Skip to main content
The Journal of Clinical Investigation logoLink to The Journal of Clinical Investigation
. 1987 Apr;79(4):1139–1143. doi: 10.1172/JCI112930

Genetic epidemiology of the susceptibility to leprosy.

E D Shields, D A Russell, M A Pericak-Vance
PMCID: PMC424295  PMID: 3549780

Abstract

To test the hypothesis that genetic factors are operative in the predisposition to leprosy (Hansen's disease) in humans, a genetic epidemiologic investigation was performed on 269 leprosy kindreds containing 552 affected individuals from an isolated population in Papua New Guinea. The community, and not the family, was the basic social unit. Leprosy, an infectious disease, was not communal but strongly familial within the Karimui. Segregation analysis, to determine whether a major gene for the susceptibility to leprosy was segregating within a single multi-generational kindred, could not differentiate between a Mendelian genetic and a purely environmental hypothesis. The composite kindred data, however, suggest a genetic hypothesis for the non-immunologically induced susceptibility to leprosy per se. Within familial kindreds leprosy invariably emanated from a common ancestral sibship, and risk was associated with the closeness of kin but not with infectivity or severity.

Full text

PDF
1142

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abe M., Minagawa F., Yoshino Y., Ozawa T., Saikawa K., Saito T. Fluorescent leprosy antibody absorption (FLA-ABS) test for detecting subclinical infection with Mycobacterium leprae. Int J Lepr Other Mycobact Dis. 1980 Jun;48(2):109–119. [PubMed] [Google Scholar]
  2. Closs O., Haugen O. A. Experimental murine leprosy. 2. Further evidence for varying susceptibility of outbred mice and evaluation of the response of 5 inbred mouse strains to infection with Mycobacterium lepraemurium. Acta Pathol Microbiol Scand A. 1974 Jul;82(4):459–474. [PubMed] [Google Scholar]
  3. Convit J., Pinardi M. E., Rojas F. A., Gonzáles I., Corey G., Arvelo J. J., Monzón H. Tests with three antigens in leprosy-endemic and non-endemic areas. Bull World Health Organ. 1975;52(2):193–198. [PMC free article] [PubMed] [Google Scholar]
  4. Davey T. F., Rees R. J. The nasal dicharge in leprosy: clinical and bacteriological aspects. Lepr Rev. 1974 Jun;45(2):121–134. doi: 10.5935/0305-7518.19740014. [DOI] [PubMed] [Google Scholar]
  5. Desikan K. V. Viability of Mycobacterium leprae outside the human body. Lepr Rev. 1977 Dec;48(4):231–235. [PubMed] [Google Scholar]
  6. Draper P. Cell walls of Mycobacterium leprae. Int J Lepr Other Mycobact Dis. 1976 Jan-Jun;44(1-2):95–98. [PubMed] [Google Scholar]
  7. Elston R. C. Segregation analysis. Adv Hum Genet. 1981;11:63-120, 372-3. doi: 10.1007/978-1-4615-8303-5_2. [DOI] [PubMed] [Google Scholar]
  8. Elston R. C., Stewart J. A general model for the genetic analysis of pedigree data. Hum Hered. 1971;21(6):523–542. doi: 10.1159/000152448. [DOI] [PubMed] [Google Scholar]
  9. Elston R. C., Yelverton K. C. General models for segregation analysis. Am J Hum Genet. 1975 Jan;27(1):31–45. [PMC free article] [PubMed] [Google Scholar]
  10. Fine P. E., Wolf E., Pritchard J., Watson B., Bradley D. J., Festenstein H., Chacko C. J. HLA-linked genes and leprosy: a family study in Karigiri, South India. J Infect Dis. 1979 Aug;140(2):152–161. doi: 10.1093/infdis/140.2.152. [DOI] [PubMed] [Google Scholar]
  11. GUINTO R. S., DOULL J. A., WOOD L., MABALAY E. B. The Mitsuda reaction in persons with and without household exposure to leprosy. Int J Lepr. 1955 Apr-Jun;23(2):135–138. [PubMed] [Google Scholar]
  12. Godal T. Immunological aspects of leprosy--present status. Prog Allergy. 1978;25:211–242. [PubMed] [Google Scholar]
  13. Godal T., Negassi K. Subclinical infection in leprosy. Br Med J. 1973 Sep 15;3(5880):557–559. doi: 10.1136/bmj.3.5880.557. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Gros P., Skamene E., Forget A. Genetic control of natural resistance to Mycobacterium bovis (BCG) in mice. J Immunol. 1981 Dec;127(6):2417–2421. [PubMed] [Google Scholar]
  15. Hausfeld R. G. An anthropological method for measuring exposure to leprosy in a leproxy-endemic population at Karimui, New Guinea. Bull World Health Organ. 1970;43(6):863–877. [PMC free article] [PubMed] [Google Scholar]
  16. Kronvall G., Bjune G., Stanford J., Menzel S., Samuel D. Mycobacterial antigens in antibody responses of leprosy patients. Int J Lepr Other Mycobact Dis. 1975 Oct-Dec;43(4):306–306. [PubMed] [Google Scholar]
