Interleukin-4 -590C/T gene polymorphism in Egyptian children with acute lower respiratory infection: A multicenter

Ahmed A Emam1, Mohamed M M Shehab1, Mayy A N Allah1

  • 1Department of Pediatrics, Faculty of Medicine, Zagazig University, Egypt.

Pediatric Pulmonology
|January 8, 2019
PubMed

Insights

The interleukin 4 (IL-4) gene -590C/T polymorphism is linked to increased susceptibility to acute lower respiratory infections (ALRIs) in Egyptian children. This genetic marker may play a role in ALRI development and severity.

Area of Science:

  • Genetics and Immunology
  • Pediatric Infectious Diseases

Background:

  • Acute lower respiratory infection (ALRI) is a primary cause of mortality in children, particularly in developing nations.
  • Interleukin 4 (IL-4) gene polymorphisms have been associated with various human diseases.

Purpose of the Study:

  • To determine if the IL-4 -590C/T (rs2243250) polymorphism serves as a genetic marker for ALRI susceptibility in young Egyptian children.
  • To investigate the association between IL-4 gene polymorphism and serum IL-4 levels in children with ALRI.

Main Methods:

  • A multicenter study involving 480 children with pneumonia or bronchiolitis and 480 healthy controls.
  • Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) was used to genotype the IL-4 -590C/T (rs2243250) single nucleotide polymorphism.
  • Serum IL-4 concentrations were quantified using enzyme-linked immunosorbent assay (ELISA).

Main Results:

  • The IL-4 -590 T/T genotype and T allele were significantly more frequent in children with ALRI compared to controls (OR=2.0 for T/T genotype; OR=1.3 for T allele; P<0.01).
  • The IL-4 -590 T/T genotype was associated with substantially higher mean serum IL-4 levels (58.7 pg/mL) than the C/T (47.6 pg/mL) and C/C (34.8 pg/mL) genotypes (P<0.01).

Conclusions:

  • The IL-4 -590C/T (rs2243250) polymorphism is a potential genetic factor contributing to susceptibility to acute lower respiratory infections in young Egyptian children.
  • This polymorphism may influence ALRI risk and disease severity through its impact on IL-4 production.
Abstract

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