• Re: Malaria resistance

    From Chris Thompson@21:1/5 to RonO on Fri May 23 21:43:50 2025
    RonO wrote:
    https://journals.plos.org/plosgenetics/article?id=10.1371/journal.pgen.1006560


    This is a population genetic study on the DARC allele that is associated
    with resistance to Plasmodium vivax.  The DARC receptor usually detects foreign antigens and signals a chemokine response, but a variant exists
    that messes up the normal transcription regulation site and the receptor
    is no longer expressed in red blood cells.  P. vivax normally uses the
    DARC receptor to gain access into the red blood cells, and when it isn't there they can't infect the cell.  So if you are homozygous for the resistant null allele you are highly protected against P. vivax
    infection.  There is likely negative consequences to not expressing DARC
    in red blood cells because the allele has never been fixed in the
    populations subject to infection by P. vivax, and there is a low level
    of heterozygotes left in populations, and where P. vivax is not a
    problem the frequency of the resistant allele is very low.  The paper
    claims "fixation" for the resistant allele in parts of Africa, but heterozygotes existed in all populations, but the allele frequency went
    to 0.99)

    Any negative consequences are not as bad as sickle cell anemia
    resistance to Plasmodium falciparum.  For sickle cell in the past the
    allele frequency could only get to a little over 0.37 (over 75% of the
    adult population could be heterozygous and resistant to malaria).
    Homozygotes have sickle cell anemia and in the past usually died before becoming adults, but there is a higher survival rate with implementation
    of modern medicine.  For the DARC allele the allele frequency can go to
    0.99 in populations infected by P. vivax.

    They did an analysis of the alleles and claim that the resistant allele
    had been segregating in the African population for sometime, and likely
    was taken out of Africa with the wave of Modern humans that left around 60,000 years ago.  The resistant allele was part of the standing genetic variation, but may not have been more than 0.1% (allele frequency of
    0.001 or 1 in 500 individuals were carriers).  Apparently the sequence analysis indicates that P. vivax did not become an issue in sub-saharan Africa until less than 10,000 years ago and resulted in the selection of
    the resistant allele and it subsequently becoming the most common allele
    in sub-saharan Africa.

    Ron Okimoto


    Is this the allele/RBC antigen in the Duffy blood group system?

    Chris

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