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Toll-like receptor gene variants and bacterial vaginosis among HIV-1 infected and uninfected African women

Abstract

Bacterial vaginosis (BV) is a common vaginal syndrome associated with altered microflora that increases the risk of preterm delivery and acquisition of sexually transmitted diseases. The cause of BV is unknown although toll-like receptors (TLRs), that are central to innate immune responses, may be important. We evaluated associations between TLR SNPs and BV among HIV-1 infected and uninfected African women. Logistic regression was used to assess associations between SNPs (N=99) in TLRs 2–4, 7–9 and BV (as classified by Nugent’s criteria). Among HIV-1 uninfected women, TLR7 rs5743737 and TLR7 rs1634323 were associated with a decreased risk of BV, whereas TLR7 rs179012 was associated with an increased risk. TLR2 SNP rs3804099 was associated with a decreased risk of BV among HIV-1 infected women. Our findings indicate that there may be differences in TLR association with BV among HIV-1 infected and HIV-1 uninfected women.

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Acknowledgements

The specimens and data for this analysis were collected in the context of the Partners in Prevention HSV/HIV Transmission Study (Bill and Melinda Gates Foundation Grant #26469) with BV analysis augmented through support from NIH NAID R01 AI-083034. Genotyping was supported through NIH R21 AI073115. The authors are grateful for the women who participated in this study and the Partners in Prevention HSV/HIV Transmission Study team in Africa and Seattle who provided clinical and laboratory data.

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Correspondence to J R Lingappa.

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Mackelprang, R., Scoville, C., Cohen, C. et al. Toll-like receptor gene variants and bacterial vaginosis among HIV-1 infected and uninfected African women. Genes Immun 16, 362–365 (2015). https://doi.org/10.1038/gene.2015.13

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