Sialoadhesin is a macrophage‐restricted adhesion molecule of 185 kDa that mediates sialic acid‐dependent binding to cells. It is expressed strongly by macrophages in lymphoid and haemopoietic tissues where it is likely to mediate cell‐cell interactions. Here we report the molecular cloning of murine sialoadhesin and show that it is a new member of the immunoglobulin (Ig) superfamily with 17 Ig‐like domains. COS cells transfected with a cDNA encoding full‐length sialoadhesin bound mouse bone marrow cells in a sialic acid‐dependent manner. Alternatively spliced cDNAs, predicting soluble forms of sialoadhesin containing the first three or 16 Ig‐like domains of sialoadhesin, were expressed in COS cells and the respective proteins purified. When immobilized on plastic, the 16‐domain form bound cells in a sialic acid‐dependent manner, suggesting that sialoadhesin can function in both secreted and membrane‐bound forms. The most similar proteins in the database were CD22, myelin‐associated glycoprotein, Schwann cell myelin protein and CD33. Like sialoadhesin, CD22 mediates sialic acid‐dependent cell adhesion. The sequence similarity of sialoadhesin to CD22 and related members of the Ig superfamily indicates the existence of a novel family of sialic acid binding proteins involved in cell‐cell interactions.

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Abstract. Twin and family studies indicate that host genetic factors influence susceptibility to leprosy and, possibly, leprosy type. Murine studies have suggested a role for the natural resistance-associated macrophage protein 1 (Nramp1) gene, which can influence cellular immune responses to intracellular pathogens. We evaluated a variation in the human homolog, NRAMP1, recently associated with tuberculosis susceptibility in West Africa. A total of 273 patients with leprosy and 201 controls from Mali were genotyped for NRAMP1 polymorphisms previously associated with tuberculosis. No association was found with leprosy per se (P ϭ 0.83), but the NRAMP1 3Ј-untranslated region 4-bp insertion/deletion polymorphism was associated with leprosy type (P ϭ 0.007). Heterozygotes were more frequent among multibacillary than paucibacillary leprosy cases. Thus, variation in or near the NRAMP1 gene may exert an influence on the clinical presentation of leprosy, possibly by influencing cellular immune response type.

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