Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
Polymorphisms in CAMKK2 may predict sensory neuropathy in African HIV patients
Ist Teil von
Journal of neurovirology, 2016-08, Vol.22 (4), p.508-517
Ort / Verlag
Cham: Springer International Publishing
Erscheinungsjahr
2016
Quelle
MEDLINE
Beschreibungen/Notizen
HIV-associated sensory neuropathy (HIV-SN) is the most common neurological condition associated with HIV. HIV-SN has characteristics of an inflammatory pathology caused by the virus itself and/or by antiretroviral treatment (ART). Here, we assess the impact of single-nucleotide polymorphisms (SNPs) in a cluster of three genes that affect inflammation and neuronal repair:
P2X7R
,
P2X4R
and
CAMKK2
. HIV-SN status was assessed using the Brief Peripheral Neuropathy Screening tool, with SN defined by bilateral symptoms and signs. Forty-five SNPs in
P2X7R
,
P2X4R
and
CAMKK2
were genotyped using TaqMan fluorescent probes, in DNA samples from 153 HIV
+
black Southern African patients exposed to stavudine. Haplotypes were derived using the fastPHASE algorithm, and SNP genotypes and haplotypes associated with HIV-SN were identified. Optimal logistic regression models included demographics (age and height), with SNPs (model
p
< 0.0001;
R
2
= 0.19) or haplotypes (model
p
< 0.0001;
R
2
= 0.18,
n
= 137 excluding patients carrying
CAMKK2
haplotypes perfectly associated with SN). Overall,
CAMKK2
exhibited the strongest associations with HIV-SN, with two SNPs and six haplotypes predicting SN status in black Southern Africans. This gene warrants further study.