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Human subjects are protected from mast cell tryptase deficiency despite frequent inheritance of loss-of-function mutations - 15/08/11

Doi : 10.1016/j.jaci.2009.07.026 
Neil N. Trivedi, MD a, b, f, Bani Tamraz, PharmD a, d, Catherine Chu, BS c, d, Pui-Yan Kwok, MD, PhD a, c, d, George H. Caughey, MD a, b, e, f,
a Cardiovascular Research Institute, University of California at San Francisco, San Francisco, Calif 
b Department of Medicine, University of California at San Francisco, San Francisco, Calif 
c Department of Dermatology, University of California at San Francisco, San Francisco, Calif 
d Institute for Human Genetics, University of California at San Francisco, San Francisco, Calif 
e Veterans Health Research Institute, San Francisco, Calif 
f Veterans Affairs Medical Center, San Francisco, Calif 

Reprint requests: George H. Caughey, MD, Veterans Affairs Medical Center 111D, 4150 Clement St, San Francisco, CA 94121.

Abstract

Background

Mast cell tryptases have proposed roles in allergic inflammation and host defense against infection. Tryptase gene loci TPSAB1 and TPSB2 are known to be polymorphic, but the nature and extent of diversity at these loci have not been fully explored.

Objective

We sought to compare functional and nonfunctional tryptase allele frequencies and establish haplotypes in human populations.

Methods

Tryptase allele frequencies were determined by means of direct sequencing in 270 individuals from HapMap populations of European, African, Chinese, and Japanese ancestry. Haplotypes were predicted, validated in parent-child trios, and compared between populations.

Results

We identify a new frame-shifted tryptase allele (βIIIFS) carried by 23% and 19% of individuals of European and African ancestry but 0% of Asian subjects. Homology models predict that βIIIFS is functionless. Our genotyping assay shows that allele and haplotype distributions in each population are unique. Strong linkage disequilibrium between TPSAB1 and TPSB2 (r2=0.83, D′=0.85) yields 2 major and 5 minor tryptase haplotypes.

Conclusions

Tryptase deficiency alleles (⍺ and the newly discovered βIIIFS) are common, causing the number of inherited active genes to range from a minimum of 2 to a maximum of 4, with major differences between populations in the proportion of individuals inheriting 2 versus 4 active alleles. African and Asian populations are especially enriched in genes encoding functional and nonfunctional tryptases, respectively. Strong linkage of TPSAB1 and TPSB2 and pairing of deficiency alleles with functional alleles in observed haplotypes protect human subjects from “knockout” genomes and indeed from inheritance of fewer than 2 active alleles.

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Key words : Tryptase, mast cells, human genetics

Abbreviations used : CEU, CHB, JPT, SNP, YRI


Esquema


 Supported by National Institutes of Health grant HL024136 and the Veterans Health Research Institute.
 Disclosure of potential conflict of interest: The authors have declared that they have no conflict of interest.


© 2009  American Academy of Allergy, Asthma & Immunology. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 124 - N° 5

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