BACKGROUND Leprosy or hansen’s disease is a spectral disease whose clinical forms mostly
depends on host’s immune and genetic factors. Different Toll-like receptors (TLR)
variants have been described associated with leprosy, but with some lack of
replication across different populations.OBJECTIVES To evaluate the role of polymorphisms in genes TLR1,
TLR2 and TLR4 and susceptibility to leprosy
in a genetic case control study; to verify the association between genotypes of
these markers and the immunological profile in the serum of patients with
leprosy.METHODS Pre-designed TaqMan® assays were used to genotype markers at
TLR1 (rs4833095, rs5743551), TLR2 (rs7656411,
rs3804099) and TLR4 (rs1927914, rs1927911). A panel of cytokines
and chemokines was accessed by enzime-linked immunosorbent assay (ELISA) test in
the serum of a subgroup of patients with and without leprosy reactions.FINDINGS Our results show an association between the T allele of rs3804099 at the
TLR2 gene and increased risk for leprosy per se [Odds ratio
(OR) = 1.296, p = 0,022]. In addition, evaluating the association between
different genotypes of the TLR1, 2 and 4 markers and cytokine/chemokine
serological levels, IL-17 appears as an immunological marker regulated by the
polymorphism of the three TLR genes evaluated, whereas different
TLR1 genotypes were associated with differential production of
IL-12p40 and MCP-1(CCL2). Furthermore, other relevant serum markers such as
CXCL-10 and IL-6 seemed to be regulated by TLR2 variants and
IL-1β was related to TLR4 genotypes.MAIN CONCLUSIONS All together our data points that the tested TLR markers may have a regulatory
role in the immunity against Mycobacterium leprae, by driving the
host’s production of key cytokines and chemokines involved in the pathogenesis of
this disease.