title: Genetic analysis of multicase families of visceral leishmaniasis in northeastern Brazil: no major role for class II or class III regions of HLA.
abstract: Familial aggregation, high relative risk to siblings, and segregation analysis, suggest genetic control of visceral leishmaniasis in Brazil. Class II gene effects in mice, and high circulating tumour necrosis factor alpha in humans, provide reasons to target HLA. Fifteen polymorphic markers across 1.03 Mb (DQB1 to TNFa) were genotyped (87 multicase families; 638 individuals). Model-based parametric analyses using single-point combined segregation and linkage in COMDS, or multi-point linkage in ALLEGRO, failed to detect linkage. Model-free nonparametric affected sibling pair (SPLINK) or NPL(all) score (ALLEGRO) analyses also failed to detect linkage. Information content mapping confirmed sufficient marker information to detect linkage. Analysis of simulated data sets demonstrated that these families had 100% power to detect NPL(all) scores of 5 to 6 (>LOD4; P < 0.00001) over the range (7% to 61%) of age-related penetrances for a disease susceptibility gene. The extended transmission disequilibrium test (TDT) showed no consistent allelic associations between disease and the 15 loci. TDT also failed to detect significant associations between extended haplotypes and disease, consistent with failure to detect significant linkage disequilibrium across the region. Linkage disequilibrium between adjacent groups of markers (HLADQ/DR; 82-1/82-3/-238bpTNFA; LTA/62/TNFa) was not accompanied by significant global haplotype TDT associations with disease. The data suggest that class II/III regions of HLA do not contain major disease gene(s) for visceral leishmaniasis in Brazil.
authors.affiliation: Cambridge Institute for Medical Research, Wellcome Trust/MRC Building, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2XY, UK.
authors.forename: C S
authors.initials: CS
authors.lastname: Peacock
authors.forename: C B
authors.initials: CB
authors.lastname: Sanjeevi
authors.forename: M-A
authors.initials: MA
authors.lastname: Shaw
authors.forename: A
authors.initials: A
authors.lastname: Collins
authors.forename: R D
authors.initials: RD
authors.lastname: Campbell
authors.forename: R
authors.initials: R
authors.lastname: March
authors.forename: F
authors.initials: F
authors.lastname: Silveira
authors.forename: J
authors.initials: J
authors.lastname: Costa
authors.forename: C H
authors.initials: CH
authors.lastname: Coste
authors.forename: M D
authors.initials: MD
authors.lastname: Nascimento
authors.forename: R
authors.initials: R
authors.lastname: Siddiqui
authors.forename: J J
authors.initials: JJ
authors.lastname: Shaw
authors.forename: J M
authors.initials: JM
authors.lastname: Blackwell
mesh_terms: D000818:Animals; D001938:Brazil; D005819:Genetic Markers; D020022:Genetic Predisposition to Disease; D000949:Histocompatibility Antigens Class II / Q000235:genetics* / Q000276:immunology; D006801:Humans; D007893:Leishmania donovani / Q000276:immunology*; D007898:Leishmaniasis, Visceral / Q000235:genetics* / Q000276:immunology*; D008126:Lod Score
chemical_list: D005819:Genetic Markers; D000949:Histocompatibility Antigens Class II