  17. Leiker D. L. On the mode of transmission of Mycobacterium leprae. Lepr Rev. 1977 Mar;48(1):9–16. doi: 10.5935/0305-7518.19770003. [DOI] [PubMed] [Google Scholar]
  18. Menzel S., Bjune G., Kronvall G. Lymphocyte transformation test in healthy contacts of patients with leprosy. I. Influence of exposure to leprosy within a household. Int J Lepr Other Mycobact Dis. 1979 Jun;47(2):138–152. [PubMed] [Google Scholar]
  19. Myrvang B., Godal T., Ridley D. S., Fröland S. S., Song Y. K. Immune responsiveness to Mycobacterium leprae and other mycobacterial antigens throughout the clinical and histopathological spectrum of leprosy. Clin Exp Immunol. 1973 Aug;14(4):541–553. [PMC free article] [PubMed] [Google Scholar]
  20. Potter M., O'Brien A. D., Skamene E., Gros P., Forget A., Kongshavn P. A., Wax J. S. A BALB/c congenic strain of mice that carries a genetic locus (Ityr) controlling resistance to intracellular parasites. Infect Immun. 1983 Jun;40(3):1234–1235. doi: 10.1128/iai.40.3.1234-1235.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. RUSSELL D. A., SCOTT G. C., WIGLEY S. C. BCG VACCINATION IN LEPROSY. A PRELIMINARY REPORT OF A "BLIND" CONTROLLED TRIAL. Int J Lepr. 1964 Jul-Sep;32:235–245. [PubMed] [Google Scholar]
  22. Rahe R. H. Subjects' recent life changes and their near-future illness susceptibility. Adv Psychosom Med. 1972;8:2–19. doi: 10.1159/000393120. [DOI] [PubMed] [Google Scholar]
  23. Ramu G. Central Jalma Institute for leprosy, Agra. Lepr India. 1981 Apr;53(2):307–315. [PubMed] [Google Scholar]
  24. SPICKETT S. G. Genetics and the epidemiology of leprosy. I. The incidence of leprosy. Lepr Rev. 1962 Apr;33:76–93. doi: 10.5935/0305-7518.19620011. [DOI] [PubMed] [Google Scholar]
  25. Sansonetti P., Lagrange P. H. The immunology of leprosy: speculations on the leprosy spectrum. Rev Infect Dis. 1981 May-Jun;3(3):422–469. doi: 10.1093/clinids/3.3.422. [DOI] [PubMed] [Google Scholar]
  26. Scott G. C., Russell D. A., Boughton C. R., Vincin D. R. Untreated leprosy: probability for shifts in Ridley-Jopling classification. Development of "flares", or disappearance of clinically apparent disease. Int J Lepr Other Mycobact Dis. 1976 Jan-Jun;44(1-2):110–122. [PubMed] [Google Scholar]
  27. Shepard C. C., Habas J. A. Relation of infection to tissue temperature in mice infected with Mycobacterium marinum and Mycobacterium leprae. J Bacteriol. 1967 Mar;93(3):790–796. doi: 10.1128/jb.93.3.790-796.1967. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Skamene E., Gros P., Forget A., Kongshavn P. A., St Charles C., Taylor B. A. Genetic regulation of resistance to intracellular pathogens. Nature. 1982 Jun 10;297(5866):506–509. doi: 10.1038/297506a0. [DOI] [PubMed] [Google Scholar]
  29. Skamene E., Kongshavn P. A. Cellular mechanisms of resistance to Listeria monocytogenes. Adv Exp Med Biol. 1983;162:217–225. doi: 10.1007/978-1-4684-4481-0_21. [DOI] [PubMed] [Google Scholar]
  30. Stanford J. L., Rook G. A., Convit J., Godal T., Kronvall G., Rees R. J., Walsh G. P. Preliminary taxonomic studies on the leprosy bacillus. Br J Exp Pathol. 1975 Dec;56(6):579–585. [PMC free article] [PubMed] [Google Scholar]
  31. Stanley S. J., Howland C., Stone M. M., Sutherland I. BCG vaccination of children against leprosy in Uganda: final results. J Hyg (Lond) 1981 Oct;87(2):233–248. doi: 10.1017/s002217240006945x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Stevenson M. M., Lyanga J. J., Skamene E. Murine malaria: genetic control of resistance to Plasmodium chabaudi. Infect Immun. 1982 Oct;38(1):80–88. doi: 10.1128/iai.38.1.80-88.1982. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. WADE H. W., LEDOWSKY V. The leprosy epidemic at Nauru; a review, with data on the status since 1937. Int J Lepr. 1952 Jan-Mar;20(1):1–29. [PubMed] [Google Scholar]
  34. de Vries R. R., Fat R. F., Nijenhuis L. E., van Rood J. J. HLA-linked genetic control of host response to Mycobacterium leprae. Lancet. 1976 Dec 18;2(7999):1328–1330. doi: 10.1016/s0140-6736(76)91975-9. [DOI] [PubMed] [Google Scholar]
  35. van Eden W., Gonzalez N. M., de Vries R. R., Convit J., van Rood J. J. HLA-linked control of predisposition to lepromatous leprosy. J Infect Dis. 1985 Jan;151(1):9–14. doi: 10.1093/infdis/151.1.9. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Investigation are provided here courtesy of American Society for Clinical Investigation

RESOURCES