Microbiology & Immunology - Research Publications

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    Direct inference and control of genetic population structure from RNA sequencing data
    Fachrul, M ; Karkey, AM ; Shakya, M ; Judd, L ; Harshegyi, T ; Sim, KS ; Tonks, S ; Dongol, S ; Shrestha, R ; Salim, A ; Adhikari, A ; Banda, HCC ; Blohmke, C ; Darton, T ; Farooq, Y ; Ghimire, M ; Hill, J ; Hoang, NT ; Jere, TM ; Kamzati, M ; Kao, Y-H ; Masesa, C ; Mbewe, M ; Msuku, H ; Munthali, P ; Nga, TVTJ ; Nkhata, R ; Saad, N ; Tan, TV ; Thindwa, D ; Khanam, FD ; Meiring, J ; Clemens, JE ; Dougan, G ; Pitzer, VS ; Qadri, FA ; Heyderman, R ; Gordon, M ; Voysey, MJ ; Baker, S ; Pollard, A ; Khor, CC ; Dolecek, CJ ; Basnyat, BE ; Dunstan, S ; Holt, K ; Inouye, M (NATURE PORTFOLIO, 2023-08-02)
    RNAseq data can be used to infer genetic variants, yet its use for estimating genetic population structure remains underexplored. Here, we construct a freely available computational tool (RGStraP) to estimate RNAseq-based genetic principal components (RG-PCs) and assess whether RG-PCs can be used to control for population structure in gene expression analyses. Using whole blood samples from understudied Nepalese populations and the Geuvadis study, we show that RG-PCs had comparable results to paired array-based genotypes, with high genotype concordance and high correlations of genetic principal components, capturing subpopulations within the dataset. In differential gene expression analysis, we found that inclusion of RG-PCs as covariates reduced test statistic inflation. Our paper demonstrates that genetic population structure can be directly inferred and controlled for using RNAseq data, thus facilitating improved retrospective and future analyses of transcriptomic data.
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    A global reference for human genetic variation
    Altshuler, DM ; Durbin, RM ; Abecasis, GR ; Bentley, DR ; Chakravarti, A ; Clark, AG ; Donnelly, P ; Eichler, EE ; Flicek, P ; Gabriel, SB ; Gibbs, RA ; Green, ED ; Hurles, ME ; Knoppers, BM ; Korbel, JO ; Lander, ES ; Lee, C ; Lehrach, H ; Mardis, ER ; Marth, GT ; McVean, GA ; Nickerson, DA ; Schmidt, JP ; Sherry, ST ; Wang, J ; Wilson, RK ; Gibbs, RA ; Boerwinkle, E ; Doddapaneni, H ; Han, Y ; Korchina, V ; Kovar, C ; Lee, S ; Muzny, D ; Reid, JG ; Zhu, Y ; Wang, J ; Chang, Y ; Feng, Q ; Fang, X ; Guo, X ; Jian, M ; Jiang, H ; Jin, X ; Lan, T ; Li, G ; Li, J ; Li, Y ; Liu, S ; Liu, X ; Lu, Y ; Ma, X ; Tang, M ; Wang, B ; Wang, G ; Wu, H ; Wu, R ; Xu, X ; Yin, Y ; Zhang, D ; Zhang, W ; Zhao, J ; Zhao, M ; Zheng, X ; Lander, ES ; Altshuler, DM ; Gabriel, SB ; Gupta, N ; Gharani, N ; Toji, LH ; Gerry, NP ; Resch, AM ; Flicek, P ; Barker, J ; Clarke, L ; Gil, L ; Hunt, SE ; Kelman, G ; Kulesha, E ; Leinonen, R ; McLaren, WM ; Radhakrishnan, R ; Roa, A ; Smirnov, D ; Smith, RE ; Streeter, I ; Thormann, A ; Toneva, I ; Vaughan, B ; Zheng-Bradley, X ; Bentley, DR ; Grocock, R ; Humphray, S ; James, T ; Kingsbury, Z ; Lehrach, H ; Sudbrak, R ; Albrecht, MW ; Amstislavskiy, VS ; Borodina, TA ; Lienhard, M ; Mertes, F ; Sultan, M ; Timmermann, B ; Yaspo, M-L ; Mardis, ER ; Wilson, RK ; Fulton, L ; Fulton, R ; Sherry, ST ; Ananiev, V ; Belaia, Z ; Beloslyudtsev, D ; Bouk, N ; Chen, C ; Church, D ; Cohen, R ; Cook, C ; Garner, J ; Hefferon, T ; Kimelman, M ; Liu, C ; Lopez, J ; Meric, P ; O'Sullivan, C ; Ostapchuk, Y ; Phan, L ; Ponomarov, S ; Schneider, V ; Shekhtman, E ; Sirotkin, K ; Slotta, D ; Zhang, H ; McVean, GA ; Durbin, RM ; Balasubramaniam, S ; Burton, J ; Danecek, P ; Keane, TM ; Kolb-Kokocinski, A ; McCarthy, S ; Stalker, J ; Quail, M ; Schmidt, JP ; Davies, CJ ; Gollub, J ; Webster, T ; Wong, B ; Zhan, Y ; Auton, A ; Campbell, CL ; Kong, Y ; Marcketta, A ; Gibbs, RA ; Yu, F ; Antunes, L ; Bainbridge, M ; Muzny, D ; Sabo, A ; Huang, Z ; Wang, J ; Coin, LJM ; Fang, L ; Guo, X ; Jin, X ; Li, G ; Li, Q ; Li, Y ; Li, Z ; Lin, H ; Liu, B ; Luo, R ; Shao, H ; Xie, Y ; Ye, C ; Yu, C ; Zhang, F ; Zheng, H ; Zhu, H ; Alkan, C ; Dal, E ; Kahveci, F ; Marth, GT ; Garrison, EP ; Kural, D ; Lee, W-P ; Leong, WF ; Stromberg, M ; Ward, AN ; Wu, J ; Zhang, M ; Daly, MJ ; DePristo, MA ; Handsaker, RE ; Altshuler, DM ; Banks, E ; Bhatia, G ; del Angel, G ; Gabriel, SB ; Genovese, G ; Gupta, N ; Li, H ; Kashin, S ; Lander, ES ; McCarroll, SA ; Nemesh, JC ; Poplin, RE ; Yoon, SC ; Lihm, J ; Makarov, V ; Clark, AG ; Gottipati, S ; Keinan, A ; Rodriguez-Flores, JL ; Korbel, JO ; Rausch, T ; Fritz, MH ; Stuetz, AM ; Flicek, P ; Beal, K ; Clarke, L ; Datta, A ; Herrero, J ; McLaren, WM ; Ritchie, GRS ; Smith, RE ; Zerbino, D ; Zheng-Bradley, X ; Sabeti, PC ; Shlyakhter, I ; Schaffner, SF ; Vitti, J ; Cooper, DN ; Ball, EV ; Stenson, PD ; Bentley, DR ; Barnes, B ; Bauer, M ; Cheetham, RK ; Cox, A ; Eberle, M ; Humphray, S ; Kahn, S ; Murray, L ; Peden, J ; Shaw, R ; Kenny, EE ; Batzer, MA ; Konkel, MK ; Walker, JA ; MacArthur, DG ; Lek, M ; Sudbrak, R ; Amstislavskiy, VS ; Herwig, R ; Mardis, ER ; Ding, L ; Koboldt, DC ; Larson, D ; Ye, K ; Gravel, S ; Swaroop, A ; Chew, E ; Lappalainen, T ; Erlich, Y ; Gymrek, M ; Willems, TF ; Simpson, JT ; Shriver, MD ; Rosenfeld, JA ; Bustamante, CD ; Montgomery, SB ; De La Vega, FM ; Byrnes, JK ; Carroll, AW ; DeGorter, MK ; Lacroute, P ; Maples, BK ; Martin, AR ; Moreno-Estrada, A ; Shringarpure, SS ; Zakharia, F ; Halperin, E ; Baran, Y ; Lee, C ; Cerveira, E ; Hwang, J ; Malhotra, A ; Plewczynski, D ; Radew, K ; Romanovitch, M ; Zhang, C ; Hyland, FCL ; Craig, DW ; Christoforides, A ; Homer, N ; Izatt, T ; Kurdoglu, AA ; Sinari, SA ; Squire, K ; Sherry, ST ; Xiao, C ; Sebat, J ; Antaki, D ; Gujral, M ; Noor, A ; Ye, K ; Burchard, EG ; Hernandez, RD ; Gignoux, CR ; Haussler, D ; Katzman, SJ ; Kent, WJ ; Howie, B ; Ruiz-Linares, A ; Dermitzakis, ET ; Devine, SE ; Goncalo, RA ; Kang, HM ; Kidd, JM ; Blackwell, T ; Caron, S ; Chen, W ; Emery, S ; Fritsche, L ; Fuchsberger, C ; Jun, G ; Li, B ; Lyons, R ; Scheller, C ; Sidore, C ; Song, S ; Sliwerska, E ; Taliun, D ; Tan, A ; Welch, R ; Wing, MK ; Zhan, X ; Awadalla, P ; Hodgkinson, A ; Li, Y ; Shi, X ; Quitadamo, A ; Lunter, G ; McVean, GA ; Marchini, JL ; Myers, S ; Churchhouse, C ; Delaneau, O ; Gupta-Hinch, A ; Kretzschmar, W ; Iqbal, Z ; Mathieson, I ; Menelaou, A ; Rimmer, A ; Xifara, DK ; Oleksyk, TK ; Fu, Y ; Liu, X ; Xiong, M ; Jorde, L ; Witherspoon, D ; Xing, J ; Eichler, EE ; Browning, BL ; Browning, SR ; Hormozdiari, F ; Sudmant, PH ; Khurana, E ; Durbin, RM ; Hurles, ME ; Tyler-Smith, C ; Albers, CA ; Ayub, Q ; Balasubramaniam, S ; Chen, Y ; Colonna, V ; Danecek, P ; Jostins, L ; Keane, TM ; McCarthy, S ; Walter, K ; Xue, Y ; Gerstein, MB ; Abyzov, A ; Balasubramanian, S ; Chen, J ; Clarke, D ; Fu, Y ; Harmanci, AO ; Jin, M ; Lee, D ; Liu, J ; Mu, XJ ; Zhang, J ; Zhang, Y ; Li, Y ; Luo, R ; Zhu, H ; Alkan, C ; Dal, E ; Kahveci, F ; Marth, GT ; Garrison, EP ; Kural, D ; Lee, W-P ; Ward, AN ; Wu, J ; Zhang, M ; McCarroll, SA ; Handsaker, RE ; Altshuler, DM ; Banks, E ; Del Angel, G ; Genovese, G ; Hartl, C ; Li, H ; Kashin, S ; Nemesh, JC ; Shakir, K ; Yoon, SC ; Lihm, J ; Makarov, V ; Degenhardt, J ; Korbel, JO ; Fritz, MH ; Meiers, S ; Raeder, B ; Rausch, T ; Stuetz, AM ; Flicek, P ; Casale, FP ; Clarke, L ; Smith, RE ; Stegle, O ; Zheng-Bradley, X ; Bentley, DR ; Barnes, B ; Cheetham, RK ; Eberle, M ; Humphray, S ; Kahn, S ; Murray, L ; Shaw, R ; Lameijer, E-W ; Batzer, MA ; Konkel, MK ; Walker, JA ; Ding, L ; Hall, I ; Ye, K ; Lacroute, P ; Lee, C ; Cerveira, E ; Malhotra, A ; Hwang, J ; Plewczynski, D ; Radew, K ; Romanovitch, M ; Zhang, C ; Craig, DW ; Homer, N ; Church, D ; Xiao, C ; Sebat, J ; Antaki, D ; Bafna, V ; Michaelson, J ; Ye, K ; Devine, SE ; Gardner, EJ ; Abecasis, GR ; Kidd, JM ; Mills, RE ; Dayama, G ; Emery, S ; Jun, G ; Shi, X ; Quitadamo, A ; Lunter, G ; McVean, GA ; Chen, K ; Fan, X ; Chong, Z ; Chen, T ; Witherspoon, D ; Xing, J ; Eichler, EE ; Chaisson, MJ ; Hormozdiari, F ; Huddleston, J ; Malig, M ; Nelson, BJ ; Sudmant, PH ; Parrish, NF ; Khurana, E ; Hurles, ME ; Blackburne, B ; Lindsay, SJ ; Ning, Z ; Walter, K ; Zhang, Y ; Gerstein, MB ; Abyzov, A ; Chen, J ; Clarke, D ; Lam, H ; Mu, XJ ; Sisu, C ; Zhang, J ; Zhang, Y ; Gibbs, RA ; Yu, F ; Bainbridge, M ; Challis, D ; Evani, US ; Kovar, C ; Lu, J ; Muzny, D ; Nagaswamy, U ; Reid, JG ; Sabo, A ; Yu, J ; Guo, X ; Li, W ; Li, Y ; Wu, R ; Marth, GT ; Garrison, EP ; Leong, WF ; Ward, AN ; del Angel, G ; DePristo, MA ; Gabriel, SB ; Gupta, N ; Hartl, C ; Poplin, RE ; Clark, AG ; Rodriguez-Flores, JL ; Flicek, P ; Clarke, L ; Smith, RE ; Zheng-Bradley, X ; MacArthur, DG ; Mardis, ER ; Fulton, R ; Koboldt, DC ; Gravel, S ; Bustamante, CD ; Craig, DW ; Christoforides, A ; Homer, N ; Izatt, T ; Sherry, ST ; Xiao, C ; Dermitzakis, ET ; Abecasis, GR ; Kang, HM ; McVean, GA ; Gerstein, MB ; Balasubramanian, S ; Habegger, L ; Yu, H ; Flicek, P ; Clarke, L ; Cunningham, F ; Dunham, I ; Zerbino, D ; Zheng-Bradley, X ; Lage, K ; Jespersen, JB ; Horn, H ; Montgomery, SB ; DeGorter, MK ; Khurana, E ; Tyler-Smith, C ; Chen, Y ; Colonna, V ; Xue, Y ; Gerstein, MB ; Balasubramanian, S ; Fu, Y ; Kim, D ; Auton, A ; Marcketta, A ; Desalle, R ; Narechania, A ; Sayres, MAW ; Garrison, EP ; Handsaker, RE ; Kashin, S ; McCarroll, SA ; Rodriguez-Flores, JL ; Flicek, P ; Clarke, L ; Zheng-Bradley, X ; Erlich, Y ; Gymrek, M ; Willems, TF ; Bustamante, CD ; Mendez, FL ; Poznik, GD ; Underhill, PA ; Lee, C ; Cerveira, E ; Malhotra, A ; Romanovitch, M ; Zhang, C ; Abecasis, GR ; Coin, L ; Shao, H ; Mittelman, D ; Tyler-Smith, C ; Ayub, Q ; Banerjee, R ; Cerezo, M ; Chen, Y ; Fitzgerald, T ; Louzada, S ; Massaia, A ; McCarthy, S ; Ritchie, GR ; Xue, Y ; Yang, F ; Gibbs, RA ; Kovar, C ; Kalra, D ; Hale, W ; Muzny, D ; Reid, JG ; Wang, J ; Dan, X ; Guo, X ; Li, G ; Li, Y ; Ye, C ; Zheng, X ; Altshuler, DM ; Flicek, P ; Clarke, L ; Zheng-Bradley, X ; Bentley, DR ; Cox, A ; Humphray, S ; Kahn, S ; Sudbrak, R ; Albrecht, MW ; Lienhard, M ; Larson, D ; Craig, DW ; Izatt, T ; Kurdoglu, AA ; Sherry, ST ; Xiao, C ; Haussler, D ; Abecasis, GR ; McVean, GA ; Durbin, RM ; Balasubramaniam, S ; Keane, TM ; McCarthy, S ; Stalker, J ; Chakravarti, A ; Knoppers, BM ; Abecasis, GR ; Barnes, KC ; Beiswanger, C ; Burchard, EG ; Bustamante, CD ; Cai, H ; Cao, H ; Durbin, RM ; Gerry, NP ; Gharani, N ; Gibbs, RA ; Gignoux, CR ; Gravel, S ; Henn, B ; Jones, D ; Jorde, L ; Kaye, JS ; Keinan, A ; Kent, A ; Kerasidou, A ; Li, Y ; Mathias, R ; McVean, GA ; Moreno-Estrada, A ; Ossorio, PN ; Parker, M ; Resch, AM ; Rotimi, CN ; Royal, CD ; Sandoval, K ; Su, Y ; Sudbrak, R ; Tian, Z ; Tishkoff, S ; Toji, LH ; Tyler-Smith, C ; Via, M ; Wang, Y ; Yang, H ; Yang, L ; Zhu, J ; Bodmer, W ; Bedoya, G ; Ruiz-Linares, A ; Cai, Z ; Gao, Y ; Chu, J ; Peltonen, L ; Garcia-Montero, A ; Orfao, A ; Dutil, J ; Martinez-Cruzado, JC ; Oleksyk, TK ; Barnes, KC ; Mathias, RA ; Hennis, A ; Watson, H ; McKenzie, C ; Qadri, F ; LaRocque, R ; Sabeti, PC ; Zhu, J ; Deng, X ; Sabeti, PC ; Asogun, D ; Folarin, O ; Happi, C ; Omoniwa, O ; Stremlau, M ; Tariyal, R ; Jallow, M ; Joof, FS ; Corrah, T ; Rockett, K ; Kwiatkowski, D ; Kooner, J ; Tran, TH ; Dunstan, SJ ; Nguyen, TH ; Fonnie, R ; Garry, R ; Kanneh, L ; Moses, L ; Sabeti, PC ; Schieffelin, J ; Grant, DS ; Gallo, C ; Poletti, G ; Saleheen, D ; Rasheed, A ; Brook, LD ; Felsenfeld, A ; McEwen, JE ; Vaydylevich, Y ; Green, ED ; Duncanson, A ; Dunn, M ; Schloss, JA ; Wang, J ; Yang, H ; Auton, A ; Brooks, LD ; Durbin, RM ; Garrison, EP ; Kang, HM ; Korbel, JO ; Marchini, JL ; McCarthy, S ; McVean, GA ; Abecasis, GR (NATURE PUBLISHING GROUP, 2015-10-01)
    The 1000 Genomes Project set out to provide a comprehensive description of common human genetic variation by applying whole-genome sequencing to a diverse set of individuals from multiple populations. Here we report completion of the project, having reconstructed the genomes of 2,504 individuals from 26 populations using a combination of low-coverage whole-genome sequencing, deep exome sequencing, and dense microarray genotyping. We characterized a broad spectrum of genetic variation, in total over 88 million variants (84.7 million single nucleotide polymorphisms (SNPs), 3.6 million short insertions/deletions (indels), and 60,000 structural variants), all phased onto high-quality haplotypes. This resource includes >99% of SNP variants with a frequency of >1% for a variety of ancestries. We describe the distribution of genetic variation across the global sample, and discuss the implications for common disease studies.
