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Variations in the NRAMP1 Gene and Susceptibility to Tuberculosis in West Africans

Open access
Bellamy, Richard, Ruwende, Cyril, Corrah, Tumani, McAdam, Keith P.W.J., Whittle, Hilton C., Hill, Adrian V.S.·1998·New England Journal of Medicine

Abstract

BACKGROUND: Genetic factors may affect the susceptibility to tuberculosis, but no specific genes governing susceptibility have been identified. In mice, natural resistance to infection with some mycobacteria is influenced by the gene for natural-resistance-associated macrophage protein 1 (Nramp1), but the role of the human homologue of this gene, NRAMP1, in tuberculosis is unknown. We typed polymorphisms in NRAMP1 in a case-control study of tuberculosis in the Gambia, West Africa. METHODS: Sequence-specific oligonucleotide hybridization and microsatellite analysis were used to type NRAMP1 polymorphisms in 410 adults (mean age, 34.7 years) with smear-positive pulmonary tuberculosis and 417 ethnically matched, healthy controls. Patients with human immunodeficiency virus infection were excluded. RESULTS: Four NRAMP1 polymorphisms were each significantly associated with tuberculosis. Subjects who were heterozygous for two NRAMP1 polymorphisms in intron 4 and the 3' untranslated region of the gene were particularly overrepresented among those with tuberculosis, as compared with those with the most common NRAMP1 genotype (odds ratio, 4.07; 95 percent confidence interval, 1.86 to 9.12; chi-square= 14.58; P<0.001). CONCLUSIONS: Genetic variation in NRAMP1 affects susceptibility to tuberculosis in West Africans.

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Show all 8 references

Research works printed but not linked: 25

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Metadata

Authors
Bellamy, R., Ruwende, C., Corrah, T., McAdam, K. P. W. J., Whittle, H. C., & Hill, A. V. S.
Venue
New England Journal of Medicine
Published
1998-03-05
Volume
338
Issue
10
Pages
640-644
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W1970910747
Cited by
735
References
8
FWCI
43.94
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Variations in the NRAMP1 Gene and Susceptibility to Tuberculosis in West Africans. https://app.cochat.ai/papers/10.1056/nejm199803053381002
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Bellamy, R., Ruwende, C., Corrah, T., McAdam, K. P. W. J., Whittle, H. C., & Hill, A. V. S. (1998). Variations in the NRAMP1 Gene and Susceptibility to Tuberculosis in West Africans. New England Journal of Medicine. https://doi.org/10.1056/nejm199803053381002

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