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白细胞介素17F基因rs763780单核苷酸多态性与婴儿毛细支气管炎后患哮喘有关。

IL17F rs763780 single nucleotide polymorphism is associated with asthma after bronchiolitis in infancy.

作者信息

Holster Annukka, Teräsjärvi Johanna, Barkoff Alex-Mikael, Lauhkonen Eero, Törmänen Sari, Helminen Merja, Korppi Matti, He Qiushui, Nuolivirta Kirsi

机构信息

Center for Child Health Research, Faculty of Medicine and Life Sciences, University of Tampere and University Hospital, Tampere, Finland.

Institute of Biomedicine, University of Turku, Turku, Finland.

出版信息

Acta Paediatr. 2021 Jan;110(1):222-227. doi: 10.1111/apa.15390. Epub 2020 Jun 26.

Abstract

AIM

Interleukin-17F (IL-17F) is involved with asthma. The aim of this study was to evaluate the association of IL17F polymorphisms with childhood asthma after bronchiolitis in infancy.

METHODS

We invited 166 children who were hospitalised for bronchiolitis at younger than 6 months of age to follow-up visits at 5-7 years and 11-13 years of ages. Asthma and allergy diagnoses, asthma-presumptive symptoms and use of inhaled corticosteroids (ICSs) were registered. Blood samples were available for IL17F rs763780 (T/C), rs11465553 (C/T) and rs7741835 (C/T) determinations in 165 cases.

RESULTS

The presence of IL17F rs11465553 and rs7741835 variations showed no significant associations with any asthma or allergy outcome at either 5-7 years or 11-13 years of ages. Instead, children with the variant IL17F rs763780 genotype had used more often ICSs between the follow-up visits from 5-7 to 11-13 years (adjusted OR 3.58) than those with the wild genotype. Children with the variant IL17F rs763780 genotype reported more often doctor-diagnosed atopic dermatitis (adjusted OR 2.71) at 11-13 years of age than those with the wild genotype.

CONCLUSION

This prospective long-term follow-up study provided preliminary evidence on the association of the IL17F rs763780 polymorphism with asthma at school age after bronchiolitis in infancy.

摘要

目的

白细胞介素-17F(IL-17F)与哮喘有关。本研究旨在评估IL17F基因多态性与婴儿期毛细支气管炎后儿童哮喘的关联。

方法

我们邀请了166名6个月以下因毛细支气管炎住院的儿童在5-7岁和11-13岁时进行随访。记录哮喘和过敏诊断、疑似哮喘症状以及吸入性糖皮质激素(ICSs)的使用情况。在165例病例中采集血样用于检测IL17F rs763780(T/C)、rs11465553(C/T)和rs7741835(C/T)。

结果

IL17F rs11465553和rs7741835变异的存在在5-7岁或11-13岁时与任何哮喘或过敏结局均无显著关联。相反,具有IL17F rs76378变异基因型的儿童在5-7岁至11-13岁的随访期间比野生基因型儿童更频繁地使用ICSs(调整后的比值比为3.58)。具有IL17F rs76378变异基因型的儿童在11-13岁时比野生基因型儿童更频繁地报告医生诊断的特应性皮炎(调整后的比值比为2.71)。

结论

这项前瞻性长期随访研究为婴儿期毛细支气管炎后学龄期哮喘与IL17F rs763780基因多态性的关联提供了初步证据。

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