@article{fdi:010086720, title = {{A}ssociation of endothelial protein {C} receptor ({EPCR}) rs867186 gene polymorphism with increased levels of soluble {EPCR} and high risk of severe malaria and fatality in {B}eninese children}, author = {{B}lankson, {S}. {O}. and {D}ikroh, {L}. and {T}ettey, {P}. and {T}ornyigah, {B}. and {A}damou, {R}. and {M}oussiliou, {A}. and {A}lao, {M}. {J}. and {A}moussou, {A}. and {P}adounou, {C}. and {M}ilet, {J}acqueline and {M}ensah, {B}. {A}. and {A}niweh, {Y}. and {T}uikue {N}dam, {N}icaise and {R}oussilhon, {C}. and {T}ahar, {R}achida}, editor = {}, language = {{ENG}}, abstract = {{T}he endothelial protein {C} receptor ({EPCR})-rs867186 {G} allele has been linked to high plasma levels of soluble {EPCR} (s{EPCR}) and controversially associated with either susceptibility or resistance to severe and cerebral malaria. {I}n this study, quantitative enzyme-linked immunosorbent assay and sequencing were used to assess s{EPCR} levels and {EPCR}-rs867186 polymorphism in blood samples from {B}eninese children with different clinical presentations of malaria. {O}ur findings show that s{EPCR} levels were higher at hospital admission than during convalescence and that {EPCR}-rs867186 {G} allele was associated with increased s{EPCR} plasma levels, malaria severity, and mortality rate ({P} < .001, {P} = .03, and {P} = .04, respectively), suggesting a role of s{EPCR} in the pathogenesis of severe malaria. {S}oluble and endothelial membrane-bound endothelial protein {C} receptor ({EPCR}) were found to be involved in cerebral malaria. {A}n {A}-to-{G} substitution at the {EPCR}-rs867186 locus is strongly associated with increased plasma-soluble {EPCR} levels, malaria severity, and mortality rate.}, keywords = {{EPCR} ; cerebral malaria ; polymorphism ; rs867186 ; {BENIN}}, booktitle = {}, journal = {{J}ournal of {I}nfectious {D}iseases}, volume = {[{E}arly access]}, numero = {}, pages = {[4 p.]}, ISSN = {0022-1899}, year = {2022}, DOI = {10.1093/infdis/jiac461}, URL = {https://www.documentation.ird.fr/hor/fdi:010086720}, }