Macrophage migration inhibitory factor in Nodding syndrome.
Nodding syndrome (NS) is a catastrophic and enigmatic childhood epilepsy, accompanied by multiple neurological impairments and neuroinflammation. Of all the infectious, environmental and psychological factors associated with NS, the major culprit is Onchocerca Volvulus (Ov)-a parasitic worm transmit...
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oai:doaj.org-article:557f7652636d45e0b7424ef0a1cccff72021-12-02T20:23:24ZMacrophage migration inhibitory factor in Nodding syndrome.1935-27271935-273510.1371/journal.pntd.0009821https://doaj.org/article/557f7652636d45e0b7424ef0a1cccff72021-10-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009821https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735Nodding syndrome (NS) is a catastrophic and enigmatic childhood epilepsy, accompanied by multiple neurological impairments and neuroinflammation. Of all the infectious, environmental and psychological factors associated with NS, the major culprit is Onchocerca Volvulus (Ov)-a parasitic worm transmitted to human by blackflies. NS seems to be an 'Autoimmune Epilepsy' in light of the recent findings of deleterious autoimmune antibodies to Glutamate receptors and to Leiomodin-I in NS patients. Moreover, we recently found immunogenetic fingerprints in HLA peptide-binding grooves associate with protection or susceptibility to NS. Macrophage migration inhibitory factor (MIF) is an immune-regulatory cytokine playing a central role in modulating innate and adaptive immunity. MIF is also involved in various pathologies: infectious, autoimmune and neurodegenerative diseases, epilepsy and others. Herein, two functional polymorphisms in the MIF gene, a -794 CATT5-8 microsatellite repeat and a -173 G/C single-nucleotide polymorphism, were assessed in 49 NS patients and 51 healthy controls from South Sudan. We also measured MIF plasma levels in established NS patients and healthy controls. We discovered that the frequency of the high-expression MIF -173C containing genotype was significantly lower in NS patients compared to healthy controls. Interestingly however, MIF plasma levels were significantly elevated in NS patients than in healthy controls. We further demonstrated that the HLA protective and susceptibility associations are dominant over the MIF association with NS. Our findings suggest that MIF might have a dual role in NS. Genetically controlled high-expression MIF genotype is associated with disease protection. However, elevated MIF in the plasma may contribute to the detrimental autoimmunity, neuroinflammation and epilepsy.Gil BenedekMahmoud Abed El LatifKeren MillerMila RivkinAlly Ahmed Ramadhan LasuLul P RiekRichard LakoShimon EdvardsonSagit Arbel-AlonEithan GalunMia LevitePublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 10, p e0009821 (2021) |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Gil Benedek Mahmoud Abed El Latif Keren Miller Mila Rivkin Ally Ahmed Ramadhan Lasu Lul P Riek Richard Lako Shimon Edvardson Sagit Arbel-Alon Eithan Galun Mia Levite Macrophage migration inhibitory factor in Nodding syndrome. |
description |
Nodding syndrome (NS) is a catastrophic and enigmatic childhood epilepsy, accompanied by multiple neurological impairments and neuroinflammation. Of all the infectious, environmental and psychological factors associated with NS, the major culprit is Onchocerca Volvulus (Ov)-a parasitic worm transmitted to human by blackflies. NS seems to be an 'Autoimmune Epilepsy' in light of the recent findings of deleterious autoimmune antibodies to Glutamate receptors and to Leiomodin-I in NS patients. Moreover, we recently found immunogenetic fingerprints in HLA peptide-binding grooves associate with protection or susceptibility to NS. Macrophage migration inhibitory factor (MIF) is an immune-regulatory cytokine playing a central role in modulating innate and adaptive immunity. MIF is also involved in various pathologies: infectious, autoimmune and neurodegenerative diseases, epilepsy and others. Herein, two functional polymorphisms in the MIF gene, a -794 CATT5-8 microsatellite repeat and a -173 G/C single-nucleotide polymorphism, were assessed in 49 NS patients and 51 healthy controls from South Sudan. We also measured MIF plasma levels in established NS patients and healthy controls. We discovered that the frequency of the high-expression MIF -173C containing genotype was significantly lower in NS patients compared to healthy controls. Interestingly however, MIF plasma levels were significantly elevated in NS patients than in healthy controls. We further demonstrated that the HLA protective and susceptibility associations are dominant over the MIF association with NS. Our findings suggest that MIF might have a dual role in NS. Genetically controlled high-expression MIF genotype is associated with disease protection. However, elevated MIF in the plasma may contribute to the detrimental autoimmunity, neuroinflammation and epilepsy. |
format |
article |
author |
Gil Benedek Mahmoud Abed El Latif Keren Miller Mila Rivkin Ally Ahmed Ramadhan Lasu Lul P Riek Richard Lako Shimon Edvardson Sagit Arbel-Alon Eithan Galun Mia Levite |
author_facet |
Gil Benedek Mahmoud Abed El Latif Keren Miller Mila Rivkin Ally Ahmed Ramadhan Lasu Lul P Riek Richard Lako Shimon Edvardson Sagit Arbel-Alon Eithan Galun Mia Levite |
author_sort |
Gil Benedek |
title |
Macrophage migration inhibitory factor in Nodding syndrome. |
title_short |
Macrophage migration inhibitory factor in Nodding syndrome. |
title_full |
Macrophage migration inhibitory factor in Nodding syndrome. |
title_fullStr |
Macrophage migration inhibitory factor in Nodding syndrome. |
title_full_unstemmed |
Macrophage migration inhibitory factor in Nodding syndrome. |
title_sort |
macrophage migration inhibitory factor in nodding syndrome. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doaj.org/article/557f7652636d45e0b7424ef0a1cccff7 |
work_keys_str_mv |
AT gilbenedek macrophagemigrationinhibitoryfactorinnoddingsyndrome AT mahmoudabedellatif macrophagemigrationinhibitoryfactorinnoddingsyndrome AT kerenmiller macrophagemigrationinhibitoryfactorinnoddingsyndrome AT milarivkin macrophagemigrationinhibitoryfactorinnoddingsyndrome AT allyahmedramadhanlasu macrophagemigrationinhibitoryfactorinnoddingsyndrome AT lulpriek macrophagemigrationinhibitoryfactorinnoddingsyndrome AT richardlako macrophagemigrationinhibitoryfactorinnoddingsyndrome AT shimonedvardson macrophagemigrationinhibitoryfactorinnoddingsyndrome AT sagitarbelalon macrophagemigrationinhibitoryfactorinnoddingsyndrome AT eithangalun macrophagemigrationinhibitoryfactorinnoddingsyndrome AT mialevite macrophagemigrationinhibitoryfactorinnoddingsyndrome |
_version_ |
1718374107201929216 |