Center for Child Health Research, Tampere University and Tampere University Hospital, Tampere, Finland.
Department of Paediatrics, Seinäjoki Central Hospital, Seinäjoki, Finland.
Acta Paediatr. 2019 Nov;108(11):2064-2069. doi: 10.1111/apa.14838. Epub 2019 May 27.
Interleukin-10 (IL-10) is an anti-inflammatory cytokine that is involved with bronchiolitis and asthma. We evaluated associations between four IL-10 polymorphisms, namely rs1800871, rs1800872, rs1800890 and rs1800896, and post-bronchiolitis asthma in young adolescents.
The cohort consisted of 125 children hospitalised for bronchiolitis at Tampere University Hospital, Finland, in 2000-2004, at less than six months of age. At 11-13 years, asthma diagnoses and asthma-presumptive symptoms, allergic rhinitis and use of inhaled corticosteroids (ICS) were registered. Data on the four polymorphisms and their genotypes, haplotypes and allele frequencies were analysed in relation to asthma, allergic rhinitis and asthma medication.
The variant IL-10 rs1800896 genotype was associated with less persistent asthma at five to seven and 11-13 years of age (4.3 versus 15.2%, p = 0.04) than the wild genotype and less ICS use during the previous 12 months (5.4 versus 18.2%, p = 0.03), as was the variant allele G. Allele A was associated with more persistent asthma and ICS use. The significant differences between the variant and wild genotypes were lost in adjusted logistic regression, but the direction of the association remained.
IL-10 rs1800896 gene polymorphism was associated with post-bronchiolitis asthma at 11-13 years of age in children hospitalised for bronchiolitis at less than six months of age.
白细胞介素-10(IL-10)是一种抗炎细胞因子,与细支气管炎和哮喘有关。我们评估了四个 IL-10 多态性(rs1800871、rs1800872、rs1800890 和 rs1800896)与婴幼儿毛细支气管炎后哮喘之间的关系。
该队列包括 2000-2004 年在芬兰坦佩雷大学医院因毛细支气管炎住院的 125 名小于 6 个月的儿童。在 11-13 岁时,记录哮喘诊断和哮喘疑似症状、过敏性鼻炎和吸入皮质类固醇(ICS)的使用情况。分析了四个多态性及其基因型、单倍型和等位基因频率与哮喘、过敏性鼻炎和哮喘药物治疗的关系。
变异型 IL-10 rs1800896 基因型与 5-7 岁和 11-13 岁时持续哮喘的发生率较低(4.3%比 15.2%,p=0.04),与野生基因型相比,12 个月内 ICS 使用量也较少(5.4%比 18.2%,p=0.03),而变异型等位基因 G 也是如此。等位基因 A 与持续哮喘和 ICS 使用有关。在调整后的逻辑回归中,变异型和野生型基因型之间的显著差异消失,但关联方向仍然存在。
在 6 个月以下因毛细支气管炎住院的儿童中,IL-10 rs1800896 基因多态性与 11-13 岁时的毛细支气管炎后哮喘有关。