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    The STRATAA study protocol: a programme to assess the burden of enteric fever in Bangladesh, Malawi and Nepal using prospective population census, passive surveillance, serological studies and healthcare utilisation surveys
    Darton, TC ; Meiring, JE ; Tonks, S ; Khan, MA ; Khanam, F ; Shakya, M ; Thindwa, D ; Baker, S ; Basnyat, B ; Clemens, JD ; Dougan, G ; Dolecek, C ; Dunstan, SJ ; Gordon, MA ; Heyderman, RS ; Holt, KE ; Pitzer, VE ; Qadri, F ; Zaman, K ; Pollard, AJ (BMJ PUBLISHING GROUP, 2017-06)
    INTRODUCTION: Invasive infections caused by Salmonella enterica serovar Typhi and Paratyphi A are estimated to account for 12-27 million febrile illness episodes worldwide annually. Determining the true burden of typhoidal Salmonellae infections is hindered by lack of population-based studies and adequate laboratory diagnostics.The Strategic Typhoid alliance across Africa and Asia study takes a systematic approach to measuring the age-stratified burden of clinical and subclinical disease caused by typhoidal Salmonellae infections at three high-incidence urban sites in Africa and Asia. We aim to explore the natural history of Salmonella transmission in endemic settings, addressing key uncertainties relating to the epidemiology of enteric fever identified through mathematical models, and enabling optimisation of vaccine strategies. METHODS/DESIGN: Using census-defined denominator populations of ≥100 000 individuals at sites in Malawi, Bangladesh and Nepal, the primary outcome is to characterise the burden of enteric fever in these populations over a 24-month period. During passive surveillance, clinical and household data, and laboratory samples will be collected from febrile individuals. In parallel, healthcare utilisation and water, sanitation and hygiene surveys will be performed to characterise healthcare-seeking behaviour and assess potential routes of transmission. The rates of both undiagnosed and subclinical exposure to typhoidal Salmonellae (seroincidence), identification of chronic carriage and population seroprevalence of typhoid infection will be assessed through age-stratified serosurveys performed at each site. Secondary attack rates will be estimated among household contacts of acute enteric fever cases and possible chronic carriers. ETHICS AND DISSEMINATION: This protocol has been ethically approved by the Oxford Tropical Research Ethics Committee, the icddr,b Institutional Review Board, the Malawian National Health Sciences Research Committee and College of Medicine Research Ethics Committee and Nepal Health Research Council. The study is being conducted in accordance with the principles of the Declaration of Helsinki and Good Clinical Practice. Informed consent was obtained before study enrolment. Results will be submitted to international peer-reviewed journals and presented at international conferences. TRIAL REGISTRATION NUMBER: ISRCTN 12131979. ETHICS REFERENCES: Oxford (Oxford Tropical Research Ethics Committee 39-15).Bangladesh (icddr,b Institutional Review Board PR-15119).Malawi (National Health Sciences Research Committee 15/5/1599).Nepal (Nepal Health Research Council 306/2015).
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    Empirical ways to identify novel Bedaquiline resistance mutations in AtpE
    Karmakar, M ; Rodrigues, CHM ; Holt, KE ; Dunstan, SJ ; Denholm, J ; Ascher, DB ; Mokrousov, I (PUBLIC LIBRARY SCIENCE, 2019-05-29)
    Clinical resistance against Bedaquiline, the first new anti-tuberculosis compound with a novel mechanism of action in over 40 years, has already been detected in Mycobacterium tuberculosis. As a new drug, however, there is currently insufficient clinical data to facilitate reliable and timely identification of genomic determinants of resistance. Here we investigate the structural basis for M. tuberculosis associated bedaquiline resistance in the drug target, AtpE. Together with the 9 previously identified resistance-associated variants in AtpE, 54 non-resistance-associated mutations were identified through comparisons of bedaquiline susceptibility across 23 different mycobacterial species. Computational analysis of the structural and functional consequences of these variants revealed that resistance associated variants were mainly localized at the drug binding site, disrupting key interactions with bedaquiline leading to reduced binding affinity. This was used to train a supervised predictive algorithm, which accurately identified likely resistance mutations (93.3% accuracy). Application of this model to circulating variants present in the Asia-Pacific region suggests that current circulating variants are likely to be susceptible to bedaquiline. We have made this model freely available through a user-friendly web interface called SUSPECT-BDQ, StrUctural Susceptibility PrEdiCTion for bedaquiline (http://biosig.unimelb.edu.au/suspect_bdq/). This tool could be useful for the rapid characterization of novel clinical variants, to help guide the effective use of bedaquiline, and to minimize the spread of clinical resistance.
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    Development of recombinant S. Typhimurium, as a model for S. Typhi-based vaccine vectors
    Dunstan, SJ ; Simmons, CP ; Strugnell, RA (Faculty of Medicine, Universitas Indonesia, 1998-01-01)
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    Studies of the pathogenesis and immunology of attenuated mutants of Salmonella enterica var. Typhimurium: Lessons for human typhoid fever?
