1991
DOI: 10.1038/352595a0
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Common West African HLA antigens are associated with protection from severe malaria

Abstract: A large case-control study of malaria in West African children shows that a human leucocyte class I antigen (HLA-Bw53) and an HLA class II haplotype (DRB1*1302-DQB1*0501), common in West Africans but rare in other racial groups, are independently associated with protection from severe malaria. In this population they account for as great a reduction in disease incidence as the sickle-cell haemoglobin variant. These data support the hypothesis that the extraordinary polymorphism of major histocompatibility comp… Show more

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Cited by 1,435 publications
(930 citation statements)
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“…Previous research with class I loci indicate a correlation between specific alleles and the genetic basis of resistance to particular diseases. [3][4][5][6] However, the relationships uniting each of the alleles at these loci are less clear. Competing processes of selection, recombination, functional constraints, and mutation rates obscure efforts to identify groups of alleles involved with specific diseases.…”
Section: Introductionmentioning
confidence: 99%
“…Previous research with class I loci indicate a correlation between specific alleles and the genetic basis of resistance to particular diseases. [3][4][5][6] However, the relationships uniting each of the alleles at these loci are less clear. Competing processes of selection, recombination, functional constraints, and mutation rates obscure efforts to identify groups of alleles involved with specific diseases.…”
Section: Introductionmentioning
confidence: 99%
“…The first peptide (as 8-mer or 9-mer) causes a cytotoxic T lymphocyte (CTL) response whereas the presence of the variant peptides presented by B8 antagonises this same CTL response [19]. HLA B53, a common African allele, which has been shown to be associated with resistance to severe malaria in the Gambia [20], has been crystallized with two 9-mer peptide epitopes, Is6 (KPIVQYDNF) from the malaria parasite P. falciparum [21] and TPYDINQML from the Gag protein of HIV-2 [22]. The related allele HLA B3501 has also been crystallized complexed with the 8-mer nef peptide (VPLRPMTY) [23] which comes from a region conserved in the HIV-1 and HIV-2 genomes.…”
Section: Introductionmentioning
confidence: 99%
“…30 However, we are not aware of previous reports of gene-environment interactions affecting susceptibility to an infectious disease. HLA alleles have been associated with susceptibility to other infectious pathogens 13,14 including P. malariae, 31,32 M. tuberculosis [33][34][35] and HIV. [36][37][38][39][40][41] These associations are often attributed to changes in T-cell response caused by modified interaction between the variant HLA allele and antigenic peptides.…”
Section: Resultsmentioning
confidence: 99%