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尼日利亚尼日尔三角洲地区部分人类遗传标记的频率及其与恶性疟原虫疟疾的关联。

Frequencies of some human genetic markers and their association with Plasmodium falciparum malaria in the Niger Delta, Nigeria.

作者信息

Jeremiah Z A, Jeremiah T A, Emelike F O

机构信息

Department of Medical Laboratory Sciences, College of Health Sciences, Niger Delta University, Wilberforce Island, Bayelsa State, Nigeria.

出版信息

J Vector Borne Dis. 2010 Mar;47(1):11-6.

Abstract

BACKGROUND & OBJECTIVES: There is paucity of information on the association between Plasmodium falciparum malaria and some human genetic markers in the Niger Delta region of Nigeria. Hence, a study was undertaken in children to assess the current level of subclinical malaria due to P. falciparum.

METHODS

Blood groups ABO and Rhesus factor, haemoglobin electrophoretic pattern, G-6-PD deficiency status and malaria were determined among 240 apparently healthy children in a crosssectional descriptive study using standard procedures.

RESULTS

The prevalence of P. falciparum malaria in this region was high (27.5%). Blood group O (51.3%) dominated the study population, followed by B (23.8%), A (21.3%), and AB (3.8%). Rhesus D positive accounted for 91.3% while Rh D negative was 8.7%. Sickle-cell trait (HbAS) prevalence was 12.5% while HbAA accounted for 87.5%. In all, 5.42% of the children were G-6- PD deficient while 94.58% had normal G-6-PD status. Chi-square analysis revealed that only blood group O and Rh D negative had a significant association with P. falciparum malaria (chi2=4.3636, p<0.05 and chi2 = 5.760, p<0.02 respectively). No significant association was found to exist between P. falciparum malaria and other genetic markers.

CONCLUSION

This study has provided the current prevalence rates of some genetic markers in a malaria endemic region of Niger Delta, Nigeria. Of all the genetic markers tested, only Blood group O and Rh D negative had significant and positive associations with P. falciparum infection.

摘要

背景与目的

关于尼日利亚尼日尔三角洲地区恶性疟原虫疟疾与某些人类遗传标记之间的关联,现有信息匮乏。因此,开展了一项针对儿童的研究,以评估当前由恶性疟原虫导致的亚临床疟疾水平。

方法

在一项横断面描述性研究中,采用标准程序对240名表面健康的儿童进行了ABO血型、恒河猴因子、血红蛋白电泳模式、葡萄糖-6-磷酸脱氢酶(G-6-PD)缺乏状况及疟疾检测。

结果

该地区恶性疟原虫疟疾的患病率较高(27.5%)。研究人群中O型血占主导(51.3%),其次是B型血(23.8%)、A型血(21.3%)和AB型血(3.8%)。恒河猴D阳性占91.3%,而Rh D阴性占8.7%。镰状细胞性状(HbAS)患病率为12.5%,而HbAA占87.5%。总体而言,5.42%的儿童存在G-6-PD缺乏,而94.58%的儿童G-6-PD状态正常。卡方分析显示,只有O型血和Rh D阴性与恶性疟原虫疟疾有显著关联(卡方值分别为4.3636,p<0.05和卡方值 = 5.760,p<0.02)。未发现恶性疟原虫疟疾与其他遗传标记之间存在显著关联。

结论

本研究提供了尼日利亚尼日尔三角洲疟疾流行地区某些遗传标记的当前患病率。在所有检测的遗传标记中,只有O型血和Rh D阴性与恶性疟原虫感染有显著的正相关。

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