血球蛋白变体和疾病表现在严重的虫虫疟疾
Jürgen May1, Jennifer A Evans, Christian Timmann
1Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
JAMA
|May 24, 2007
概括
血红蛋白S (HbS) 载体的身份可以防止所有严重的疟疾形式. 血红蛋白C (HbC) 和α+-thalassemia (-α) 载体状态仅对分别大脑疟疾和严重贫血提供保护.
科学领域:
- 遗传学和人类进化
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
背景情况:
- 血红蛋白S (HbS),血红蛋白C (HbC) 和α+-thalassemia (-alpha) 的地理分布表明选择与疟疾的平衡.
- 虽然已经确立了HbS载体状态对疟疾的保护,但对HbC和-alpha的证据不那么有说服力,特别是在特定的疾病形式方面.
研究的目的:
- 调查严重的型疟疾和HbS,HbC和-alpha.的载体状态之间的关联.
主要方法:
- 一项涉及2591名患有严重型疟疾的儿童和2048名西非加纳儿童的病例控制研究.
- 对患者和对照群体中HbS,HbC和-alpha的基因型频率的分析.
- 根据严重疾病的临床症状对疟疾患者的分层.
主要成果:
- HbS载体状态与所有研究的严重疟疾形式 (OR,0.08) 有显著的负相关性.
- HbC载体状态被选择性地与脑疟疾风险降低相关 (OR,0.64).
- -α载体状态被选择性地与严重贫血风险降低相关 (OR,0.82).
结论:
- 这种HbS载体状态对严重的虫疟疾提供了广泛的保护.
- HbC和-α载体状态分别提供针对脑疟疾和严重贫血的特殊保护.
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