Molecular and Pathophysiological Mechanisms Underlying Asthma and Allergy in Children

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Allergy and Immunology".

Deadline for manuscript submissions: 15 September 2024 | Viewed by 716

Special Issue Editors


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Guest Editor
Department of Innovative Diagnostics, Research department, Srebrnjak Children’s Hospital, Srebrnjak 100, HR-10000 Zagreb, Croatia
Interests: molecular and pathophysiological mechanisms in allergy and immunology; pharmacogenomics of asthma; asthma phenotypes and endotypes; genetics and epigenetics of allergy and asthma; immune dysregulation in allergy and asthma; primary immunodeficiencies

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Guest Editor
Srebrnjak Children’s Hospital, HR-10000 Zagreb, Croatia
Interests: pathophysiological mechanisms of asthma and allergic diseases; specific immunotherapy; primary immunodeficiency; food allergy
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Special Issue Information

Dear Colleagues,

Despite many advances being made in the field of allergy and asthma research, our understanding of the mechanisms involved in the development, pathophysiology and specific clinical manifestations of allergic diseases is still insufficient. Allergic diseases in children are a major global health issue as their prevalence is on a continuous rise worldwide, and the key factors driving this increasing trend remain elusive. Asthma and allergic diseases are the most common chronic conditions in children and they have a significant impact on the quality of life of patients and their families and caregivers. Allergic diseases such as food allergy, atopic dermatitis, asthma and allergic rhinitis are prototypical examples of conditions in which pathogenesis is a result of a complex interaction of intrinsic (genetic and epigenetic) and environmental factors. Although novel treatments of allergic diseases (such as biologicals) have already been introduced into routine clinical practice, overall, the management of allergic diseases mostly relies on symptomatic treatment and allergen avoidance/elimination, which additionally reduces patients’ quality of life. Gaining a better insight into this pathogenesis is crucial for optimizing the current and developing new and improved management and prevention strategies in allergic diseases.

Dr. Ivana Banić
Prof. Dr. Mirjana Turkalj
Guest Editors

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Keywords

  • allergic diseases
  • allergy
  • asthma
  • pathophysiology of asthma and allergy
  • genetics of asthma and allergy
  • epigenetic mechanisms involved in asthma and allergy
  • inflammatory pathways in asthma and allergy
  • immune dysregulation in asthma and allergy
  • pediatric asthma and allergic diseases

Published Papers (1 paper)

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Research

29 pages, 4467 KiB  
Article
Impact of Interleukin-17 Receptor A Gene Variants on Asthma Susceptibility and Clinical Manifestations in Children and Adolescents
by Shymaa Ahmed Maher, Nouran B. AbdAllah, Essam Al Ageeli, Eman Riad, Shahad W. Kattan, Sherouk Abdelaal, Wagdy Abdelfatah, Gehan A. Ibrahim, Eman A. Toraih, Ghada A. Awadalla, Manal S. Fawzy and Ahmed Ibrahim
Children 2024, 11(6), 657; https://doi.org/10.3390/children11060657 - 28 May 2024
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Abstract
Several single nucleotide polymorphisms (SNPs) in multiple interleukin receptor genes could be associated with asthma risk and/or phenotype. Interleukin-17 (IL-17) has been implicated in tissue inflammation and autoimmune diseases. As no previous studies have uncovered the potential role of IL17 receptor A ( [...] Read more.
Several single nucleotide polymorphisms (SNPs) in multiple interleukin receptor genes could be associated with asthma risk and/or phenotype. Interleukin-17 (IL-17) has been implicated in tissue inflammation and autoimmune diseases. As no previous studies have uncovered the potential role of IL17 receptor A (RA) gene variants in asthma risk, we aimed to explore the association of four IL17RA SNPs (i.e., rs4819554A/G, rs879577C/T, rs41323645G/A, and rs4819555C/T) with asthma susceptibility/phenotype in our region. TaqMan allelic discrimination analysis was used to genotype 192 individuals. We found that the rs4819554 G/G genotype significantly reduced disease risk in the codominant (OR = 0.15, 95%CI = 0.05–0.45, p < 0.001), dominant (OR = 0.49, 95%CI = 0.26–0.93, p = 0.028), and recessive (OR = 0.18, 95%CI = 0.07–0.52, p < 0.001) models. Similarly, rs879577 showed reduced disease risk associated with the T allele across all genetic models. However, the A allele of rs41323645 was associated with increased disease risk in all models. The G/A and A/A genotypes have higher ORs of 2.47 (95%CI = 1.19–5.14) and 3.86 (95%CI = 1.62–9.18), respectively. Similar trends are observed in the dominant 2.89 (95%CI = 1.47–5.68, p = 0.002) and recessive 2.34 (95%CI = 1.10–4.98, p = 0.025) models. For the rs4819555 variant, although there was no significant association identified under any models, carriers of the rs4819554*A demonstrated an association with a positive family history of asthma (71.4% in carriers vs. 27% in non-carriers; p = 0.025) and the use of relievers for >2 weeks (52.2% of carriers vs. 28.8% of non-carriers; p = 0.047). Meanwhile, the rs4819555*C carriers displayed a significant divergence in the asthma phenotype, specifically atopic asthma (83.3% vs. 61.1%; p = 0.007), showed a higher prevalence of chest tightness (88.9% vs. 61.5%; p = 0.029), and were more likely to report comorbidities (57.7% vs. 16.7%, p = 0.003). The most frequent haplotype in the asthma group was ACAC, with a frequency of 22.87% vs. 1.36% in the controls (p < 0.001). In conclusion, the studied IL17RA variants could be essential in asthma susceptibility and phenotype in children and adolescents. Full article
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