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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.
Language English Country Spain
Document type Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't
PubMed
22533231
Knihovny.cz E-resources
- MeSH
- Alleles MeSH
- Dermatitis, Atopic genetics MeSH
- Gene Frequency MeSH
- Genetic Predisposition to Disease MeSH
- Genotype MeSH
- Haplotypes genetics MeSH
- Interleukins genetics MeSH
- Polymorphism, Single Nucleotide MeSH
- Infant MeSH
- Humans MeSH
- Follow-Up Studies MeSH
- Infant, Newborn MeSH
- Child, Preschool MeSH
- Disease Progression MeSH
- Prospective Studies MeSH
- Rhinitis, Allergic, Seasonal genetics MeSH
- Case-Control Studies MeSH
- Tumor Necrosis Factor-alpha genetics MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Male MeSH
- Infant, Newborn MeSH
- Child, Preschool MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Research Support, Non-U.S. Gov't MeSH
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.
Department of Immunogenetics Institute for Clinical and Experimental Medicine Prague Czech Republic
Institute of Normal and Pathological Physiology Slovak Academy of Sciences Bratislava Slovakia
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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 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 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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