The effects of socioeconomic status, clinical factors, and genetic ancestry on pulmonary tuberculosis disease in northeastern Mexico

Diverse socioeconomic and clinical factors influence susceptibility to tuberculosis (TB) disease in Mexico. The role of genetic factors, particularly those that differ between the parental groups that admixed in Mexico, is unclear. The objectives of this study are to identify the socioeconomic and c...

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Main Authors: Young, Bonnie N., Rendón, Adrián, Rosas Taraco, Adrián Geovanni, Baker, Jack, Healy, Meghan, Gross, Jessica M., Long, Jeffrey, Burgos, Marcos, Hunley, Keith L.
Format: Article
Language:English
Published: Public Library of Science 2014
Online Access:http://eprints.uanl.mx/15134/1/245.PDF
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author Young, Bonnie N.
Rendón, Adrián
Rosas Taraco, Adrián Geovanni
Baker, Jack
Healy, Meghan
Gross, Jessica M.
Long, Jeffrey
Burgos, Marcos
Hunley, Keith L.
author_facet Young, Bonnie N.
Rendón, Adrián
Rosas Taraco, Adrián Geovanni
Baker, Jack
Healy, Meghan
Gross, Jessica M.
Long, Jeffrey
Burgos, Marcos
Hunley, Keith L.
author_sort Young, Bonnie N.
collection Repositorio Institucional
description Diverse socioeconomic and clinical factors influence susceptibility to tuberculosis (TB) disease in Mexico. The role of genetic factors, particularly those that differ between the parental groups that admixed in Mexico, is unclear. The objectives of this study are to identify the socioeconomic and clinical predictors of the transition from latent TB infection (LTBI) to pulmonary TB disease in an urban population in northeastern Mexico, and to examine whether genetic ancestry plays an independent role in this transition. We recruited 97 pulmonary TB disease patients and 97 LTBI individuals from a public hospital in Monterrey, Nuevo Leo´n. Socioeconomic and clinical variables were collected from interviews and medical records, and genetic ancestry was estimated for a subset of 142 study participants from 291,917 single nucleotide polymorphisms (SNPs). We examined crude associations between the variables and TB disease status. Significant predictors from crude association tests were analyzed using multivariable logistic regression. We also compared genetic ancestry between LTBI individuals and TB disease patients at 1,314 SNPs in 273 genes from the TB biosystem in the NCBI BioSystems database. In crude association tests, 12 socioeconomic and clinical variables were associated with TB disease. Multivariable logistic regression analyses indicated that marital status, diabetes, and smoking were independently associated with TB status. Genetic ancestry was not associated with TB disease in either crude or multivariable analyses. Separate analyses showed that LTBI individuals recruited from hospital staff had significantly higher European genetic ancestry than LTBI individuals recruited from the clinics and waiting rooms. Genetic ancestry differed between individuals with LTBI and TB disease at SNPs located in two genes in the TB biosystem. These results indicate that Monterrey may be structured with respect to genetic ancestry, and that genetic differences in TB susceptibility in parental populations may contribute to variation in disease susceptibility in the region.
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spelling eprints-151342020-06-04T16:18:06Z http://eprints.uanl.mx/15134/ The effects of socioeconomic status, clinical factors, and genetic ancestry on pulmonary tuberculosis disease in northeastern Mexico Young, Bonnie N. Rendón, Adrián Rosas Taraco, Adrián Geovanni Baker, Jack Healy, Meghan Gross, Jessica M. Long, Jeffrey Burgos, Marcos Hunley, Keith L. Diverse socioeconomic and clinical factors influence susceptibility to tuberculosis (TB) disease in Mexico. The role of genetic factors, particularly those that differ between the parental groups that admixed in Mexico, is unclear. The objectives of this study are to identify the socioeconomic and clinical predictors of the transition from latent TB infection (LTBI) to pulmonary TB disease in an urban population in northeastern Mexico, and to examine whether genetic ancestry plays an independent role in this transition. We recruited 97 pulmonary TB disease patients and 97 LTBI individuals from a public hospital in Monterrey, Nuevo Leo´n. Socioeconomic and clinical variables were collected from interviews and medical records, and genetic ancestry was estimated for a subset of 142 study participants from 291,917 single nucleotide polymorphisms (SNPs). We examined crude associations between the variables and TB disease status. Significant predictors from crude association tests were analyzed using multivariable logistic regression. We also compared genetic ancestry between LTBI individuals and TB disease patients at 1,314 SNPs in 273 genes from the TB biosystem in the NCBI BioSystems database. In crude association tests, 12 socioeconomic and clinical variables were associated with TB disease. Multivariable logistic regression analyses indicated that marital status, diabetes, and smoking were independently associated with TB status. Genetic ancestry was not associated with TB disease in either crude or multivariable analyses. Separate analyses showed that LTBI individuals recruited from hospital staff had significantly higher European genetic ancestry than LTBI individuals recruited from the clinics and waiting rooms. Genetic ancestry differed between individuals with LTBI and TB disease at SNPs located in two genes in the TB biosystem. These results indicate that Monterrey may be structured with respect to genetic ancestry, and that genetic differences in TB susceptibility in parental populations may contribute to variation in disease susceptibility in the region. Public Library of Science 2014 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/15134/1/245.PDF http://eprints.uanl.mx/15134/1.haspreviewThumbnailVersion/245.PDF Young, Bonnie N. y Rendón, Adrián y Rosas Taraco, Adrián Geovanni y Baker, Jack y Healy, Meghan y Gross, Jessica M. y Long, Jeffrey y Burgos, Marcos y Hunley, Keith L. (2014) The effects of socioeconomic status, clinical factors, and genetic ancestry on pulmonary tuberculosis disease in northeastern Mexico. PloS one, 9 (4). e94303. ISSN 1932-6203 doi:10.1371/journal.pone.0094303
spellingShingle Young, Bonnie N.
Rendón, Adrián
Rosas Taraco, Adrián Geovanni
Baker, Jack
Healy, Meghan
Gross, Jessica M.
Long, Jeffrey
Burgos, Marcos
Hunley, Keith L.
The effects of socioeconomic status, clinical factors, and genetic ancestry on pulmonary tuberculosis disease in northeastern Mexico
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title The effects of socioeconomic status, clinical factors, and genetic ancestry on pulmonary tuberculosis disease in northeastern Mexico
title_full The effects of socioeconomic status, clinical factors, and genetic ancestry on pulmonary tuberculosis disease in northeastern Mexico
title_fullStr The effects of socioeconomic status, clinical factors, and genetic ancestry on pulmonary tuberculosis disease in northeastern Mexico
title_full_unstemmed The effects of socioeconomic status, clinical factors, and genetic ancestry on pulmonary tuberculosis disease in northeastern Mexico
title_short The effects of socioeconomic status, clinical factors, and genetic ancestry on pulmonary tuberculosis disease in northeastern Mexico
title_sort effects of socioeconomic status clinical factors and genetic ancestry on pulmonary tuberculosis disease in northeastern mexico
url http://eprints.uanl.mx/15134/1/245.PDF
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