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Published on: April 1, 2019
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.
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.
Background:
Acute lower respiratory infection (ALRI) is the leading cause of child mortality, especially in the developing world. Polymorphisms in the interleukin 4 (IL-4) gene have been linked to a variety of human diseases.
Objectives:
To investigate whether the IL-4 -590C/T (rs2243250) polymorphism could be a genetic marker for susceptibility to ALRIs in young Egyptian children.
Methods:
This was a multicenter study conducted on 480 children diagnosed with pneumonia or bronchiolitis, and 480 well-matched healthy control children. Using PCR-RFLP analysis, we genotyped a -590C/T (rs2243250) single nucleotide polymorphism of the IL-4 gene promoter, meanwhile the serum IL-4concentration was measured by ELISA.
Results:
The frequency of the IL-4 -590 T/T genotype and T allele were overrepresented in patients with ALRIs in comparison to the control group (OR = 2.0; [95% confidence interval [CI]: 1.38-2.96]; for the T/T genotype) and (OR: 1.3; [95%CI: 1.07-1.56]; for the T allele; P < 0.01). The IL-4 -590 T/T genotype was associated with significantly higher mean serum IL-4 concentration (58.7 ± 13.4 pg/mL) compared to the C/T genotype (47.6 ± 11 pg/mL) and the C/C genotype (34.8 ± 9.6 pg/mL); P < 0.01.
Conclusion:
The IL-4 -590C/T (rs2243250) polymorphism may contribute to susceptibility to ALRIs in young Egyptian children.
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