印度西孟加拉邦 HLA-DQ 和 IL13 基因变异与虾过敏确证性挑战的关联。
Association of HLA-DQ and IL13 gene variants with challenge-proven shrimp allergy in West Bengal, India.
机构信息
Allergology and Applied Entomology Research Laboratory, Department of Zoology, University of Burdwan, Bardhaman, 713104, West Bengal, India.
Department of Life Sciences, Presidency University, Kolkata, 700073, West Bengal, India.
出版信息
Immunogenetics. 2020 Dec;72(9-10):489-498. doi: 10.1007/s00251-020-01185-3. Epub 2020 Nov 11.
Little is known about genetic factors and mechanisms underlying shrimp allergy. Genome-wide association studies identified HLA class-II and IL13 genes as highly plausible candidates for shrimp allergy. The present study was designed to investigate potential associations of HLA-DQ rs9275596, IL13 rs20541, and IL13 rs1800925 polymorphisms with challenge-proven shrimp allergy using the data from 532 people of West Bengal, India; selected on basis of positive skin prick test, elevated specific IgE and medical history. Risk genotypes, i.e., HLA-DQ rs9275596 CC, IL13 rs20541 AA, and IL13 rs1800925 TT, were found to be significantly associated with challenge positive shrimp allergy (P = 0.04, 0.01, and 0.03, respectively). Distribution of genotypes for HLA-DQ and IL13 polymorphisms in allergic and control subjects showed significant difference between younger (20-40 years) and older (> 40 years) age group (P = 0.006). Risk genotypes significantly associated with elevated shrimp-specific IgE. IL13 TA haplotype significantly associated with shrimp allergy and elevated specific IgE (P = 0.02). Synergistic effect of IL13 TA haplotype-HLA-DQ rs9275596 CC genotype interaction significantly elevated specific IgE (P = 0.03). The present study suggests that HLA-DQ and IL13 polymorphisms pose major risk for shrimp allergic patients in West Bengal, India and thus could be helpful for early target-specific therapeutic intervention in near future.
目前对于虾过敏的遗传因素和机制知之甚少。全基因组关联研究鉴定出 HLA Ⅱ类和 IL13 基因是虾过敏的高度可疑候选基因。本研究旨在利用来自印度西孟加拉邦 532 人的数据,通过皮肤点刺试验阳性、特异性 IgE 升高和病史,调查 HLA-DQ rs9275596、IL13 rs20541 和 IL13 rs1800925 多态性与经挑战证实的虾过敏的潜在关联;这些人被选为 HLA-DQ rs9275596 CC、IL13 rs20541 AA 和 IL13 rs1800925 TT 等风险基因型与经挑战证实的虾过敏显著相关(P=0.04、0.01 和 0.03)。HLA-DQ 和 IL13 多态性的基因型在过敏和对照组中的分布在 20-40 岁和>40 岁年龄组之间存在显著差异(P=0.006)。与虾特异性 IgE 升高相关的风险基因型。IL13 TA 单倍型与虾过敏和特异性 IgE 升高显著相关(P=0.02)。IL13 TA 单倍型与 HLA-DQ rs9275596 CC 基因型的协同作用显著升高了特异性 IgE(P=0.03)。本研究表明,HLA-DQ 和 IL13 多态性是印度西孟加拉邦虾过敏患者的主要危险因素,因此在不久的将来可能有助于进行早期针对特定靶点的治疗干预。