Jacobsen H P, Herskind A M, Nielsen B W, Husby S
Department of Pediatrics, Odense University Hospital, DK-5000 Odense C, Denmark.
J Allergy Clin Immunol. 2001 Apr;107(4):659-63. doi: 10.1067/mai.2001.113565.
IgE is a major determinant of allergic disease. Twin analysis of serum levels of IgE has been carried out previously in children and adults with heritability estimates of 30% to 70% on the basis of ANOVA.
This study included the analysis of serum IgE in a population of 126 twins, 27 monozygotic pairs and 36 dizygotic pairs, studied at birth (cord blood [CB] IgE) and consecutively at the age of 6 to 9 years of age (serum IgE).
IgE was determined by means of RIA. ANOVA, correlation analysis, and structural equation modeling by maximal likelihood analysis was used for genetic analysis.
Structural equation modeling by maximal likelihood analysis showed the best-fitting model to be the AE model (A for additive genetic variance and E for environmental variance) both at birth and later in childhood. The estimated heritability was 0.92 (95% CI, 0.84-0.95) for CB IgE and 0.78 (95% CI, 0.60-0.87) for serum IgE. The correlation between CB IgE and serum IgE was 0.04.
The study demonstrated a higher genetic dependency of serum IgE than previously recognized. The low correlation between the IgE levels at birth and later in childhood suggested that different effector mechanisms may be operating at different ages.
IgE是过敏性疾病的主要决定因素。此前已对儿童和成人的血清IgE水平进行双胞胎分析,基于方差分析得出的遗传率估计为30%至70%。
本研究纳入了126对双胞胎,其中27对单卵双胞胎和36对双卵双胞胎,在出生时(脐血[CB]IgE)以及6至9岁时(血清IgE)连续进行研究,分析血清IgE情况。
采用放射免疫分析法测定IgE。采用方差分析、相关分析以及最大似然分析的结构方程模型进行遗传分析。
最大似然分析的结构方程模型显示,出生时和儿童期后期的最佳拟合模型均为AE模型(A代表加性遗传方差,E代表环境方差)。脐血IgE的估计遗传率为0.92(95%可信区间,0.84 - 0.95),血清IgE的估计遗传率为0.78(95%可信区间,0.60 - 0.87)。脐血IgE与血清IgE之间的相关性为0.04。
该研究表明血清IgE的遗传依赖性高于先前认识。出生时和儿童期后期IgE水平之间的低相关性表明,不同的效应机制可能在不同年龄起作用。