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British Medical Bulletin 56:894-907 (2000)
© 2000 The British Council


research-article

Genetics of allergic disease

Marlies Feijen*,{dagger}, Jorrit Gerritsen{dagger} and Dirkje S Postma{ddagger},

*Department of Pulmonary Rehabilitation, Beatrixoord Rehabilitation Centre Haren, The Netherlands
{dagger}Department of Pediatric Pulmonology, Beatrix Children's Clinic The Netherlands
{ddagger}Department of Pulmonology, University Hospital Groningen The Netherlands

Correspondence to:Prof. Dr Dirkje S Postma, Department of Pulmonology, University Hospital Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

Abstract

Atopy can express itself as asthma, rhinitis and eczema. The presence of atopy can be assessed by increased levels of total serum IgE and specific IgE to common allergens, skin test positivity and increased numbers of peripheral blood eosinophils. Genetic studies indicate that multiple genes are involved in the pathogenesis of atopy and that different genes regulate the presence of increased levels of serum total IgE and specific IgE. Linkage of these traits to chromosomal regions likely to contain atopic susceptibility genes has been replicated in several studies. Genome-wide screens have identified several new chromosomal locations that are likely to contain atopic genes. These regions also contain candidate genes. Moreover, the available literature suggests that multiple, yet different genes may be involved in the translation of atopy to a distinct clinical phenotype. We anticipate that understanding of the genetic basic of atopy will lead to new therapeutic interventions and early diagnosis.


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