Open Access Highly Accessed Research article

A replication study confirms the association of GWAS-identified SNPs at MICB and PLCE1 in Thai patients with dengue shock syndrome

Tran Ngoc Dang1, Izumi Naka1, Areerat Sa-Ngasang2, Surapee Anantapreecha2, Sumalee Chanama2, Nuanjun Wichukchinda2, Pathom Sawanpanyalert3, Jintana Patarapotikul4, Naoyuki Tsuchiya1 and Jun Ohashi1*

Author Affiliations

1 Faculty of Medicine, University of Tsukuba, Tsukuba, Japan

2 Department of Medical Sciences, Ministry of Public Health, Nonthaburi, Thailand

3 Food and drug Administration, Ministry of Public Heath, Nonthaburi, Thailand

4 Department of Microbiology and Immunology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand

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BMC Medical Genetics 2014, 15:58  doi:10.1186/1471-2350-15-58

Published: 17 May 2014



Dengue shock syndrome (DSS), a severe life-threatening form of dengue infection, mostly occurs in children. A recent genome wide association study (GWAS) identified two SNPs, rs3132468 of major histocompatibility complex class I polypeptide-related sequence B (MICB) and rs3765524 of phospholipase C, epsilon 1 (PLCE1), associated with DSS in Vietnamese children. In this study, to examine whether an identical association is found in a different population, the association of these two SNPs with DSS was assessed in Thai children with dengue.


The rs3132468 and rs3765524 SNPs were genotyped in 917 Thai children with dengue: 76 patients with DSS and 841 patients with non-DSS. The allele frequencies were compared between DSS and non-DSS groups by one-sided Fisher’s exact test. The association of rs3132468 and rs3765524 with the mRNA expression levels of MICB and PLCE1 were assessed in EBV-transformed lymphoblastoid cell lines.


The reported DSS-risk alleles were significantly associated with DSS in Thai patients with dengue (one-sided P = 0.0213 and odds ratio [OR] = 1.58 for rs3132468-C and one-sided P = 0.0252 and OR = 1.49 for rs3765524-C). The rs3132468-C allele showed a significant association with lower mRNA level of MICB (P = 0.0267), whereas the rs3765524-C allele did not. These results imply that the MICB molecule may play an important role in the prevention of DSS in dengue infection.


Together with previous association studies, we conclude that rs3132468-C at MICB and rs3765524-C at PLCE1 confer risk of DSS in Southeast Asians.

Association; Dengue shock syndrome (DSS); Expression; MICB; PLCE1; Polymorphism