Black S, Teixeira A S, Loh A X W, Vinall L, Holloway J W, Hardy R, Swallow D M
MRC Unit for Lifelong Health and Ageing, Department of Epidemiology and Public Health, Royal Free & University College London Medical School, London NW1 2HE, UK.
Allergy. 2009 Aug;64(8):1172-8. doi: 10.1111/j.1398-9995.2009.01988.x. Epub 2009 Feb 27.
Genetic variants of the two adjacent genes, IL13 and IL4 have frequently been reported as being associated with susceptibility to atopy and asthma, both in adults and children, and some studies also suggest association with lung function and chronic obstructive pulmonary disease.
In this study, we examined for the first time the effect of these variants in 2918 adults in a longitudinal birth cohort, the British National Survey of Health and Development, where there are extensive life style, developmental and environmental data. We examine two IL13 single nucleotide polymorphisms (SNPs) IL13 rs20541 (R110Q) and rs1800925 (-1024C>T) and one IL4 SNP, rs2070874 (-33C>T) with likely function.
We show that IL13 rs20541 and rs1800925 are each significantly associated with self-reported asthma and allergy, and that this association is not confounded by any of the known developmental and environmental risk factors for asthma and atopy, including in particular place of birth. IL13 rs20541 does however act as a confounder for the IL13 rs1800925 associations, meaning that there is no statistical support for rs1800925 having an independent effect. There is nevertheless evidence for interaction between smoking and rs1800925, with allergy as outcome. None of the SNPs showed association with measures of lung function, nor any interaction with the effect of smoking on lung function.
In a longitudinal population cohort we have established a role for polymorphism of IL13 in determining susceptibility to both atopy and asthma.
两个相邻基因IL13和IL4的遗传变异,在成人和儿童中均频繁被报道与特应性和哮喘易感性相关,一些研究还表明其与肺功能和慢性阻塞性肺疾病有关。
在本研究中,我们首次在一个纵向出生队列——英国国家健康与发展调查中,对2918名成年人中这些变异的影响进行了研究,该队列拥有广泛的生活方式、发育和环境数据。我们检测了两个IL13单核苷酸多态性(SNP),即IL13 rs20541(R110Q)和rs1800925(-1024C>T),以及一个可能具有功能的IL4 SNP,rs2070874(-33C>T)。
我们发现IL13 rs20541和rs1800925均与自我报告的哮喘和过敏显著相关,且这种关联不受任何已知的哮喘和特应性发育及环境风险因素的干扰,尤其是出生地。然而,IL13 rs20541确实是IL13 rs1800925关联的一个混杂因素,这意味着没有统计学证据支持rs1800925具有独立作用。不过,有证据表明吸烟与rs1800925之间存在相互作用,以过敏作为结局。这些SNP均未显示与肺功能指标相关,也未显示与吸烟对肺功能的影响存在任何相互作用。
在一个纵向人群队列中,我们确定了IL13多态性在决定特应性和哮喘易感性方面的作用。