    Dunstan, SJ ; Simmons, CP ; Wijburg, OLC ; Uren, TK ; van Rooijen, N ; Strugnell, RA (Faculty of Medicine, Universitas Indonesia, 1998-01-01)
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    In vitro and in vivo stability of recombinant plasmids in a vaccine strain of Salmonella enterica var. Typhimurium
    Dunstan, SJ ; Simmons, CP ; Strugnell, RA (WILEY, 2003-07-15)
    This study examined the ability of different plasmid vectors encoding H(C) fragment, the non-toxic binding portion of tetanus toxin, to be stably retained by Salmonella enterica var. Typhimurium (Salmonella typhimurium) vaccine strain BRD509 and, upon immunisation, to induce an antibody response against the carried antigen. The H(C) fragment expression cassette containing the transcription/translation signals, H(C) fragment open reading frame and the downstream TrpA terminator, was excised from pTETtac4 and incorporated into the plasmids pIC20H, pBR322, pACYC184 and pRSF1010. The resulting constructs were transferred into attenuated S. typhimurium, BRD509, and the level of H(C) fragment expression was examined by Western blot analysis. The relative stability of each plasmid in S. typhimurium was determined in vitro in the absence of antibiotic selection, and in vivo following immunisation. The ability of each H(C) fragment-expressing strain to induce lipopolysaccharide- and tetanus toxoid-specific antibody responses was assayed by an enzyme-linked immunosorbent assay. These studies showed that all the vaccine vector constructs, except the S. typhimurium carrying the expression vector based on pIC20H, were able to elicit a high titre immune response. The level of tetanus toxoid-specific antibody induced by S. typhimurium directly correlated with the level of in vitro and in vivo stability of the H(C) fragment expression plasmid carried by the bacterium, and not with an increased copy number of the parent plasmid vector.
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    Genome-wide association study identifies susceptibility loci for dengue shock syndrome at MICB and PLCE1
    Khor, CC ; Tran, NBC ; Pang, J ; Davila, S ; Hoang, TL ; Ong, RTH ; Dunstan, SJ ; Wills, B ; Farrar, J ; Ta, VT ; Tran, TG ; Nguyen, TNB ; Le, TT ; Le, BL ; Nguyen, MT ; Nguyen, THT ; Mai, NL ; Nguyen, MN ; Nguyen, TH ; Nguyen, VC ; Tran, TT ; Tan, DEK ; Sakuntabhai, A ; Teo, Y-Y ; Hibberd, ML ; Simmons, CP (NATURE PUBLISHING GROUP, 2011-11)
    Hypovolemic shock (dengue shock syndrome (DSS)) is the most common life-threatening complication of dengue. We conducted a genome-wide association study of 2,008 pediatric cases treated for DSS and 2,018 controls from Vietnam. Replication of the most significantly associated markers was carried out in an independent Vietnamese sample of 1,737 cases and 2,934 controls. SNPs at two loci showed genome-wide significant association with DSS. We identified a susceptibility locus at MICB (major histocompatibility complex (MHC) class I polypeptide-related sequence B), which was within the broad MHC region on chromosome 6 but outside the class I and class II HLA loci (rs3132468, P(meta) = 4.41 × 10(-11), per-allele odds ratio (OR) = 1.34 (95% confidence interval: 1.23-1.46)). We identified associated variants within PLCE1 (phospholipase C, epsilon 1) on chromosome 10 (rs3765524, P(meta) = 3.08 × 10(-10), per-allele OR = 0.80 (95% confidence interval: 0.75-0.86)). We identify two loci associated with susceptibility to DSS in people with dengue, suggesting possible mechanisms for this severe complication of dengue.
