Epistasis between the haptoglobin common variant and α+thalassemia influences risk of severe malaria in Kenyan children

Author:

Atkinson Sarah H.123,Uyoga Sophie M.3,Nyatichi Emily3,Macharia Alex W.3,Nyutu Gideon3,Ndila Carolyne3,Kwiatkowski Dominic P.45,Rockett Kirk A.45,Williams Thomas N.36

Affiliation:

1. Department of Paediatrics, Oxford University Hospitals National Health Service Trust, University of Oxford, and

2. Oxford University Clinical Academic Graduate School, Oxford, United Kingdom;

3. Kenya Medical Research Institute/Wellcome Trust Research Programme, Centre of Geographic Medicine Research-Coast, Kilifi District Hospital, Kilifi, Kenya;

4. Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford, United Kingdom;

5. Wellcome Trust Sanger Institute, Hinxton, United Kingdom; and

6. Department of Medicine, Imperial College, London, United Kingdom

Abstract

Key PointsEpistasis between the haptoglobin (Hp) common variants and α+thalassemia predicts the risk of severe malaria in Kenyan children. The inconsistent relationship between Hp type and malaria reported in previous studies may be explained by this epistatic interaction.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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