Authors
Malaria Genomic Epidemiology Network Writing group Band Gavin 1 Rockett Kirk A. 1 2 Spencer Chris CA chris. spencer@ well. ox. ac. uk 1 d Kwiatkowski Dominic P. dominic@ sanger. ac. uk 1 2 e, Data analysis Band Gavin 1 Si Le Quang 1 Clarke Geraldine M. 1 Kivinen Katja 2 Leffler Ellen M. 1 Rockett Kirk A. 1 2 Kwiatkowski Dominic P. dominic@ sanger. ac. uk 1 2 h Spencer Chris CA chris. spencer@ well. ox. ac. uk 1 j, Project management Rockett Kirk A. 1 2 Spencer Chris CA chris. spencer@ well. ox. ac. uk 1 c Cornelius Victoria 1 Conway David J. 3 4 Williams Thomas N. 5 6 Taylor Terrie 7 8 Kwiatkowski Dominic P. dominic@ sanger. ac. uk 1 2 h
Publication date
2015/10/8
Journal
Nature
Volume
526
Issue
7572
Pages
253-257
Publisher
Nature Publishing Group UK
Description
The high prevalence of sickle haemoglobin in Africa shows that malaria has been a major force for human evolutionary selection, but surprisingly few other polymorphisms have been proven to confer resistance to malaria in large epidemiological studies,,. To address this problem, we conducted a multi-centre genome-wide association study (GWAS) of life-threatening Plasmodium falciparum infection (severe malaria) in over 11,000 African children, with replication data in a further 14,000 individuals. Here we report a novel malaria resistance locus close to a cluster of genes encoding glycophorins that are receptors for erythrocyte invasion by P. falciparum. We identify a haplotype at this locus that provides 33% protection against severe malaria (odds ratio = 0.67, 95% confidence interval = 0.60–0.76, P value = 9.5 × 10−11) and is linked to polymorphisms that have previously been shown to have features of …
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