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A prospective study in children with a severe form of atopic dermatitis: clinical outcome in relation to cytokine gene polymorphisms

Kayserova J., Sismova K., Zentsova-Jaresova I., Katina S., Vernerova E., Polouckova A., Capkova S., Malinova V., Striz I., Sediva A.

. 2012 ; 22 (2) : 92-101.

Language English Country Spain

Document type Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't

BACKGROUND AND OBJECTIVE: The course of atopic dermatitis (AD) in childhood is characterized by typical changes in phenotype, including a shift from skin involvement to respiratory allergy usually around the third year of age. We thus designed a prospective study to monitor the outcome of severe AD and to investigate the association between cytokine gene polymorphisms and clinical manifestations. METHODS: Clinical and laboratory follow-up of 94 patients with severe AD and 103 healthy controls was performed using routine methodology. Allele, genotype, and haplotype frequencies of single nucleotide polymorphisms of 13 selected cytokine/receptor genes were analyzed using PCR with sequence-specific primers. RESULTS: In our study, genotypes of 7 polymorphisms--LL-4 -1098G/T and -590C/T, IL-6 -174C/G and nt565A/G, and IL-10 -1082A/G, -819C/T, and -592A/C were significantly associated with atopic AD (P < .05). A significant association was also found for TNF-alpha AA and IL-4 GC haplotypes and AD. We confirm the progressive clinical improvement of AD together with a decrease in the severity index SCORAD (SCORing atopic dermatitis) during childhood (P < .05). We found significant differences between IL-4Ralpha +1902 A/G and positivity of tree pollen-specific IgE (P < .05) in the AD group. Moreover, a weak association was also found between IL-10 -819C/T and IL-10 -590A/C and the appearance of allergic rhinitis (P < 0.1). CONCLUSIONS: We confirmed a clinical shift in allergic phenotype in the first 3 years of life, and showed an association between IL-4, IL-6, and IL-10 polymorphisms and AD. Our data indicate that IL-4alpha and IL-10 polymorphisms may be considered predictive factors of respiratory allergy in children with AD.

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$a Kayserová, Jana, $d 1978- $7 xx0118295 $u Department of Immunology, Charles University, 2nd Faculty of Medicine, University Hospital Motol, Prague, Czech Republic
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$a A prospective study in children with a severe form of atopic dermatitis: clinical outcome in relation to cytokine gene polymorphisms / $c Kayserova J., Sismova K., Zentsova-Jaresova I., Katina S., Vernerova E., Polouckova A., Capkova S., Malinova V., Striz I., Sediva A.
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$a BACKGROUND AND OBJECTIVE: The course of atopic dermatitis (AD) in childhood is characterized by typical changes in phenotype, including a shift from skin involvement to respiratory allergy usually around the third year of age. We thus designed a prospective study to monitor the outcome of severe AD and to investigate the association between cytokine gene polymorphisms and clinical manifestations. METHODS: Clinical and laboratory follow-up of 94 patients with severe AD and 103 healthy controls was performed using routine methodology. Allele, genotype, and haplotype frequencies of single nucleotide polymorphisms of 13 selected cytokine/receptor genes were analyzed using PCR with sequence-specific primers. RESULTS: In our study, genotypes of 7 polymorphisms--LL-4 -1098G/T and -590C/T, IL-6 -174C/G and nt565A/G, and IL-10 -1082A/G, -819C/T, and -592A/C were significantly associated with atopic AD (P < .05). A significant association was also found for TNF-alpha AA and IL-4 GC haplotypes and AD. We confirm the progressive clinical improvement of AD together with a decrease in the severity index SCORAD (SCORing atopic dermatitis) during childhood (P < .05). We found significant differences between IL-4Ralpha +1902 A/G and positivity of tree pollen-specific IgE (P < .05) in the AD group. Moreover, a weak association was also found between IL-10 -819C/T and IL-10 -590A/C and the appearance of allergic rhinitis (P < 0.1). CONCLUSIONS: We confirmed a clinical shift in allergic phenotype in the first 3 years of life, and showed an association between IL-4, IL-6, and IL-10 polymorphisms and AD. Our data indicate that IL-4alpha and IL-10 polymorphisms may be considered predictive factors of respiratory allergy in children with AD.
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$a sezónní alergická rýma $x genetika $7 D006255
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$a Zentsová-Jarešová, Irena $7 xx0102059 $u Department of Immunology, Charles University, 2nd Faculty of Medicine, University Hospital Motol, Prague, Czech Republic
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$a Katina, Stanislav, $d 1976- $7 mub2013785208 $u Department of Applied Mathematics and Statistics, Faculty of Mathematics, Physics and Informatics, Comenius University, Bratislava, Slovakia; Institute of Normal and Pathological Physiology, Slovak Academy of Sciences, Bratislava, Slovakia
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$a Vernerová, Eva, $d 1951- $7 xx0063462 $u Department of Immunology, Charles University, 2nd Faculty of Medicine, University Hospital Motol, Prague, Czech Republic
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$a Poloučková, Andrea, $d 1972- $7 xx0118289 $u Department of Immunology, Charles University, 2nd Faculty of Medicine, University Hospital Motol, Prague, Czech Republic
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$a Čapková, Štěpánka, $d 1950- $7 jn19990209108 $u Paediatric Department of Dermatology, Paediatric Outpatient Department, University Hospital Motol, Prague, Czech Republic
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$a Malinová, Věra $7 xx0105527 $u Department of Paediatrics and Adolescent Medicine, 1st Faculty of Medicine, General University Hospital, Prague, Czech Republic
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$a Stříž, Ilja, $d 1958- $7 jn20000402309 $u Department of Immunogenetics, Institute for Clinical and Experimental Medicine, Prague, Czech Republic
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$a Šedivá, Anna, $d 1955- $7 xx0000191 $u Department of Immunology, Charles University, 2nd Faculty of Medicine, University Hospital Motol, Prague, Czech Republic
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