Daniel Aguilar-Ángeles , Dolores Delgado-Ochoa , Ma. Isabel Rojo-Gutiérrez , Mario Bermejo-Guevara
2001, Number 2
2001; 60 (2)
ABSTRACT
Bronchial asthma presents a series of mechanisms involved in its physiopathology which make it necessary to try to understand each one of them to identify what is predominating in a specific patient and in this direction guide the treatment. At present, it is a chimera to try to generalize the treatment of bronchial asthma in a specific treatment, which sometimes is very rigid and devoid of logical application. This situation has oriented the researches towards the genetics field with good results, although still far from identifying the genes of immune response involved in bronchial asthma. Identifying the frequency of specific antigens of histocompatibility present in patients with bronchial asthma without racial differences is a tool which can help us in this regard. That is why we studied 30 Mexican asthma patients using the microcytotoxicity technique to identify class I and class II alleles and evaluate the frequency of some of them in these patients. We found a statistically significant frequency of the DR4 allele in 54% of the studied patients, which coincides with some studies but is in contradiction with others.
Corrigan CJ, Kay AB. CD4 T-lymphocyte activation in acute severe asthma. Am Rev Respir Dis 1990; 141: 970.
Martinez FD. Viral infections and the development of asthma. Am J Respir Crit Care Med 1995; 151: 1644-1648.
Apostolakis J, Toumbes M et al. HLA antigens and asthma in Greeks. Respir Med 1996; 90: 201-204.
Aron Y, Desmaz-Dufeu N, Matran R, Polla BS et al. Evidence of a strong, positive association between atopy and the HLA class II alleles DR4 and DR7. Clin Exp Allergy 1996; 26: 821-828.
Togias A, Horowitz E, Joyner DJL, Malveaux F. Evaluating the factors that relates to asthma severity in adolescents. Intern Arch Allergy Immunol 1997; 113: 87-95.
Kraft M, Striz I, Georges G, Umino T et al. Expression of epithelial markers in nocturnal asthma. J Allergy Clin Immunol 1998; 102: 376-381.
Staines C. Childhood factors and adult atopy: results from the European Community Respiratory Health survey. Am J Respir Crit Care Med 1998; 157: A11.
Ober C, Cox N, Parry R et al. Genome-wide search for asthma susceptibility loci in a founder population. Hum Mol Genet 1998; 7: 1393-1398.
Moffatt MF, James A, Ryan G, Musk AW. Extended tumor necrosis factor/HLA-DR haplotypes and asthma in an Australian population sample. Thorax 1999; 54: 757-761.
Howell WM, Stranding P, Warner JA, Warner JO. HLA class II genotype HLA-DR B cell surface expression and allergen specific IgE production in atopic and non-atopic members of asthmatic family pedigrees. Clin Exp Allergy 1999; 4: 35-38.
Lara-Márquez ML, Yunis JJ, Layrisse Z et al. Immunogenetics of atopic asthma: association of DRB1*1101 DQAI*0501 DQB1*0301 haplotype with Dermatophagoides spp-sensitive asthma in a sample of the Venezuelan population. Clin Exp Allergy 1999; 29: 60-71.
Ober C, Tselenko A, Willadsen SA et al. Genome-wide screen for atopy susceptibility alleles in the Hutterites. Clin Exp Allergy 1999; 4: 11-15.
Ober C, Moffatt MF. Contributing factors to the pathobiology. The genetics of asthma. Clin Chest Med 2000; 21: 245-246.
Torio A, Sánchez-Guerrero I, Muro M, Herrero N et al. Analysis of the phenotypic of HLA class I and class II in atopic and non atopic asthma patients. Eur J Immunogenet 2000; 27: 81-85.
Donfack J, Tsalenko A, Danessa M, Hokib A. HLA-DRB1 alleles are associated with sensitization to cockroach allergens. J Allergy Clin Immunol 2000; 5: 960-966.