Association of Endothelial Protein C Receptor (EPCR) rs867186 Gene Polymorphism With Increased Levels of Soluble EPCR and High Risk of Severe Malaria and Fatality in Beninese Children

Author:

Blankson Samuel Odarkwei12,Dikroh Liliane3,Tettey Patrick3,Tornyigah Bernard13,Adamou Rafiou14,Moussiliou Azizath14,Alao Maroufou J5,Amoussou Annick6,Padounou Caroline7,Milet Jacqueline1,Mensah Benedicta Ayiedu3,Aniweh Yaw2,Ndam Nicaise Tuikue12,Roussilhon Christian8,Tahar Rachida12ORCID

Affiliation:

1. Université de Paris Cité, MERIT, IRD, Paris , France

2. West African Centre for Cell Biology of Infectious Pathogens, Department of Biochemistry, Cell and Molecular Biology, College of Basic and Applied Sciences, University of Ghana , Accra , Ghana

3. Department of Immunology and Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana , Accra , Ghana

4. Institut de Recherche Clinique du Benin , Calavi , Benin

5. Département de Pédiatrie, Centre Hospitalier Universitaire de La Mère et De L'Enfant Lagune , Cotonou , Benin

6. Service de Pédiatrie, Centre Hospitalo-Universitaire, Suruléré , Cotonou , Benin

7. Centre Hospitalier Universitaire de l’Oueme/Plateau , Porto-Novo , Benin

8. Département Génomes et Génétique, Institut Pasteur , Paris , France

Abstract

Abstract The endothelial protein C receptor (EPCR)–rs867186 G allele has been linked to high plasma levels of soluble EPCR (sEPCR) and controversially associated with either susceptibility or resistance to severe and cerebral malaria. In this study, quantitative enzyme-linked immunosorbent assay and sequencing were used to assess sEPCR levels and EPCR-rs867186 polymorphism in blood samples from Beninese children with different clinical presentations of malaria. Our findings show that sEPCR levels were higher at hospital admission than during convalescence and that EPCR-rs867186 G allele was associated with increased sEPCR plasma levels, malaria severity, and mortality rate (P < .001, P = .03, and P = .04, respectively), suggesting a role of sEPCR in the pathogenesis of severe malaria.

Funder

Institut de Recherche pour le Dévelopement,

Danish International Development Agency

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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