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特应性与支气管高反应性:排除与11号染色体q臂和6号染色体p臂上标记物的连锁关系。

Atopy and bronchial hyperresponsiveness: exclusion of linkage to markers on chromosomes 11q and 6p.

作者信息

Amelung P J, Panhuysen C I, Postma D S, Levitt R C, Koeter G H, Francomano C A, Bleecker E R, Meyers D A

机构信息

University of Maryland School of Medicine, Baltimore.

出版信息

Clin Exp Allergy. 1992 Dec;22(12):1077-84. doi: 10.1111/j.1365-2222.1992.tb00133.x.

Abstract

Previous studies have reported a familial predisposition for the development of atopy, bronchial hyperresponsiveness and clinical asthma, and therefore have suggested the presence of a heritable component to these disorders. The specific contributions of genetic and environmental factors in the pathogenesis of allergic disease and asthma have not been determined although Cookson et al. [1] have postulated linkage between atopy and chromosome 11q. We have studied 20 families (two and three generations) ascertained through a proband identified as having asthma (90% were also allergic) during the period of time between 1962 and 1970. Of those who were originally skin test positive, 82% remained positive. All probands whose pulmonary function allowed retesting (FEV1 > 1.2 l) remained hyperresponsive to histamine. The children of these probands are now in the same age range as their parents when they were originally evaluated; 66% are atopic using criteria described by Cookson et al. (one or more positive skin tests > or = 2 mm, an elevated total serum IgE or a positive specific IgE) and 22% demonstrate bronchial hyperresponsiveness (PC20 FEV1) to histamine. Using the highly polymorphic marker INT2 (which maps 2 cM from p lambda MS.5 l on chromosome 11q) and atopy, we obtained a lod score of -2.00 at a recombination fraction of 0.12. In addition, because many studies have suggested an association between atopy and certain HLA antigens, we investigated the possibility of linkage between atopy and bronchial hyperresponsiveness and D6S105, a polymorphic marker on chromosome 6p, located 7 cM from HLA-DR. For this marker and atopy, we observed a lod score of -2.00 with a recombination fraction of 0.07.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

既往研究报道了特应性、支气管高反应性和临床哮喘发病存在家族易感性,因此提示这些疾病存在遗传因素。尽管库克森等人[1]推测特应性与11号染色体q区存在连锁关系,但遗传和环境因素在变应性疾病和哮喘发病机制中的具体作用尚未明确。我们研究了20个家庭(两到三代人),这些家庭是通过1962年至1970年期间确诊为哮喘(90%也有变应性疾病)的先证者确定的。最初皮肤试验呈阳性的人中有82%仍为阳性。所有肺功能允许重新检测(第一秒用力呼气容积>1.2升)的先证者对组胺仍有高反应性。这些先证者的子女现在处于其父母最初接受评估时的相同年龄范围;按照库克森等人描述的标准(一项或多项阳性皮肤试验>或=2毫米、总血清IgE升高或特异性IgE阳性),66%有变应性疾病,22%对组胺表现出支气管高反应性(组胺激发试验使第一秒用力呼气容积下降20%所需组胺浓度)。利用高度多态性标记INT2(定位于11号染色体q区距pλMS.5l 2厘摩处)和特应性,在重组率为0.12时获得了-2.00的连锁值。此外,由于许多研究提示特应性与某些人类白细胞抗原(HLA)抗原之间存在关联,我们研究了特应性与支气管高反应性以及位于6号染色体p区距HLA-DR 7厘摩处的多态性标记D6S105之间连锁的可能性。对于该标记和特应性,我们在重组率为0.07时观察到连锁值为-2.00。(摘要截短于250词)

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