01788nas a2200265 4500000000100000008004100001260001300042653003800055653001100093653001200104653002000116653002500136653002500161653003000186100001200216700001400228700001100242700001300253245008100266300001100347490000800358050001500366520112700381022001401508 2008 d c2008 Apr10aGenetic Predisposition to Disease10aHumans10aleprosy10aModels, Genetic10aMolecular Chaperones10aMycobacterium leprae10aUbiquitin-Protein Ligases1 aAlter A1 aAlcaïs A1 aAbel L1 aSchurr E00aLeprosy as a genetic model for susceptibility to common infectious diseases. a227-350 v123 aALTER 20083 a

Leprosy (Hansen's disease) is a human infectious disease that can be effectively treated with long-term administration of multi-drug therapy. In 2006, over 250,000 new cases were reported to the World Health Organization. In the nineteenth century, disagreement among leprologists regarding the hereditary or infectious nature of leprosy was resolved with the identification of the etiological agent, Mycobacterium leprae. However, epidemiological studies maintain the importance of host genetics in leprosy susceptibility. A model free genome-wide linkage scan in multi-case families from Vietnam led to the positional cloning of global genetic risk factors in the PARK2/PACRG and LTA genes. The process of identifying the susceptibility variants provided invaluable insight into the replication of genetic effects, particularly the importance of considering population-specific linkage-disequilibrium structure. As such, these studies serve to improve our understanding of leprosy pathogenesis by implicating novel biological pathways while simultaneously providing a genetic model for common infectious diseases.

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