Epidemiological and genetic aspects of pulmonary tuberculosis in Kazakhstan
Yerezhepov D, Gabdulkayum A, Akhmetova A, Abilova Z, Rakhimova S, Kairov U, Akilzhanova A, Kozhamkulov U
Journal of infection and public health · 2024-09
Abstract
Objective Tuberculosis is a major health problem in many countries, including Kazakhstan. Host genetics can affect TB risk, and epidemiological and social factors may contribute to disease progression. Due to the high incidence of pulmonary tuberculosis in the country, our research aimed to study the epidemiological and genetic aspects of pulmonary tuberculosis in Kazakhstan. Material and methods 1026 participants of Central Asian origin were recruited in the study: 342 individuals diagnosed with active PTB, 342 household contacts, and 342 controls without a family history of TB. Genetic polymorphisms of selected genes were determined by real-time polymerase chain reaction. The association between the risk of pulmonary TB and polymorphisms was evaluated using logistic regression and assessed with the ORs and their corresponding 95 % CIs, and the significance level was determined as p Results Epidemiological data revealed that underweight BMI (χ² = 89.97, p Conclusion Results showed that gender, employment, underweight BMI and diabetes are associated with PTB incidence in our study cohort. The A/A genotype of the IFG (rs2430561) and an A/A genotype of the TLR8 (rs3764880) genes were associated with an increased risk of PTB. A/T polymorphism of the IFG (rs2430561) and A/A polymorphism of the VDR ApaI were associated with a decreased risk of PTB.
MeSH terms
- Humans
- Tuberculosis, Pulmonary
- Genetic Predisposition to Disease
- Receptors, Calcitriol
- Risk Factors
- Genotype
- Polymorphism, Single Nucleotide
- Adolescent
- Adult
- Aged
- Middle Aged
- Kazakhstan
- Female
- Male
- Young Adult