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Risk of nontyphoidal Salmonella bacteraemia in African children is modified by STAT4

Author

Listed:
  • James J. Gilchrist

    (University of Oxford
    University of Oxford)

  • Anna Rautanen

    (University of Oxford)

  • Benjamin P. Fairfax

    (University of Oxford)

  • Tara C. Mills

    (University of Oxford)

  • Vivek Naranbhai

    (University of Oxford)

  • Holly Trochet

    (University of Oxford)

  • Matti Pirinen

    (University of Oxford
    Finland (FIMM) University of Helsinki)

  • Esther Muthumbi

    (KEMRI-Wellcome Trust Research Programme)

  • Salim Mwarumba

    (KEMRI-Wellcome Trust Research Programme)

  • Patricia Njuguna

    (KEMRI-Wellcome Trust Research Programme)

  • Neema Mturi

    (KEMRI-Wellcome Trust Research Programme)

  • Chisomo L. Msefula

    (College of Medicine
    College of Medicine)

  • Esther N. Gondwe

    (College of Medicine)

  • Jenny M. MacLennan

    (College of Medicine
    University of Oxford)

  • Stephen J. Chapman

    (University of Oxford
    Oxford University Hospitals)

  • Malcolm E. Molyneux

    (College of Medicine)

  • Julian C. Knight

    (University of Oxford)

  • Chris C. A. Spencer

    (University of Oxford)

  • Thomas N. Williams

    (KEMRI-Wellcome Trust Research Programme
    Imperial College)

  • Calman A. MacLennan

    (College of Medicine
    University of Oxford)

  • J. Anthony G. Scott

    (KEMRI-Wellcome Trust Research Programme
    London School of Hygiene and Tropical Medicine)

  • Adrian V. S. Hill

    (University of Oxford
    University of Oxford)

Abstract

Nontyphoidal Salmonella (NTS) is a major cause of bacteraemia in Africa. The disease typically affects HIV-infected individuals and young children, causing substantial morbidity and mortality. Here we present a genome-wide association study (180 cases, 2677 controls) and replication analysis of NTS bacteraemia in Kenyan and Malawian children. We identify a locus in STAT4, rs13390936, associated with NTS bacteraemia. rs13390936 is a context-specific expression quantitative trait locus for STAT4 RNA expression, and individuals carrying the NTS-risk genotype demonstrate decreased interferon-γ (IFNγ) production in stimulated natural killer cells, and decreased circulating IFNγ concentrations during acute NTS bacteraemia. The NTS-risk allele at rs13390936 is associated with protection against a range of autoimmune diseases. These data implicate interleukin-12-dependent IFNγ-mediated immunity as a determinant of invasive NTS disease in African children, and highlight the shared genetic architecture of infectious and autoimmune disease.

Suggested Citation

  • James J. Gilchrist & Anna Rautanen & Benjamin P. Fairfax & Tara C. Mills & Vivek Naranbhai & Holly Trochet & Matti Pirinen & Esther Muthumbi & Salim Mwarumba & Patricia Njuguna & Neema Mturi & Chisomo, 2018. "Risk of nontyphoidal Salmonella bacteraemia in African children is modified by STAT4," Nature Communications, Nature, vol. 9(1), pages 1-11, December.
  • Handle: RePEc:nat:natcom:v:9:y:2018:i:1:d:10.1038_s41467-017-02398-z
    DOI: 10.1038/s41467-017-02398-z
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