Abstract

The development and expression of allergic rhinitis and asthma may be influenced by the elaboration of specific cytokines. Cytokine genotypes moderate illness severity in a variety of inflammatory disorders. Cytokine genotyping was performed on 124 infants (85% white, 57% male) to determine whether specific cytokine genotypes are associated with a parental history of allergic rhinitis and/or asthma. DNA was extracted from buccal brushings and assayed for tumor necrosis factor alpha (TNF-α), interferon gamma (IFN-γ), interleukin (IL)-6, IL-10, and transforming growth factor (TGF)-β1 genotypes using polymerase chain reaction–sequence specific primer technology. Outcomes consisted of parental history of allergy and asthma, and results were evaluated by logistic regression. TNF-α and TGF-β genotypes were related to maternal and/or paternal history of allergic rhinitis and asthma, respectively. The frequencies of the genotype associated with high production of TNF-α were 41% versus 18% in infants with and without a parental history of allergic rhinitis, respectively ( p < 0.01). The frequencies of the genotype associated with low production of TGF-β1 were 14% versus 1% in infants with and without a parental history of asthma, respectively ( p < 0.01). There were no associations between IFN-γ, IL-6, and IL-10 genotypes and any of the outcome parameters. These results suggest a role for TNF-α and TGF-β1 genotypes in the pathogenesis of allergic rhinitis and asthma, respectively. If confirmed by future studies, cytokine genotyping may be a useful tool for identifying at-risk infants who may benefit from the selective use of preventative and/or early intervention treatments for these disorders.

Full Text
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