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Published on: November 6, 2019
Malassezia Yeast and Cytokine Gene Polymorphism in Atopic Dermatitis
Charu Jain1, Shukla Das2, V G Ramachandran2
1Senior Resident, Department of Microbiology, UCMS and GTB Hospital, Delhi, India.
Introduction:
Atopic Dermatitis (AD) is a recurrent chronic condition associated with microorganism and their interaction with the susceptible host. Malassezia yeast is a known commensal which is thought to provoke the recurrent episodes of symptoms in atopic dermatitis patients. Malassezia immunomodulatory properties along with defective skin barrier in such host, results in disease manifestation. Here, we studied Single Nucleotide Polymorphism (SNP) in IL10 and IFN γ genes of the host and its relation with susceptibility to Malassezia infection.
Aim:
To isolate Malassezia yeast from AD patients and compare the genetic susceptibility of the host by correlating the cytokine gene polymorphism with the control subjects.
Materials And Methods:
Study was conducted from January 2012 to January 2013. It was a prospective observational study done in Department of Microbiology and Department of Dermatology and Venereology in University College of Medical Sciences and GTB Hospital, Delhi. Sample size comprised of 38 cases each of AD. Skin scrapings were used for fungal culture on Sabouraud Dextrose Agar (SDA) and Modified Dixon Agar (MDA) and isolated were identified as per conventional phenotypic methods. Genomic DNA was extracted from blood samples collected from all study subjects. Cytokine genotyping was carried out by Amplification Refractory Mutations System- Polymerase Chain Reaction (ARMS-PCR) with sequence specific primers. Three SNPs (IL10-1082A/G; IL10-819/592C/T; IFN-γ+874A/T) in two cytokine genes were assessed in all the patients and healthy controls.
Statistical Analysis:
Chi-Square Test or Fisher's-Exact Test and Bonferroni's correction.
Results:
In AD group, Malassezia yeasts were cultured in 24 out of 38 samples and thus the identification rate was 63.1 percent as compared to healthy group, 52.6 percent (20/38). Significant difference in allele, or genotype distribution were observed in IL10-819/592C/T and IFN-γ+874A/T gene polymorphism in AD group.
Conclusion:
Higher isolation rate in cases as compared to control group highlights the implication of Malassezia in AD. Association between specific cytokine gene polymorphism and clinical outcome was found to be significant in study group. The result of cytokine gene polymorphism in the present study demonstrated susceptibility of host to Malassezia infection.
Insights
This study found a higher isolation rate of Malassezia yeast in Atopic Dermatitis (AD) patients. Specific cytokine gene polymorphisms in IL10 and IFN-γ were significantly associated with increased susceptibility to Malassezia infection in AD.
Area of Science:
- Immunodermatology
- Medical Mycology
- Human Genetics
Background:
- Atopic Dermatitis (AD) is a chronic inflammatory skin condition.
- Malassezia yeast is implicated in exacerbating AD symptoms due to its immunomodulatory properties and interaction with a compromised skin barrier.
- Genetic predisposition, specifically Single Nucleotide Polymorphisms (SNPs) in cytokine genes, may influence host susceptibility to Malassezia infection in AD.
Purpose of the Study:
- To isolate Malassezia yeast from patients diagnosed with Atopic Dermatitis.
- To investigate the association between cytokine gene polymorphism (IL10 and IFN-γ) and host susceptibility to Malassezia infection in AD patients compared to healthy controls.
Main Methods:
- Prospective observational study involving 38 AD patients and 38 controls.
- Isolation and identification of Malassezia yeast from skin scrapings using fungal culture.
- Genotyping of SNPs in IL10 and IFN-γ genes using Amplification Refractory Mutations System-Polymerase Chain Reaction (ARMS-PCR).
Main Results:
- Malassezia yeast was isolated from 63.1% of AD patients and 52.6% of controls.
- Significant differences in allele and genotype distributions were observed for IL10-819/592C/T and IFN-γ+874A/T gene polymorphisms in the AD group.
- The study identified a correlation between specific cytokine gene polymorphisms and increased susceptibility to Malassezia infection.
Conclusions:
- The higher isolation rate of Malassezia in AD patients underscores its role in the condition.
- Specific cytokine gene polymorphisms are significantly associated with host susceptibility to Malassezia infection in Atopic Dermatitis.
- Understanding these genetic factors can provide insights into the pathogenesis of AD.
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