Dêbiñska Anna, Danielewicz Hanna, Drabik-Chamerska Anna, Kalita Danuta, Boznañski Andrzej
1 Department and Clinic of Paediatrics, Allergology and Cardiology, Wroclaw Medical University, Wroclaw, Poland.
Postepy Dermatol Alergol. 2020 Feb;37(1):103-110. doi: 10.5114/ada.2020.93388. Epub 2020 Mar 9.
Atopic dermatitis is a chronic inflammatory skin disease with a strong genetic basis. Recent GWASs have identified a single nucleotide polymorphism on chromosome 11q13.5 (rs7927894) as novel susceptibility loci of atopic dermatitis.
To evaluate the association of this genetic variant with atopic dermatitis and to investigate its possible interaction with filaggrin null mutations in children population.
One hundred eighty-eight children less than 2 years old were screened for the variant of allele of rs7927894 on chromosome 11q13.5 and for the 4 most prevalent filaggrin mutations. The variant of allele of rs7927894 and all filaggrin mutations were genotyped by real-time PCR assays with subsequent melting curve analysis using SimpleProbe probes.
The allele of rs7927894[T] was associated with a significantly increased risk of atopic dermatitis (OR = 2.21; 95% CI: 1.14-4.28; = 0.015). Both allergic and non-allergic patient groups had rs7927894[T] allele significantly more frequently than the control group, however, the frequency of alleles did not differ in these two groups. Interestingly, when rs7927894 variant and filaggrin mutations were considered together, the risk of atopic dermatitis was the most increased in the subjects who combined both rs7927894[T] allele and filaggrin mutations (OR = 16.41; = 0.003).
Our results indicate that the rs7927894 variant on chromosome 11q13.5 may play a role in the development of atopic dermatitis, but this effect seems to be independent of allergic sensitization and of the well-established filaggrin risk alleles, but may be modulated by gene-gene interactions.
特应性皮炎是一种具有强大遗传基础的慢性炎症性皮肤病。最近的全基因组关联研究(GWASs)已确定位于11号染色体q13.5区域的单核苷酸多态性(rs7927894)是特应性皮炎新的易感基因座。
评估该基因变异与特应性皮炎的关联,并研究其在儿童群体中与丝聚合蛋白缺失突变可能存在的相互作用。
对188名2岁以下儿童进行筛查,检测其11号染色体q13.5区域rs7927894等位基因变异以及4种最常见的丝聚合蛋白突变。采用实时荧光定量PCR检测rs7927894等位基因变异和所有丝聚合蛋白突变,并使用SimpleProbe探针进行后续熔解曲线分析以进行基因分型。
rs7927894[T]等位基因与特应性皮炎风险显著增加相关(比值比[OR]=2.21;95%置信区间[CI]:1.14 - 4.28;P = 0.015)。过敏患者组和非过敏患者组的rs7927894[T]等位基因频率均显著高于对照组,然而,这两组的等位基因频率并无差异。有趣的是,当同时考虑rs7927894变异和丝聚合蛋白突变时,同时携带rs7927894[T]等位基因和丝聚合蛋白突变的受试者患特应性皮炎的风险增加最为显著(OR = 16.41;P = 0.003)。
我们的结果表明,11号染色体q13.5区域的rs7927894变异可能在特应性皮炎的发生发展中起作用,但这种作用似乎独立于过敏致敏以及已明确的丝聚合蛋白风险等位基因,不过可能受基因 - 基因相互作用的调节。