Journal article
Association of respiratory syncytial virus bronchiolitis with the interleukin 8 gene region in UK families.
- Abstract:
- BACKGROUND: Respiratory syncytial virus (RSV) infects nearly all children by the end of their second winter. Why some develop bronchiolitis is poorly understood; it is not known whether there is a genetic component. The pathological features include neutrophil infiltration and high levels of interleukin 8 (IL-8), a potent neutrophil chemoattractant. METHODS: Common genetic variants of the promoter region of the IL-8 gene were identified by sequencing DNA from 36 healthy individuals. Genetic correlates of IL-8 production were assessed using whole blood from 50 healthy subjects. To investigate genetic correlates of disease severity 117 nuclear families were recruited in which a child had required hospital admission for RSV bronchiolitis. RESULTS: A common single nucleotide polymorphism (allele frequency 0.44) was identified 251 bp upstream of the IL-8 transcription start site. The IL8-251A allele tended to be associated with increased IL-8 production by lipopolysaccharide stimulated whole blood (p=0.07). Using the transmission disequilibrium test, the frequency of this allele was significantly increased in infants with bronchiolitis (transmission = 62% (95% confidence interval (CI) 53 to 71), p=0.014) and particularly in those without known risk factors (transmission = 78% (95% CI 62 to 93), p=0.004). CONCLUSION: Disease severity following RSV infection appears to be determined by a genetic factor close to the IL-8 gene. Further analysis of this effect may elucidate causal processes in the pathogenesis of RSV bronchiolitis.
- Publication status:
- Published
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- Publisher copy:
- 10.1136/thorax.55.12.1023
Authors
- Journal:
- Thorax More from this journal
- Volume:
- 55
- Issue:
- 12
- Pages:
- 1023-1027
- Publication date:
- 2000-12-01
- DOI:
- EISSN:
-
1468-3296
- ISSN:
-
0040-6376
- Language:
-
English
- Keywords:
- Pubs id:
-
pubs:190996
- UUID:
-
uuid:00f0c03e-0876-4902-bc1c-a7a5509fba4b
- Local pid:
-
pubs:190996
- Source identifiers:
-
190996
- Deposit date:
-
2012-12-19
- ARK identifier:
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- Copyright date:
- 2000
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