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Functional Single-Nucleotide Polymorphisms in the MBL2 and TLR3 Genes Influence Disease Severity in Influenza A
Manohar Lal Choudhary1, Urmila Chaudhary1, Malvika Salve1
1ICMR-National Institute of Virology, Pune, India.
Abstract:
The clinical outcome in influenza A (H1N1)pdm09 virus-infected subjects is determined by several factors, including host genetics. In the present study, single-nucleotide polymorphisms (SNPs) in the IFITM, MBL2, TLR3, TLR8, DDX58, IFIH1, CD55, and FCGR2, genes were investigated in influenza A (H1N1)pdm09 virus-infected subjects to find out their association with disease severity. Influenza A (H1N1)pdm09 virus-infected subjects with severe disease (n = 86) and mild disease (n = 293) from western India were included in the study. The SNPs were investigated by PCR-based methods. The results revealed a higher frequency of TLR3 rs5743313 T/T genotype [odds ratio (OR) with 95% confidence interval (CI) 2.55 (1.08-6.04) p = 0.039] and TLR3 two-locus haplotype rs3775291-rs3775290 T-A [OR with 95% CI 7.94 (2.05-30.68)] in severe cases. Lower frequency of the mutant allele of MBL2 rs1800450 [OR with 95% CI 0.51 (0.27-0.87), p = 0.01] and TLR3 two-locus haplotype rs3775291-rs3775290 T-G [OR with 95% CI 0.48 (0.27-0.85)] was observed in severe cases compared with cases with mild disease. Higher frequency of TLR3 two-locus haplotype rs3775291-rs3775290 T-A was observed in severe cases [OR with 95% CI 7.9 (2.0-30.7)]. The allele and genotype frequencies of other SNPs were not different between the study categories. The results suggest that the functional SNPs in MBL2 and TLR3 are associated with severe disease in influenza A (H1N1)pdm09 virus-infected subjects.
Insights
Host genetics influence influenza A (H1N1)pdm09 severity. Specific single-nucleotide polymorphisms (SNPs) in Toll-like receptor 3 (TLR3) and Mannose-binding lectin 2 (MBL2) genes were associated with severe outcomes in infected individuals.
Area of Science:
- Immunogenetics
- Virology
- Human Genetics
Background:
- Host genetic factors significantly impact the clinical outcome of influenza A (H1N1)pdm09 virus infections.
- Understanding these genetic determinants is crucial for predicting disease severity and developing targeted interventions.
Purpose of the Study:
- To investigate the association between single-nucleotide polymorphisms (SNPs) in key immune-related genes and the severity of influenza A (H1N1)pdm09 virus infection.
- To identify specific genetic markers that correlate with severe disease manifestations.
Main Methods:
- A case-control study was conducted with 86 severe and 293 mild influenza A (H1N1)pdm09 virus-infected cases from western India.
- Genotyping of SNPs in IFITM, MBL2, TLR3, TLR8, DDX58, IFIH1, CD55, and FCGR2 genes was performed using PCR-based methods.
Main Results:
- A significantly higher frequency of the TLR3 rs5743313 T/T genotype and the TLR3 two-locus haplotype rs3775291-rs3775290 T-A was observed in severe cases.
- Conversely, a lower frequency of the MBL2 rs1800450 mutant allele and the TLR3 rs3775291-rs3775290 T-G haplotype was noted in severe cases compared to mild cases.
- No significant differences in allele and genotype frequencies were found for other investigated SNPs between the groups.
Conclusions:
- Functional single-nucleotide polymorphisms (SNPs) in the MBL2 and TLR3 genes are associated with severe disease outcomes in individuals infected with the influenza A (H1N1)pdm09 virus.
- These findings highlight the role of specific genetic variations in modulating the host's response to influenza infection.
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