Abstract. The p53 protein is a key cell-signaling mediator integrating host responses to various types of stress. A common polymorphism of the encoding TP53 gene (codon 72, Pro Arg, rs1042522) is associated with susceptibility to virus-related and other cancers. The p53 has also been shown to be central for successful Plasmodium liver stage infection. We examined whether the polymorphism is associated with P. falciparum infection in Ghanaian primiparae and Rwandan children. The allele frequency of TP53 codon 72 Arg was 0.30 among 314 Ghanaian primiparae and 0.31 among 545 Rwandan children, respectively, and it was not associated with infection prevalence or parasite density. This does not exclude p53 to be of pathophysiological relevance in malaria but argues against a major respective role of the TP53 codon 72 polymorphism.In view of the ongoing burden of malaria, improved knowledge of pathophysiological mechanisms may provide novel targets for prevention and treatment.1 Recently, the p53 tumor suppressor protein, a central host cell-signaling factor, has been shown to be critical for successful Plasmodium liver stage infection.2 As a transcription factor, p53 responds to various stimuli to induce apoptosis or cell cycle arrest, or to integrate a variety of other host responses.3,4 Plasmodium liver stage parasites suppress p53 thereby promoting survival of the infected hepatocyte. Conversely, increased levels of p53 counterbalance this suppression and reduce liver stage parasite burden.
2The TP53 gene, encoding p53, shows a common single nucleotide polymorphism at codon 72 (proline to arginine, Pro Arg, rs1042522), conferring various functional consequences including the Arg allele being more effective at inducing apoptosis. 5 This allele has been associated with altered susceptibility to several virus-related and other cancers. 4,6 Notably, indirect evidence for a malaria-protective role of the TP53 codon 72 Arg allele is derived from a small study in Sardinia. 7 We, therefore, examined the distribution of the TP53 codon 72 alleles in two African populations with or without P. falciparum infection, i.e., placental P. falciparum infection in Ghanaian primiparae, and largely asymptomatic P. falciparum infection among Rwandan children.Socio-demographic, clinical, and parasitological characteristics of the two cross-sectional studies and the study groups have been reported elsewhere. 8,9 In brief, 314 primiparous pregnant women were recruited in southern Ghana of whom two-thirds (by polymerase chain reaction [PCR]) had largely asymptomatic placental P. falciparum infection (i.e., only 6.3% of these were febrile), which nevertheless was associated with maternal anemia, low birth weight, and preterm delivery. 8 The second group involved 545 children 5 years of age randomly selected from 24 rural villages in southern highland Rwanda of whom 16.1% were P. falciparum infected (by PCR; 2.9% categorized as symptomatic malaria defined as a positive blood film plus fever, or a history of fever within the preceding 48 hours...