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

Gilchrist, JJ; Rautanen, A; Fairfax, BP; Mills, TC; Naranbhai, V; Trochet, H; Pirinen, M; ... Hill, AVS; + view all (2018) Risk of nontyphoidal Salmonella bacteraemia in African children is modified by STAT4. Nature Communications , 9 , Article 1014. 10.1038/s41467-017-02398-z. Green open access

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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.

Type: Article
Title: Risk of nontyphoidal Salmonella bacteraemia in African children is modified by STAT4
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41467-017-02398-z
Publisher version: https://doi.org/10.1038/s41467-017-02398-z
Language: English
Additional information: Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10055129
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