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Genetic Link Behind TB
The same gene, boffins have found, has a role in the severity of leprosy, which is caused by a related pathogen. The researchers also have learned why this gene is important for susceptibility.
The gene, lta4h, appears to orchestrate pro-inflammatory and anti-inflammatory responses. When these responses are balanced, the body destroys invaders without unduly hurting itself. But an imbalance results in problems. Either the infection takes hold or damage occurs from an overly aggressive defense.
The findings has been published as the cover story for Cell.
"For a long time, burning questions have been, Why do people differ from each other in their susceptibility or resistance to TB, even when they have the same exposure? Why do those who do contract TB vary in the severity of their illness?" posed the study's senior author, Lalita Ramakrishnan, associate professor of microbiology, medicine, and immunology.
The answers came from zebrafish, a tiny fish whose home is the Ganges River, as well as from people from Vietnam and Nepal.
First, UW researchers David Tobin, John Ray and Lalita Ramakrishnan created random mutations in zebrafish larvae in collaboration with Cecilia Moens, a Howard Hughes Medical Institute investigator at the Fred Hutchinson Cancer Research Center in Seattle and her postdoctoral fellow Gregory Walsh.
They then inoculated the larvae with mycobacteria similar to the germ that causes human tuberculosis. Because zebrafish are transparent, it was easy for the scientists to spot signs of disease. In the fish, growing mycobacteria caused the formation of characteristic structures called granulomas. The fish inoculated with the mycobacteria had a range of outcomes, from resistance to the infection to extremely severe disease.
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