A new look at osteomyelitis development--focus on CCR5delta32. Study in patients from Northeast Brazil

Infect Genet Evol. 2015 Apr:31:61-3. doi: 10.1016/j.meegid.2015.01.012. Epub 2015 Jan 28.

Abstract

Introduction: CCR5 receptor exerts an important role in the host immune response. Osteomyelitis is an inflammatory process and Staphylococcus aureus is the principal causative agent of this bone injury complication. A deletion of 32bp (CCR5Δ32) in the CCR5 gene seems to protect against HIV-1, S.aureus and other infections. However, the CCR5Δ32 allele has been associated with an increased risk for other diseases.

Objective: To investigate the function of CCR5 and to gather data about the relationship of the CCR5Δ32 mutation and the risk of developing osteomyelitis as a complication in patients with bone traumas.

Methods: In a study of 153 patients with bone traumas the presence of the CCRΔ32 mutation was determined by PCR.

Results: In this study, the CCR5Δ32 allele was present only in the heterozygous form. Osteomyelitis was more frequent in the wild type carriers (94.87%; 37/39) and most of the CCR5Δ32 carriers (87.5%; 14/16) did not present with osteomyelitis.

Conclusion: The CCR5Δ32 could be associated with protection against osteomyelitis caused by S. aureus, corroborating the data from Alonzo & Torres study, in which CCR5 receptor is required for S. aureus leukotoxin ED (LukED) cytotoxicity.

Keywords: CCR5; CCR5Δ32; Osteomyelitis; Staphylococcus aureus.

MeSH terms

  • Adult
  • Aged
  • Alleles*
  • Brazil
  • Female
  • Genetic Predisposition to Disease
  • Genotype
  • Humans
  • Male
  • Middle Aged
  • Mutation*
  • Odds Ratio
  • Osteomyelitis / etiology*
  • Osteomyelitis / immunology
  • Receptors, CCR5 / genetics*

Substances

  • Receptors, CCR5