宿主基因对不同种族传染病的影响

Lisa Naidoo, Thilona Arumugam, Veron Ramsuran
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摘要

疟疾、肺结核(TB)、人类免疫缺陷病毒(HIV)和 2019 年冠状病毒病(COVID-19)等传染病是全球范围内的难题,尤其是在非洲的高流行率造成了大部分死亡率。针对这些病原体,全球在开发有效的预防和治疗策略方面做出了巨大努力,但仍有一些病原体尚未治愈。疟疾、结核病、艾滋病毒和 COVID-19 的易感性和病情发展因人而异,与预防措施、环境、宿主和病原体遗传有关。在对具有相似属性的个体进行研究时,研究人员认为,宿主基因是造成个体易感性的主要原因。研究发现,一些宿主基因与这些病原体有关。有趣的是,其中许多基因和多态性在各种疾病中都很常见。本文分析了不同种族群体中与艾滋病毒、结核病、疟疾和 COVID-19 相关的宿主基因和宿主基因内的遗传变异。本文综述了这些群体(尤其是高加索人和非洲人后裔)之间宿主与病原体相互作用的差异,以及哪些基因多态性在非洲人群中普遍存在,从而对疾病具有保护作用或风险。本综述中的信息可能有助于开发个性化治疗方法,从而有效应对非洲的高疾病负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Host Genetic Impact on Infectious Diseases among Different Ethnic Groups

Host Genetic Impact on Infectious Diseases among Different Ethnic Groups

Infectious diseases such as malaria, tuberculosis (TB), human immunodeficiency virus (HIV), and the coronavirus disease of 2019 (COVID-19) are problematic globally, with high prevalence particularly in Africa, attributing to most of the death rates. There have been immense efforts toward developing effective preventative and therapeutic strategies for these pathogens globally, however, some remain uncured. Disease susceptibility and progression for malaria, TB, HIV, and COVID-19 vary among individuals and are attributed to precautionary measures, environment, host, and pathogen genetics. While studying individuals with similar attributes, it is suggested that host genetics contributes to most of an individual's susceptibility to disease. Several host genes are identified to associate with these pathogens. Interestingly, many of these genes and polymorphisms are common across diseases. This paper analyzes genes and genetic variations within host genes associated with HIV, TB, malaria, and COVID-19 among different ethnic groups. The differences in host–pathogen interaction among these groups, particularly of Caucasian and African descent, and which gene polymorphisms are prevalent in an African population that possesses protection or risk to disease are reviewed. The information in this review could potentially help develop personalized treatment that could effectively combat the high disease burden in Africa.

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