Polymorphisms of histamine-metabolizing enzymes and clinical manifestations of asthma and allergic rhinitis

被引:58
作者
Garcia-Martin, E.
Garcia-Menaya, J.
Sanchez, B.
Martinez, C.
Rosendo, R.
Agundez, J. A. G.
机构
[1] Univ Extremadura, Sch Med, Dept Pharmacol, E-06071 Badajoz, Spain
[2] Univ Extremadura, Dept Biochem & Mol Biol, E-06071 Badajoz, Spain
[3] Univ Extremadura, Sch Med, Hosp Infanta Cristina, Dept Allergy, E-06071 Badajoz, Spain
关键词
allergic rhinitis; asthma; diamine oxidase; histamine N-methyltransferase;
D O I
10.1111/j.1365-2222.2007.02769.x
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Polymorphisms of enzymes involved in histamine biodisposition may affect clinical symptoms in diseases related to histamine, such as asthma or allergic rhinitis (AR). This study aims to analyse two common polymorphisms in genes coding for histamine-metabolizing enzymes in patients with allergic diseases. Five-hundred and sixty-five individuals participated in the study, including 270 unrelated patients with asthma and/or AR recruited from a single centre and 295 healthy volunteers. Participants were analysed for the presence of Thr105Ile and His645Asp amino acid substitutions at histamine N-methyltransferase (HNMT) and diamine oxidase (amiloride binding protein 1) enzymes, respectively, by amplification-restriction procedures. The variant HNMT allele frequencies were slightly higher among patients with asthma [16.0%, 95% confidence interval (CI) 12.0-20.0] and among patients with rhinitis (13.2, 95% CI 10.3-16.1) as compared with healthy subjects (11.5 95% CI 8.9-14.1). The variant ABP1 allele frequencies were similar among patients with asthma (30.8%, 95% CI 25.7-35.9), rhinitis (28.7, 95% CI 24.8-32.6) and healthy subjects (26.8 95% CI 23.2-30.3). Individuals carrying mutated ABP1 alleles presented allergy symptoms with significantly lower IgE levels as compared with individuals without mutated genes, with a significant gene-dose effect (P < 0.001). In addition, the percentage of individuals presenting symptoms without eosinophilia was significantly higher among homozygous carriers of ABP1 variant alleles (P < 0.020) as compared with the rest of the atopic patients. There is a lack of association between the allelic variants studied and the risk of developing allergic asthma and rhinitis. However, patients carrying the His645Asp polymorphism of ABP1 are more prone to developing symptoms with lower IgE levels.
引用
收藏
页码:1175 / 1182
页数:8
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