Short Communication
Polymorphism in cathelicidin gene (CAMP) that alters Hypoxia-inducible
factor (HIF-1a::ARNT) binding is not associated with tuberculosis
G. N. L opez Campos*, J. S. Velarde F elix†
,
‡, L. Sandoval Ramírez§, S. C azares Salazar¶,
A. L. Corona Nakamura**, G. Amaya Tapia†† & E. Prado Montes de Oca*
,
‡‡
Summary
Polymorphisms in the CAMP gene (cathelicidin) have
not been tested in tuberculosis susceptibility. We tested
polymorphisms rs9844812 (HIF-1a::ARNT binding
site) and rs56122065 (CAMP) plus rs1800972
(DEFB1). SNP rs1800972 was associated with extra-
pulmonary tuberculosis (EPTB) in a codominant
model (genotype CG, P = 0.037, OR 4.82; 95% CI:
0.92–47.42; statistical power, 82%), but not PTB
(P = 0.101) in a Mexican population.
Introduction
Only an estimated 10% of immunocompetent persons
infected by Mycobacterium tuberculosis develop clini-
cal signs of the disease. One possible explanation for
this could be due to the role of variation in genes that
control the host immune response to the bacilli (Cobat
et al., 2013; El Baghdadi et al., 2013). Genetic suscep-
tibility to tuberculosis is influenced by host polymor-
phisms mainly in genes vitamin D receptor (VDR)
(Alagarasu et al., 2009), ubiquitin–protein ligase
(UBE3A), IL12, surfactant pulmonary-associated pro-
tein A1 (SFTPA1) (Schurr, 2007), purinergic receptor
P2X, ligand-gated ion channel 7 (P2X7) (Li et al.,
2002), chemokine, CC motif, ligand 5 or RANTES
(CCL5) (Selvaraj et al., 2011), V-AKT murine thymo-
ma viral oncogene homolog 1 (AKT1)(Wang et al.,
2010), solute carrier family 11, proton-coupled diva-
lent metal ion transporter (SLC11A1) (Awomoyi
et al., 2002), interleukin-12 receptor, beta-1
(1L12RB1) (Kusuhara et al., 2007), interferon-gamma
(IFNG) (Ding et al., 2008), interleukin-10 (IL10) (Tso
et al., 2005), tumour necrosis factor alpha (TNFA)
(Stein et al., 2005) and Toll-like receptor 4 (TLR4)
(Modlin, 2010).
Antimicrobial peptides (APs) are components of
innate immunity which show microbicidal activity
against a variety of microorganisms (Selsted & Ouel-
lette, 2005; Prado-Montes de Oca, 2010; Prado Mon-
tes de Oca, 2013). APs are small (~12–80 aa),
evolutively conserved molecules expressed mainly in
epithelia and leucocytes. Cathelicidin LL-37 and b-def-
ensins are very important in lung immunity (Tecle
et al., 2010). Polymorphisms in the CAMP gene have
not been studied in susceptibility to tuberculosis, in
spite the in vitro activity of cathelicidin LL-37 against
M. tuberculosis and its immunomodulatory properties
(Liu et al., 2007; Martineau et al., 2007a). Also, in vi-
tro studies of human b-defensin 1 have shown activity
against M. tuberculosis (Fattorini et al., 2004).Our
group reported an association between this severe
form of the mycobacterial disease lepromatous leprosy
and polymorphism rs1800972 (668 or 44 C/G) in
the DEFB1 gene. The SNP alters one of five of puta-
tive binding sites for NF-jB1 (p50/p105) in the non-
coding strand of 5′ UTR of exon 1 (Prado-Montes de
Oca et al., 2009; Prado-Montes de Oca, 2010), and it
was recently found that this SNP is associated with
pulmonary tuberculosis (PTB) in a Chinese Han popu-
lation (Wu et al., 2012).
* In silico Laboratory, Pharmaceutical and Medical Biotechnology
Unit, Research Center in Technology and Design Assistance of Jali-
sco State (CIATEJ, AC), National Council of Science and Technology,
Guadalajara, Mexico, † Biology Academic Unit, Sinaloa Autonomous
University (UAS), Culiacan, M exico, ‡ Genomic Medicine Center, Dr.
Bernardo J. Gastelum Culiacan Primary Care Hospital, Health Minis-
try (SS), Culiacan, Mexico, § Genetics Division, Western Biomedical
Research Center, National Institute of Social Security (CIBO-IMSS),
Guadalajara, Mexico, ¶ Biology and Chemistry Sciences Faculty, Sin-
aloa Autonomous University (FCQB-UAS), Culiacan, Mexico, ** Infe-
ctology Service, External Attention Medical Unit (UMAE), Western
National Medical Center (CMNO), Specialty Hospital, National Insti-
tute of Social Security (IMSS), Guadalajara, Mexico, †† Infectology
Service, Primary Care Western Hospital, Health Ministry of Jalisco
State (SSJ), Guadalajara, Mexico and ‡‡ Molecular Biology Labora-
tory, Biosecurity Area, Pharmaceutical and Medical Biotechnology
Unit, Research Center in Technology and Design Assistance of Jali-
sco State (CIATEJ, AC), National Council of Science and Technology
(CONACYT), Guadalajara, Mexico
Received 24 May 2013; revised 01 July 2013; accepted 15 July
2013
Correspondence: Dr Ernesto Prado Montes de Oca, Laboratorio in
silico, Unidad de BiotecnologíaM edica y Farmac eutica, Centro de
Investigaci on y Asistencia en Tecnología y Dise~ no del Estado de
Jalisco, A.C., Consejo Nacional de Ciencia y Tecnología. Av.
Normalistas 800, Col. Colinas de la Normal, Guadalajara, Jalisco CP
44270 M exico. Tel: +52 33 3345 5200 ext. 1675;
Fax: +52 33 3345 5200 ext. 1001; E-mail: eprado@ciatej.net.mx
© 2013 John Wiley & Sons Ltd
International Journal of Immunogenetics, 2013, 0,1–9 1
doi: 10.1111/iji.12080