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Blood, 1 December 2001, Vol. 98, No. 12, pp. 3489-3491
BRIEF REPORT
The association of the glycophorin C exon 3 deletion with ovalocytosis and malaria susceptibility in the Wosera,
Papua New Guinea
Sheral S. Patel,
Rajeev K. Mehlotra,
William Kastens,
Charles S. Mgone,
James W. Kazura, and
Peter A. Zimmerman
From the Division of Geographic Medicine, Case Western
Reserve University, and University Hospitals of Cleveland, Cleveland,
OH; and Papua New Guinea Institute of Medical Research, Goroka, Papua
New Guinea.
Erythrocyte polymorphisms, including ovalocytosis, have been
associated with protection against malaria. This study in the Wosera, a malaria holoendemic region of Papua New Guinea, examined the
genetic basis of ovalocytosis and its influence on susceptibility to
malaria infection. Whereas previous studies showed significant associations between Southeast Asian ovalocytosis (caused by a 27-
base pair deletion in the anion exchanger 1 protein gene) and
protection from cerebral malaria, this mutation was observed in only 1 of 1019 individuals in the Wosera. Polymerase chain reaction strategies
were developed to genotype individuals for the glycophorin C exon 3 deletion associated with Melanesian Gerbich negativity (GPC ex3).
This polymorphism was commonly observed in the study population
(GPC ex3 frequency = 0.465, n = 742). Although GPC ex3 was
significantly associated with increased ovalocytosis, it was not
associated with differences in either Plasmodium falciparum or P vivax infection measured over the 7-month study
period. Future case-control studies will determine if GPC ex3 reduces
susceptibility to malaria morbidity.

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