Role played by human mannose-binding lectin polymorphisms in pulmonary tuberculosis.

BACKGROUND: Mannose-binding lectin (MBL) activates the complement system in an antibody-independent manner, enhances complement-mediated phagocytosis, and plays a major role in the regulation of inflammatory cytokine release by monocytes. METHODS: Case patients (277 patients with pulmonary tuberculosis) and control subjects (288 household contacts) were tested by polymerase chain reaction (PCR) for polymorphisms at the promoter and the exon 1 regions of the MBL gene. Diagnosis of pulmonary tuberculosis, based on findings from chest radiography and sputum smear examination, was confirmed by PCR and bacteriological tests. RESULTS: HYA/HYA subjects were protected against tuberculosis (odds ratio [OR], 0.09 [95\% confidence interval {CI}], 0.023-0.408; P < 1 X 10 (-6)). LYB/LYD subjects were susceptible to disease (OR, 49 [95\% CI, 2.9-812.5]; P < 1 X 10(-6)). CONCLUSIONS: This study supports the conclusion that MBL can protect or predispose the host to tuberculosis, depending on the host's haplotype pair.