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A fourth locus in the Plasmodium falciparum genome associated with sickle haemoglobin

Hamilton, W. L.; Band, G.; Aniweh, Y.; Asoala, V.; Drury, E.; Rockett, K. A.; Awandare, G. A.; Kwiatkowski, D. P.; Amenga-Etego, L. N.

2023-09-14 microbiology
10.1101/2023.09.14.557461 bioRxiv
Show abstract

Heterozygosity for sickle haemoglobin (HbS) confers protection against severe malaria caused by the parasite Plasmodium falciparum. Recent work suggests that this protective effect can depend on the parasite genotype. Here, we performed a genome-wide association analysis of P. falciparum against human {beta}-globin genotypes in a sample of 1,368 people with mild malaria in northern Ghana. We replicated the previously identified associations with HbS at two parasite loci. However, a newly identified locus within the serine/threonine kinase FIKK4.2, which we term Pfsa4, was also associated with HbS; this finding replicated in a published sample from Mali. The Pfsa1-4 mutations vary widely in frequencies across Africa, are absent from Asia, and are highly correlated with each-other across multiple populations. We found no strong associations with haemoglobin C. These findings add new complexity to the emerging picture of association between human and co-evolving malaria parasite genomes, suggesting new avenues for functional exploration.

Published in Malaria Journal (predicted rank #1) · training set

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