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Published on: February 3, 2012
Genetic polymorphisms of CYP2D6 oxidation in patients with autoimmune bullous diseases
Mariola Rychlik-Sych1, Małgorzata Baranska, Elzbieta Waszczykowska
1Department of Pharmacogenetics, Medical University of Lodz, Poland. Head: Prof. Jadwiga Skretkowicz.
Introduction:
Bullous skin diseases, which include, among others pemphigoid, pemphigus, and dermatitis herpetiformis are classified as severe autoimmune dermatoses. It has been shown that a pattern of xenobiotic metabolism may play a role in the pathogenesis of autoimmune diseases.
Aim:
To estimate whether the CYP2D6 genotype may be considered a predisposing factor in autoimmune bullous diseases induction.
Material And Methods:
The study included 72 patients with autoimmune bullous diseases: 37 with pemphigoid, 21 with pemphigus, and 14 with dermatitis herpetiformis (DH). The CYP2D6 genotypes were analyzed by the polymerase chain reaction fragment length polymorphism (PCR-RFLP) method.
Results:
Relative risk of DH development for particular genotype carriers expressed by odds ratio (OR) was statistically significantly higher for subjects with CYP2D6*1/CYP2D6*4 (OR = 4.2; p = 0.0104) and 2-fold higher for subjects with CYP2D6*4 (OR = 2.3; p = 0.0351).
Conclusions:
The results of the present study show that the CYP2D6 oxidation polymorphism cannot be considered a risk factor for development of pemphigoid and pemphigus, however it might have an impact on dermatitis herpetiformis.
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