Li P K, Lai C K, Poon A S, Ho A S, Chan C H, Lai K N
Department of Medicine, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, NT.
Clin Exp Allergy. 1995 Apr;25(4):323-31. doi: 10.1111/j.1365-2222.1995.tb01050.x.
Asthma is an inflammatory disease with a strong genetic predisposition. We have studied a group of unrelated asthmatic patients of southern Chinese origin on their HLA-DR and -DQ regions using molecular techniques and compared them with 104 healthy controls of the same ethnic origin. Restriction fragment length polymorphism (RFLP) was used to genotype the MHC class II DR beta, DQ alpha and DQ beta loci of the subjects. Polymerase chain reaction (PCR) using sequence specific primer (SSP) for DQ beta genes was also performed. No significant difference was found in the HLA-DQ and -DR loci between the patients and the controls. All patients had their serum IgE antibody levels measured, bronchial reactivity assessed by histamine broncho-provocation and cutaneous reactivity to common allergens determined by skin-prick tests to Dermatophagoides pteronyssinus, Dermatophagoides farinae, mixed grass pollens, Aspergillus fumigatus, cat fur and dog dander and they were classified respectively. The HLA-DR and -DQ genotypes of these subgroups of patients were compared. There was no significant difference among these subgroups of patients according to their serum IgE levels, the degree of bronchial reactivity and whether they were positive for the skin tests for the various allergens respectively. The results suggest that HLA-DQ and -DR genotypes are not associated with asthma in southern Chinese people.
哮喘是一种具有很强遗传易感性的炎症性疾病。我们运用分子技术研究了一组祖籍为中国南方的无亲缘关系的哮喘患者的HLA-DR和-DQ区域,并将他们与104名相同种族来源的健康对照者进行了比较。采用限制性片段长度多态性(RFLP)对受试者的MHCⅡ类DRβ、DQα和DQβ基因座进行基因分型。还使用针对DQβ基因的序列特异性引物(SSP)进行了聚合酶链反应(PCR)。在患者和对照者之间,未发现HLA-DQ和-DR基因座存在显著差异。对所有患者测定了血清IgE抗体水平,通过组胺支气管激发试验评估了支气管反应性,并通过对粉尘螨、屋尘螨、混合草花粉、烟曲霉、猫毛和狗毛屑进行皮肤点刺试验确定了对常见变应原的皮肤反应性,然后分别进行了分类。比较了这些患者亚组的HLA-DR和-DQ基因型。根据患者的血清IgE水平、支气管反应程度以及他们对各种变应原皮肤试验是否呈阳性,这些患者亚组之间没有显著差异。结果表明,在中国南方人群中,HLA-DQ和-DR基因型与哮喘无关。