BIRC6 modifies risk of invasive bacterial infection in Kenyan children
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Published version
Author(s)
Type
Journal Article
Abstract
Invasive bacterial disease is a major cause of morbidity and mortality in African children. Despite being caused by diverse pathogens, children with sepsis are clinically indistinguishable from one another. In spite of this, most genetic susceptibility loci for invasive infection that have been discovered to date are pathogen specific and are not therefore suggestive of a shared genetic architecture of bacterial sepsis. Here we utilise probabilistic diagnostic models to identify children with a high probability of invasive bacterial disease among critically unwell Kenyan children with P. falciparum parasitaemia. We construct a joint dataset including 1,445 bacteraemia cases and 1,143 severe malaria cases, and population controls, among critically unwell Kenyan children that have previously been genotyped for human genetic variation. Using these data we perform a cross-trait genome-wide association study of invasive bacterial infection, weighting cases according to their probability of bacterial disease. In doing so we identify and validate a novel risk locus for invasive infection secondary to multiple bacterial pathogens, that has no apparent effect on malaria risk. The locus identified modifies splicing of BIRC6 in stimulated monocytes, implicating regulation of apoptosis and autophagy in the pathogenesis of sepsis in Kenyan children.
Date Issued
2022-08-19
Date Acceptance
2022-07-22
Citation
eLife, 2022, 11, pp.1-23
ISSN
2050-084X
Publisher
eLife Sciences Publications Ltd
Start Page
1
End Page
23
Journal / Book Title
eLife
Volume
11
Copyright Statement
© 2022, Gilchrist et al. This article is distributed under the terms of the Creative Commons Attribution License permitting unrestricted use and redistribution provided that the original author and source are credited.
License URL
Sponsor
Wellcome Trust
Wellcome Trust
Wellcome Trust
Wellcome Trust
Wellcome Trust
Identifier
https://elifesciences.org/articles/77461
Grant Number
091758/B/10/Z
202800/Z/16/Z
100693/Z/12/Z
203077/Z/16/Z (C161)
209265/Z/17/Z
Subjects
GWAS
bacteraemia
genetics
genomics
human
infectious disease
malaria
microbiology
Bacteremia
Bacterial Infections
Child
Genome-Wide Association Study
Humans
Inhibitor of Apoptosis Proteins
Kenya
Malaria
Malaria, Falciparum
Humans
Bacterial Infections
Bacteremia
Malaria
Malaria, Falciparum
Child
Kenya
Inhibitor of Apoptosis Proteins
Genome-Wide Association Study
0601 Biochemistry and Cell Biology
Publication Status
Published
Article Number
ARTN e77461
Date Publish Online
2022-07-22