) produced by activated monocyte-derived cells, neutrophils and stromal cells. The following population-based preliminary case-control study of adults with TB (50) and controls (112) without TB was used to investigate possible association between rs1800012 in COL1A1, rs12722 in COL5A1 genes and pulmonary TB in Kazakhstan. We examined 162 samples (50 cases and 112 controls) to study the associations between TB disease status and demographic variables along with single nucleotide polymorphisms related to COLA1 and COL5A1. The unadjusted χ2 and multivariable logistic regression was performed to find out relationships between SNP and other predictors. Preliminary findings suggest that there is a statistically significant association of age (AOR = 0.97, 95% CI:0.94-0.99, p value = 0.049), social status (AOR = 2.41, 95% CI:1.16-5.02, p value = 0.018), HIV status (AOR = 7.12, 95% CI:1.90-26.7, p value = 0.004) and heterozygous rs12722 SNP (AOR = 2.47, 95% CI:1.17-5.19, p value = 0.018) polymorphism of COL5A1 gene with TB susceptibility. The association of collagen genes with TB pathogenesis indicates that anti TB programs can include development of new drug regimens that include MMP inhibitors which has been found to be helpful in collagen remodeling and repair. Therapeutic targeting of MMPs will prevent extracellular matrix and collagen degradation and granuloma maturation.
Insights
This study found that a specific gene variant in COL5A1 is associated with increased susceptibility to tuberculosis (TB). Targeting metalloproteinases (MMPs) may offer new therapeutic strategies for TB by aiding collagen repair.
Area of Science:
- Genetics
- Immunology
- Pathology
Background:
- Lung cavitation, a hallmark of tuberculosis (TB), involves lung parenchyma degradation mediated by matrix metalloproteinases (MMPs).
- Collagen fibers are crucial components of lung parenchyma, and their degradation by MMPs contributes to TB pathogenesis.
Purpose of the Study:
- To investigate the association between specific single nucleotide polymorphisms (SNPs) in COL1A1 and COL5A1 genes and pulmonary TB susceptibility in Kazakhstan.
- To identify demographic and genetic factors influencing TB risk.
Main Methods:
- A population-based case-control study involving 50 TB patients and 112 controls.
- Genotyping of rs1800012 in COL1A1 and rs12722 in COL5A1 using logistic regression analysis.
- Analysis of demographic variables including age, social status, and HIV status.
Main Results:
- A statistically significant association was found between the heterozygous rs12722 SNP in the COL5A1 gene and increased TB susceptibility (AOR=2.47, p=0.018).
- Age, social status, and HIV status were also significantly associated with TB.
- No significant association was observed for the rs1800012 SNP in COL1A1.
Conclusions:
- The COL5A1 gene polymorphism, specifically rs12722, may play a role in TB susceptibility.
- Findings suggest that targeting MMPs could be a potential therapeutic strategy for TB by promoting collagen remodeling and repair.
- Further research into collagen gene variations and MMP inhibition could inform novel anti-TB treatment regimens.
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