2005
DOI: 10.1038/ng1550
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A variant in the CD209 promoter is associated with severity of dengue disease

Abstract: Dengue fever and dengue hemorrhagic fever are mosquito-borne viral diseases. Dendritic cell-specific ICAM-3 grabbing nonintegrin (DC-SIGN1, encoded by CD209), an attachment receptor of dengue virus, is essential for productive infection of dendritic cells. Here, we report strong association between a promoter variant of CD209, DCSIGN1-336, and risk of dengue fever compared with dengue hemorrhagic fever or population controls. The G allele of the variant DCSIGN1-336 was associated with strong protection against… Show more

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Cited by 268 publications
(270 citation statements)
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“…This observation is consistent with what was described by others, who were not able to replicate an association of À336A with TB in a small Colombia cohort. 25 Since the À871 SNP is absent in sub-Saharan Africans, our negative finding can only exclude a causal effect of À336, but we cannot confute a role for the À871/À336 haplotype in non-Africans. The apparent conflict of our data with that of Barreiro et al 5 can be explained by genetic heterogeneity (with different populations having differences in gene variants affecting risk) and is in agreement with the finding that their effect was mainly confined to people of Eurasian descent.…”
Section: Discussionmentioning
confidence: 64%
“…This observation is consistent with what was described by others, who were not able to replicate an association of À336A with TB in a small Colombia cohort. 25 Since the À871 SNP is absent in sub-Saharan Africans, our negative finding can only exclude a causal effect of À336, but we cannot confute a role for the À871/À336 haplotype in non-Africans. The apparent conflict of our data with that of Barreiro et al 5 can be explained by genetic heterogeneity (with different populations having differences in gene variants affecting risk) and is in agreement with the finding that their effect was mainly confined to people of Eurasian descent.…”
Section: Discussionmentioning
confidence: 64%
“…The G allele of the variant of the promoter region (DC-SIGN-336) was associated with protection against dengue fever, but not dengue haemorrhagic fever. 96 This finding suggests that different disease phenotypes may be partly related to the activity of CD209 and the degree of DC-SIGN expression. Another area of focus in determining susceptibility to dengue has been polymorphisms in human platelet antigens (HPA).…”
Section: Genetic Determinants Of Dengue Susceptibilitymentioning
confidence: 99%
“…Host factors that increase the risk of severe dengue disease include female sex, several human leukocyte antigen (HLA) class I alleles, a promoter variant of the DC-SIGN receptor gene, a single-nucleotide polymorphism in the tumour necrosis factor (TNF) gene and AB blood group [31][32][33][34][35][36] . Host factors that reduce the risk of severe disease during a second dengue infection include race, second or third degree malnutrition, and polymorphisms in the Fcγ receptor and vitamin D receptor genes [37][38][39][40][41][42] .…”
Section: Dengue Virus Pathogenesismentioning
confidence: 99%