Microbiology & Immunology - Research Publications

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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.
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    Variation at HLA-DRB1 is associated with resistance to enteric fever
    Dunstan, SJ ; Nguyen, TH ; Buhm, H ; Li, Z ; Trinh, TBT ; Sim, KS ; Parry, CM ; Nguyen, TC ; Ha, V ; Nguyen, PHL ; Nga, TVT ; Phat, VV ; Koirala, S ; Dongol, S ; Arjyal, A ; Karkey, A ; Shilpakar, O ; Dolecek, C ; Foo, JN ; Le, TP ; Mai, NL ; Tan, D ; Aung, T ; Do, NH ; Teo, YY ; Hibberd, ML ; Anders, KL ; Okada, Y ; Raychaudhuri, S ; Simmons, CP ; Baker, S ; de Bakker, PIW ; Basnyat, B ; Tran, TH ; Farrar, JJ ; Khor, CC (NATURE PUBLISHING GROUP, 2014-12)
    Enteric fever affects more than 25 million people annually and results from systemic infection with Salmonella enterica serovar Typhi or Paratyphi pathovars A, B or C(1). We conducted a genome-wide association study of 432 individuals with blood culture-confirmed enteric fever and 2,011 controls from Vietnam. We observed strong association at rs7765379 (odds ratio (OR) for the minor allele = 0.18, P = 4.5 × 10(-10)), a marker mapping to the HLA class II region, in proximity to HLA-DQB1 and HLA-DRB1. We replicated this association in 595 enteric fever cases and 386 controls from Nepal and also in a second independent collection of 151 cases and 668 controls from Vietnam. Imputation-based fine-mapping across the extended MHC region showed that the classical HLA-DRB1*04:05 allele (OR = 0.14, P = 2.60 × 10(-11)) could entirely explain the association at rs7765379, thus implicating HLA-DRB1 as a major contributor to resistance against enteric fever, presumably through antigen presentation.
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    Characterising private and shared signatures of positive selection in 37 Asian populations
    Liu, X ; Lu, D ; Saw, W-Y ; Shaw, PJ ; Wangkumhang, P ; Ngamphiw, C ; Fucharoen, S ; Lert-itthiporn, W ; Chin-inmanu, K ; Tran, NBC ; Anders, K ; Kasturiratne, A ; de Silva, HJ ; Katsuya, T ; Kimura, R ; Nabika, T ; Ohkubo, T ; Tabara, Y ; Takeuchi, F ; Yamamoto, K ; Yokota, M ; Mamatyusupu, D ; Yang, W ; Chung, Y-J ; Jin, L ; Hoh, B-P ; Wickremasinghe, AR ; Ong, R-H ; Khor, C-C ; Dunstan, SJ ; Simmons, C ; Tongsima, S ; Suriyaphol, P ; Kato, N ; Xu, S ; Teo, Y-Y (NATURE PUBLISHING GROUP, 2017-04)
    The Asian Diversity Project (ADP) assembled 37 cosmopolitan and ethnic minority populations in Asia that have been densely genotyped across over half a million markers to study patterns of genetic diversity and positive natural selection. We performed population structure analyses of the ADP populations and divided these populations into four major groups based on their genographic information. By applying a highly sensitive algorithm haploPS to locate genomic signatures of positive selection, 140 distinct genomic regions exhibiting evidence of positive selection in at least one population were identified. We examined the extent of signal sharing for regions that were selected in multiple populations and observed that populations clustered in a similar fashion to that of how the ancestry clades were phylogenetically defined. In particular, populations predominantly located in South Asia underwent considerably different adaptation as compared with populations from the other geographical regions. Signatures of positive selection present in multiple geographical regions were predicted to be older and have emerged prior to the separation of the populations in the different regions. In contrast, selection signals present in a single population group tended to be of lower frequencies and thus can be attributed to recent evolutionary events.
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    A polymorphism in Toll-interleukin 1 receptor domain containing adaptor protein is associated with susceptibility to meningeal tuberculosis
    Hawn, TR ; Dunstan, SJ ; Thwaites, GE ; Simmons, CP ; Thuong, NT ; Nguyen, TNL ; Hoang, TQ ; Tran, THC ; Hieu, NT ; Rodrigues, S ; Janer, M ; Zhao, LP ; Hien, TT ; Farrar, JJ ; Aderem, A (OXFORD UNIV PRESS INC, 2006-10-15)
    BACKGROUND: Although meningitis is the most severe form of infection caused by Mycobacterium tuberculosis, the immunopathogenesis of this disease is poorly understood. We tested the hypothesis that polymorphisms in Toll-interleukin 1 receptor domain containing adaptor protein (TIRAP), an adaptor protein that mediates signals from Toll-like receptors activated by mycobacteria, are associated with susceptibility to tuberculosis (TB). METHODS: We used a case-population study design in Vietnam with cord-blood control samples (n = 392) and case patients (n = 358) who had either pulmonary (n = 183) or meningeal (n = 175) TB. RESULTS: The TIRAP single-nucleotide polymorphism (SNP) C558T was associated with increased susceptibility to TB, with a 558T allele frequency of 0.035 in control samples versus 0.074 in case patients (odds ratio [OR], 2.25; P < .001). Subgroup analysis revealed that SNP 558T was more strongly associated with susceptibility to meningeal TB (OR, 3.02; P < .001) than to pulmonary TB (OR, 1.55; P = .22). In comparison to the 558CC genotype, the 558TT genotype was associated with decreased whole-blood interleukin-6 production, which suggests that TIRAP influences disease susceptibility by modulating the inflammatory response. CONCLUSIONS: These results provide the first evidence of an association of a TIRAP SNP with the risk of any disease and also suggest that the Toll-like receptor pathway influences susceptibility to meningeal and pulmonary TB by different immune mechanisms.
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    The immune responses to bacterial antigens encountered in vivo at mucosal surfaces
    Dougan, G ; Ghaem-Maghami, M ; Pickard, D ; Frankel, G ; Douce, G ; Clare, S ; Dunstan, S ; Simmons, C ; Smith, H ; Dorman, CJ ; Dougan, G ; Holden, DW ; Dougan, G ; Williams, P (ROYAL SOC LONDON, 2000-05-29)
    Mammals have evolved a sophisticated immune system for handling antigens encountered at their mucosal surfaces. The way in which mucosally delivered antigens are handled influences our ability to design effective mucosal vaccines. Live attenuated derivatives of pathogens are one route towards the development of mucosal vaccines. However, some molecules, described as mucosal immunogens, are inherently immunogenic at mucosal surfaces. Studies on mucosal immunogens may facilitate the identification of common characteristics that contribute to mucosal immunogenicity and aid the development of novel, non-living mucosal vaccines and immunostimulators.