PMID- 11709756 OWN - NLM STAT- MEDLINE DCOM- 20020125 LR - 20200824 IS - 0002-9297 (Print) IS - 1537-6605 (Electronic) IS - 0002-9297 (Linking) VI - 70 IP - 1 DP - 2002 Jan TI - Gene-gene interaction in asthma: IL4RA and IL13 in a Dutch population with asthma. PG - 230-6 AB - Asthma is a common respiratory disease that is characterized by variable airways obstruction caused by acute and chronic bronchial inflammation; associated phenotypes include bronchial hyperresponsiveness (BHR), elevated total serum immunoglobulin E (IgE) levels, and skin tests positive to common allergens. Binding of interleukin-13 (IL13) or interleukin-4 (IL4) to the IL4 receptor (IL4R) induces the initial response for Th2 lymphocyte polarization. Both IL13 and IL4 are produced by Th2 cells and are capable of inducing isotype class-switching of B-cells to produce IgE after allergen exposure. These cytokines also share a common receptor component, IL4R alpha. We have investigated five IL4RA single-nucleotide polymorphisms in a population of Dutch families ascertained through a proband with asthma. By considering the probands and their spouses as an unrelated sample, we observed significant associations of atopy and asthma-related phenotypes with several IL4RA polymorphisms, including S478P and total serum IgE levels (P=.0007). A significant gene-gene interaction between S478P in IL4RA and the -1111 promoter variation in IL13, previously shown to be associated with BHR (P=.003), was detected. Individuals with the risk genotype for both genes were at almost five times greater risk for the development of asthma compared to individuals with both non-risk genotypes (P=.0004). These data suggest that variations in IL4RA contribute to elevated total serum IgE levels, and interaction between IL4RA and IL13 markedly increases an individual's susceptibility to asthma. FAU - Howard, Timothy D AU - Howard TD AD - Center for Human Genomics, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. FAU - Koppelman, Gerard H AU - Koppelman GH FAU - Xu, Jianfeng AU - Xu J FAU - Zheng, Siqun L AU - Zheng SL FAU - Postma, Dirkje S AU - Postma DS FAU - Meyers, Deborah A AU - Meyers DA FAU - Bleecker, Eugene R AU - Bleecker ER LA - eng GR - R01 HL048341/HL/NHLBI NIH HHS/United States GR - R01 HL066393/HL/NHLBI NIH HHS/United States GR - R01HL/48341/HL/NHLBI NIH HHS/United States GR - R01HL/66393/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. DEP - 20011114 PL - United States TA - Am J Hum Genet JT - American journal of human genetics JID - 0370475 RN - 0 (Interleukin-13) RN - 0 (Receptors, Interleukin-4) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Asthma/*genetics/immunology MH - *Epistasis, Genetic MH - Exons/genetics MH - Female MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - Humans MH - Immunoglobulin E/blood MH - Interleukin-13/*genetics MH - Male MH - Middle Aged MH - Netherlands MH - Odds Ratio MH - Phenotype MH - Polymorphism, Single Nucleotide/*genetics MH - Promoter Regions, Genetic/genetics MH - Receptors, Interleukin-4/*genetics MH - Regression Analysis PMC - PMC384891 EDAT- 2001/12/13 10:00 MHDA- 2002/01/26 10:01 PMCR- 2002/07/01 CRDT- 2001/12/13 10:00 PHST- 2001/08/28 00:00 [received] PHST- 2001/10/22 00:00 [accepted] PHST- 2001/12/13 10:00 [pubmed] PHST- 2002/01/26 10:01 [medline] PHST- 2001/12/13 10:00 [entrez] PHST- 2002/07/01 00:00 [pmc-release] AID - S0002-9297(07)61296-8 [pii] AID - 013287 [pii] AID - 10.1086/338242 [doi] PST - ppublish SO - Am J Hum Genet. 2002 Jan;70(1):230-6. doi: 10.1086/338242. Epub 2001 Nov 14.