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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Autores principales: 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
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
spellingShingle 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
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