IL16基因多态性与建筑工人过敏性接触性皮炎的相关性研究

E. Khashaba, M. Gaballah, A. State, Mona Elwassefy
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摘要

目的:一是确定常见的过敏原,二是检测il - 16基因启动子多态性rs4778889 T/C与变应性接触性皮炎(ACD)的相关性。方法:对皮肤科门诊患者进行病例对照研究。研究对象接受基于访谈的半结构化问卷,完整的皮肤检查,采用PCR-RFLP(聚合酶链反应-限制性片段长度多态性)分析il - 16基因启动子,使用IQ Ultra™贴片测试装置(瑞典Chemotechnique Diagnostics AB),共10种物质。结果:贴片试验阳性病例占93.3%。我们的患者中最常见的ACD临床表现是瘙痒(96.7%),其次是干燥(86.75%)、红斑(76.7%)和裂裂(76.7%)。病例间CC基因分布较高,但差异无统计学意义。不同临床表现的il - 16基因分布基本相似。甲醛对CC的影响有统计学意义,最常见的过敏原是氯化汞(76.6%),其次是重铬酸钾(26.6%)和氯化钴(20%)。结论:目前的研究发现突出的金属敏化(氯化汞)比以前已知的重铬酸钾。与对照组相比,病例间il - 16基因分布无统计学意义。而C等位基因在病例中更为常见。需要进一步的研究来测试il - 16基因型和ACD之间的关系,并强调水泥暴露工人金属敏化的新趋势。
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Association Between IL16 Gene Polymorphism and Allergic Contact Dermatitis Among Construction Workers
Objectives: First, this research was instituted to identify common allergens, and second, to test the association between IL16 gene promoter polymorphism rs4778889 T/C and allergic contact dermatitis (ACD). Methods: A case control study was conducted in dermatology outpatients’ clinic. Study subjects received interview-based semi-structured questionnaire, complete skin examination, IL16 gene promoter was investigated by PCR-RFLP (polymerase chain reaction-restriction fragment length polymorphism) analysis, and IQ Ultra™ patch test units (Chemotechnique Diagnostics AB, Sweden) with 10 substances were used. Results: Most of the prevalent cases had positive patch test (93.3%). The most common clinical presentation of ACD in our patients was itching (96.7%), followed by dryness (86.75%), erythema (76.7%), and fissuring (76.7%). There was higher CC gene distribution among cases, but there was no statistically significant difference. IL16 gene distribution was nearly similar among different clinical presentations. Formaldehyde showed statistically significant higher frequency for CC. The most common allergen found was mercury chloride (76.6%), followed by potassium dichromate (26.6%) and cobalt chloride (20%). Conclusions: The current study found prominent metal sensitization (mercury chloride) over the previously known potassium dichromate. There was no statistically significant IL16 gene distribution among cases compared with control. However, C allele was more frequently encountered in cases. Further studies are required to test the association with IL16 genotype and ACD and highlight the new trends in metal sensitization among cement-exposed workers.
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