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    Variation in human genes encoding adhesion and proinflammatory molecules are associated with severe malaria in the Vietnamese
    Dunstan, SJ ; Rocketts, KA ; Quyen, NTN ; Teo, YY ; Thai, CQ ; Hang, NT ; Jeffreys, A ; Clark, TG ; Small, KS ; Simmons, CP ; Day, N ; O'Riordan, SE ; Kwiatkowski, DP ; Farrar, J ; Phu, NH ; Hien, TT (NATURE PUBLISHING GROUP, 2012-09)
    The genetic basis for susceptibility to malaria has been studied widely in African populations but less is known of the contribution of specific genetic variants in Asian populations. We genotyped 67 single-nucleotide polymorphisms (SNPs) in 1030 severe malaria cases and 2840 controls from Vietnam. After data quality control, genotyping data of 956 cases and 2350 controls were analysed for 65 SNPs (3 gender confirmation, 62 positioned in/near 42 malarial candidate genes). A total of 14 SNPs were monomorphic and 2 (rs8078340 and rs33950507) were not in Hardy-Weinberg equilibrium in controls (P<0.01). In all, 7/46 SNPs in 6 genes (ICAM1, IL1A, IL17RC, IL13, LTA and TNF) were associated with severe malaria, with 3/7 SNPs in the TNF/LTA region. Genotype-phenotype correlations between SNPs and clinical parameters revealed that genotypes of rs708567 (IL17RC) correlate with parasitemia (P=0.028, r(2)=0.0086), with GG homozygotes having the lowest parasite burden. Additionally, rs708567 GG homozygotes had a decreased risk of severe malaria (P=0.007, OR=0.78 (95% CI; 0.65-0.93)) and death (P=0.028, OR=0.58 (95% CI; 0.37-0.93)) than those with AA and AG genotypes. In summary, variants in six genes encoding adhesion and proinflammatory molecules are associated with severe malaria in the Vietnamese. Further replicative studies in independent populations will be necessary to confirm these findings.
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    TM4SF20 Ancestral Deletion and Susceptibility to a Pediatric Disorder of Early Language Delay and Cerebral White Matter Hyperintensities
    Wiszniewski, W ; Hunter, JV ; Hanchard, NA ; Willer, JR ; Shaw, C ; Tian, Q ; Illner, A ; Wang, X ; Cheung, SW ; Patel, A ; Campbell, IM ; Gelowani, V ; Hixson, P ; Ester, AR ; Azamian, MS ; Potocki, L ; Zapata, G ; Hernandez, PP ; Ramocki, MB ; Santos-Cortez, RLP ; Wang, G ; York, MK ; Justice, MJ ; Chu, ZD ; Bader, PI ; Omo-Griffith, L ; Madduri, NS ; Scharer, G ; Crawford, HP ; Yanatatsaneejit, P ; Eifert, A ; Kerr, J ; Bacino, CA ; Franklin, AIA ; Goin-Kochel, RP ; Simpson, G ; Immken, L ; Haque, ME ; Stosic, M ; Williams, MD ; Morgan, TM ; Pruthi, S ; Omary, R ; Boyadjiev, SA ; Win, KK ; Thida, A ; Hurles, M ; Hibberd, ML ; Khor, CC ; Chau, NVV ; Gallagher, TE ; Mutirangura, A ; Stankiewicz, P ; Beaudet, AL ; Maletic-Savatic, M ; Rosenfeld, JA ; Shaffer, LG ; Davis, EE ; Belmont, JW ; Dunstan, S ; Simmons, CP ; Bonnen, PE ; Leal, SM ; Katsanis, N ; Lupski, JR ; Lalani, SR (CELL PRESS, 2013-08-08)
    White matter hyperintensities (WMHs) of the brain are important markers of aging and small-vessel disease. WMHs are rare in healthy children and, when observed, often occur with comorbid neuroinflammatory or vasculitic processes. Here, we describe a complex 4 kb deletion in 2q36.3 that segregates with early childhood communication disorders and WMH in 15 unrelated families predominantly from Southeast Asia. The premature brain aging phenotype with punctate and multifocal WMHs was observed in ~70% of young carrier parents who underwent brain MRI. The complex deletion removes the penultimate exon 3 of TM4SF20, a gene encoding a transmembrane protein of unknown function. Minigene analysis showed that the resultant net loss of an exon introduces a premature stop codon, which, in turn, leads to the generation of a stable protein that fails to target to the plasma membrane and accumulates in the cytoplasm. Finally, we report this deletion to be enriched in individuals of Vietnamese Kinh descent, with an allele frequency of about 1%, embedded in an ancestral haplotype. Our data point to a constellation of early language delay and WMH phenotypes, driven by a likely toxic mechanism of TM4SF20 truncation, and highlight the importance of understanding and managing population-specific low-frequency pathogenic alleles.