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Updated: May 1, 2026

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Association between genes encoding components of the IL-4/IL-4 receptor pathway and dermatitis in children
Yousri M Hussein1, Sally M Shalaby2, Amani Nassar3
1Medical Biochemistry Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt; Medical Laboratories Department, Faculty of Applied Medical Science, El-Taif University, Saudi Arabia.
Insights
Genetic variations in IL-4Rα and STAT6 are linked to atopic dermatitis (AD) susceptibility in Egyptian children. Gene-gene interactions involving IL-4, IL-4Rα, and STAT6 further increase the risk of developing AD.
Area of Science:
- Genetics
- Immunology
- Pediatrics
Background:
- Atopic dermatitis (AD) is a common inflammatory skin condition.
- Genetic factors are implicated in AD pathogenesis.
- Interleukin-4 (IL-4) and its receptor (IL-4Rα), along with Signal Transducer and Activator of Transcription 6 (STAT6), are key players in allergic inflammation.
Purpose of the Study:
- To investigate the association between polymorphisms in IL-4, IL-4Rα, and STAT6 genes and the susceptibility to dermatitis in Egyptian children.
- To explore the relationship between these genetic variations and total serum IgE and IL-4 levels.
Main Methods:
- Genotyping of IL-4 (-590 C/T, -33 C/T), IL-4Rα (I50V, Q576R), and STAT6 (2964 G/A, 2892 C/T) polymorphisms using PCR-RFLP in 106 AD children, 95 non-AD children, and 100 healthy controls.
- Measurement of total serum IgE and serum IL-4 levels using ELISA.
Main Results:
- IL-4 polymorphisms showed no significant association with dermatitis susceptibility.
- Significant associations were found between IL-4Rα (I50V, Q576R) and STAT6 polymorphisms and AD susceptibility (p<0.001).
- Carriers of specific risk alleles (IL4 -590C, IL-4Rα I50V G, STAT6 2964 A, STAT6 2892 T) had an increased risk of AD (OR: 3.2).
- Homozygosity for risk alleles of IL-4, IL-4Rα, and STAT6 SNPs was associated with increased total IgE levels.
Conclusions:
- IL-4Rα and STAT6 polymorphisms may contribute to AD susceptibility in Egyptian children.
- Gene-gene interactions among IL-4, IL-4Rα, and STAT6 significantly enhance AD susceptibility.
- These findings highlight the role of specific genetic variations in the development of atopic dermatitis.
Objective:
To determine whether IL-4, IL-4Rα and STAT6 polymorphisms are associated with susceptibility to dermatitis in Egyptian children.
Methods:
We genotyped three groups of children, consisting of 106 atopic dermatitis (AD) children, 95 non-AD children, and 100 of healthy controls, for IL-4 (-590 C/T), (-33 C/T), IL-4Rα (I50V), (Q576R) and STAT6 (2964 G/A), (2892 C/T) gene polymorphisms using PCR-RFLP assay. Total serum IgE and serum IL-4 levels were detected by ELISA.
Results:
There was a non-significant association of IL-4 -590 C/T, -33 C/T polymorphisms in the children with non-AD or those with AD when compared with the controls. We identified a significant association between IL-4Rα I50V, Q576R polymorphisms and dermatitis susceptibility in AD (p=0.002, <0.001 respectively), whereas no such association was observed in non-AD group (p=0.52, 0.99 respectively). A significant association between STAT6 polymorphisms and both types of dermatitis was found. Patients who were carriers of IL4 -590C, IL-4Rα I50V G, STAT6 2964 A and STAT6 2892 T had an increased risk of AD [OR and 95% CI: 3.2 (2.5-4.2), p=0.005]. Furthermore, there was no relation between each polymorphism and serum IL-4 level (p>0.05 for each) while homozygosity for the risk alleles of IL-4, IL-4Rα and STAT6 SNPs were significantly associated with increased total IgE levels in all subjects.
Conclusion:
In Egyptian children, the IL-4Rα and the STAT6 polymorphism may play a role in susceptibility to AD. In addition, gene-gene interaction between the IL-4, the IL-4Rα and the STAT6 significantly increases an individual's susceptibility to AD.
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