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MBL2 gene variants and susceptibility to meningitis in Egyptian patients
Mona F Sokkar1, Rehab M Mosaad1, Mahmoud Khalil2
1Molecular Genetics and Enzymology Department, Human Genetics and Genome Research Institute (HGGR), National Research Centre (NRC), Cairo, Egypt.
Background:
Meningitis is inflammation of the membranes enclosing the brain and spinal cord. It is a fatal disease with severe morbidity and mortality. Mannose binding lectin (MBL) encoded by MBL2 gene activates complement system through lectin pathway in innate immunity to defense against the infections.
Objective:
The current study aimed to investigate the promoter and exon 1 variants of MBL2 gene among Egyptian patients having meningitis to explore their role in disease susceptibility.
Patients And Methods:
This case-control study, included 53 patients and 50 sex and age matched controls. MBL2 genotyping was done using Sanger sequencing.
Results:
The frequency of one promoter (c.-290C > G) and four in exon 1 (c.161G > A, c.170G > A, c.154C > T and c.132C > T) as well as another one located in its 5'utranslated part (c.-66C > T) variants were estimated. The incidence of the four individual exonic variants was not significantly different between cases and healthy individuals (all P > 0.05). The promoter variant, c.-290C > G was found in all examined patients (84.9% of the patients in homozygote state and 15.1% of patients in heterozygous state) with a highly significant variance in the prevalence of this variant between cases and control group (p = 0.0001). Additionally, UTR variant (c.-66C > T) was also significantly higher in patients than controls (P = 0.033).In comparison with clinical outcome, it was found that c.170G > A variant named C allele was associated with favorable outcome in the studied patients (P = 0.025).
Conclusion:
The results obtained showed that the Promoter (c.-290C > G) and UTR (c.-66C > T) variants of MBL2 gene may be potential risk factors for disease susceptibility in Egyptian cases with meningitis. Our results also proposed that c.170G > A (C allele and CC genotype) could affect the severity and play a protective role in these patients. The other genetic variants of MBL2 gene, including c.132C > T, c.161G > A (A > B), and c.154C > T (A > D) that were investigated, did not show any association with susceptibility or severity of meningitis.
Insights
Genetic variants in the Mannose Binding Lectin 2 (MBL2) gene, specifically promoter (c.-290C>G) and UTR (c.-66C>T) variants, are associated with increased meningitis susceptibility in Egyptian patients. The MBL2 c.170G>A variant may offer protection against severe outcomes.
Area of Science:
- Genetics
- Immunology
- Molecular Biology
Background:
- Meningitis is a life-threatening inflammation of the membranes surrounding the brain and spinal cord.
- Mannose binding lectin (MBL), encoded by the MBL2 gene, plays a crucial role in innate immunity by activating the complement system against infections.
Purpose of the Study:
- To investigate the association between MBL2 gene promoter and exon 1 variants and meningitis susceptibility in Egyptian patients.
- To explore the potential role of these MBL2 variants in disease susceptibility and clinical outcomes.
Main Methods:
- A case-control study involving 53 meningitis patients and 50 age- and sex-matched healthy controls.
- Genotyping of MBL2 gene variants was performed using Sanger sequencing.
Main Results:
- The promoter variant (c.-290C>G) and the 5'UTR variant (c.-66C>T) of the MBL2 gene showed a significantly higher prevalence in meningitis patients compared to controls (p=0.0001 and p=0.033, respectively).
- No significant difference was observed in the incidence of four individual exon 1 variants (c.161G>A, c.170G>A, c.154C>T, c.132C>T) between cases and controls.
- The MBL2 c.170G>A variant (C allele) was associated with a favorable clinical outcome in meningitis patients (p=0.025).
Conclusions:
- MBL2 promoter (c.-290C>G) and UTR (c.-66C>T) variants may represent potential risk factors for meningitis susceptibility in the Egyptian population.
- The MBL2 c.170G>A variant (C allele and CC genotype) may play a protective role, potentially influencing disease severity.
- Investigated MBL2 variants c.132C>T, c.161G>A, and c.154C>T were not associated with meningitis susceptibility or severity.
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