Immunogenetic parameters in children with atopic diseases

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Abstract

Objective. To determine the features of the distribution of antigens of the major histocompatibility complex in children of preschool and primary school age with atopic diseases.

Materials and methods. Under observation there were children with a moderate course of the diseases such as atopic dermatitis, atopic dermatitis with concomitant persistent allergic rhinitis, independent persistent allergic rhinitis, atopic bronchial asthma. The patients were identified class I and class II antigens of HLA-complex.

Results. The studies have shown that patients with atopic dermatitis had a high incidence of HLA B15, DRB1*13 and DQB1*0602-8: in patients suffering from atopic dermatitis with concomitant persistent allergic rhinitis – HLA B12, B13 and DQB1 * 01; in patients with independent persistent allergic rhinitis – HLA A10 and DQB1 * 201; in patients with atopic bronchial asthma – HLA B18.

Conclusions. Representation of these antigens of the HLA complex in the tissues was associated with an increase in the risk of atopic diseases by 2.3–4.6 times.

About the authors

Ya. Yu. Illek

Kirov State Medical University

Author for correspondence.
Email: yanillek@gmail.com

MD, PhD, Professor, Head of Department of Pediatrics

Russian Federation, Kirov

I. G. Suetina

Kirov State Medical University

Email: yanillek@gmail.com

Candidate of Medical Sciences, Associate Professor, Department of Pediatrics

Russian Federation, Kirov

N. V. Khlebnikova

Kirov State Medical University

Email: yanillek@gmail.com

Candidate of Medical Sciences, Associate Professor, Department of Pediatrics

Russian Federation, Kirov

E. V. Suslova

Kirov State Medical University

Email: yanillek@gmail.com

Candidate of Medical Sciences, Assistant, Department of Pediatrics

Russian Federation, Kirov

M. V. Savinova

Pediatric Clinical Consultative and Diagnostic Center

Email: yanillek@gmail.com

Chief Physician

Russian Federation, Kirov

E. V. Dudyreva

Pediatric Clinical Consultative and Diagnostic Center

Email: yanillek@gmail.com

Deputy Chief Physician

Russian Federation, Kirov

E. V. Zemtsova

Pediatric Clinical Consultative and Diagnostic Center

Email: yanillek@gmail.com

pediatrician, allergologist-immunologist

Russian Federation, Kirov

References

  1. Balabolkin I.I., Lyapunova A.V., Ryleeva I.V. i dr. Bronhial'naya astma u detej. Detskaya allergologiya: rukovodstvo dlya vrachej. Pod red. A.A. Baranova, I.I. Balabolkina. Moscow 2006; 298–371 (in Russian).
  2. Balabolkin I.I., Grebenyuk V.N., Kudryavceva A.V. Atopicheskij dermatit. Detskaya allergologiya: rukovodstvo dlya vrachej. Pod red. A.A. Baranova, I.I. Balabolkina. Moscow 2006; 424–485 (in Russian).
  3. Zareckaya YU.M. Klinicheskaya immunogenetika. Moscow 1988; 288 (in Russian).
  4. Illek YA.YU., Zajceva G.A., Galanina A.V. Atopicheskij dermatit u detej rannego vozrasta. Kirov 2007; 124 (in Russian).
  5. Illek YA.YU., Zajceva G.A., Muratova N.G. Atopicheskaya bronhial'naya astma u detej. Kirov 2008; 160 (in Russian).
  6. Pevnickij L.A. Statisticheskaya ocenka associacij HLA-antigenov s zabolevaniyami. Vestnik akademii medicinskih nauk SSSR 1988; 7: 48–55 (in Russian).
  7. Svejgaard A., Ryder L.P. HLA and disease associations: detecting the strongest associations. Tissue Antigens 1994; 43: 18–27.
  8. Terasaki P.I. Microdroplet lymphocyte cytotoxicity: manual of tissue tuping technique. Bethseda 1970; 42–45.

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