Abstract
The influence of the SLC11A1 (formerly NRAMP1) gene on the association between BCG vaccination and atopy in children was studied in 179 children, BCG vaccinated in infancy, and 307 children without BCG vaccination, all 3 to 8 years of age and with atopic heredity. DNAs were genotyped for a functional repeat polymorphism (designated GTn) in the promoter of SLC11A1 and a linked microsatellite D2S1471. Associations between genotype, atopic symptoms and allergen-specific IgE-antibodies in relation to the BCG status of the children were assessed. Atopy in relation to SLC11A1 GTn-alleles was similarly distributed between the two groups. In BCG vaccinated children, genotype associations were observed for D2S1471 and atopy, with carriage of allele 5 conferring increased risk of atopy (odds ratio (OR) 2.6; 95% confidence interval (CI) 1.3–5.5; P = 0.01), and particularly IgE responses to airborne allergens (OR = 4.3; 95% CI 1.7–10.7; P = 0.002). No linkage disequilibrium was found between the SLC11A1 GTnrepeat and the microsatellite D2S1471, and therefore no haplotype associations were observed for atopy in BCG- or non-BCG vaccinated children. Stratification by BCG vaccination unmasked a potential genetic risk factor for atopy in the region of the SLC11A1 locus, and point to the importance of genotype by environment interactions in determining disease susceptibility.
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Acknowledgements
We thank A Svensson, M Grylling and A Shtauvere for technical assistance, F Lagarde for statistical advice and Pharmacia Diagnostic AB for supply of reagents for serum IgE-analyses.
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This study was financially supported by the Swedish Medical Research Council (grants no 16x-7924, 72P-13149), the Swedish Foundation for Health Care Sciences and Allergy Research, the Swedish Asthma and Allergy Association, the Swedish Council for Work Life Research, Consul Th C Berg's Foundation, the Samariten Foundation, the Hesselman's Foundation, and the Karolinska Institutet. The work carried out in Cambridge was supported by grants from the Wellcome Trust.
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Alm, J., Sanjeevi, C., Miller, E. et al. Atopy in children in relation to BCG vaccination and genetic polymorphisms at SLC11A1 (formerly NRAMP1) and D2S1471. Genes Immun 3, 71–77 (2002). https://doi.org/10.1038/sj.gene.6363834
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DOI: https://doi.org/10.1038/sj.gene.6363834
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