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. 2006 Nov;63(11):776–786. doi: 10.1136/oem.2004.019216

Table 2 Gene–environment interactions in asthma; exposure to isocyanates.

Place, population (ref) Type of study Phenotype Genes, genotype (chromosome) Exposure Cases/controls Main results
Italy, workers, (Mapp, 2000)41 Case–control Occupational asthma HLAII‐DQA1: 10 alleles HLAII‐DQB1: 13 alleles HLAII‐DRB1: 14 alleles (6p21,3) Toluene diisocyanate (TDI) 67/27 Frequency in cases v controls: DQA1*0104 = 23.9% v 0% p = 0.005DQB1*0503 = 20.9% v 0% p = 0.005DQA1*0101 = 10.4% v 37.0% p = 0.004DQB1*0501 = 13.4% v 37.0% p = 0.01
Italy, workers, (Balboni, 1996)42 Case–control Occupational asthma HLAII‐DQA1: 8 alleles HLAII‐DQB1: 14 alleles (6p21,3) Toluene diisocyanate (TDI) 30/12/126 Frequency in cases v controls exp: DQB1*0503 = 30% v 0% pc = NS DQB1*0501 = 0% v 25% pc = 0.038 RR = 0.044 Frequency in cases v not exposed: DQB1*0503 = 30% v 12.7% pc = 0.05 RR = 2.95
Central‐Europeans, workers (Rihs, 1997)44 Case–control Occupational asthma BHR Total IgE Specific IgE to diisocyanates HLAII‐DRB1,2,3,4: 16 alleles HLAII‐DQB1: 15 alleles HLAII‐DQA1: 8 alleles (6p21,3) Diisocyanates (MDI; TDI; HDI) 32/23/90 Non‐significant results
Italy, workers (Beghé, 2004)89 Case–control Occupational asthma HLA class I: A, B, and C TNF‐α: A308G (6p21,3) Toluene diisocyanate (TDI) HLA‐I: 116/41 TNF‐α: 142/45 No difference in distribution of HLA I alleles No difference in allele frequencies in TNF‐α
Italy, workers (Mapp, 2002)40 Case–control Occupational asthma BHR GSTP1 Val105/Ile105 (11q13) Toluene diisocyanate (TDI) 92/39 GSTP1:OR = 0.23(0.05–1.13) Val v Ile homozygotes Frequency of asthma/AHR increased with time of exposure
Finland, workers (Piirila, 2001)48 Case–control Occupational asthma IgE levels Bronchial provocation test GSTM1 null(−) GSTM3 A and B(1p13,3) GSTP1 Val105/Ile105 (11q13) GSTT1 null(−) (22q11,23) Diisocyanates (MDI; HDI; TDI) 109/73 GSTM1(−): OR = 1.89(1.01–3.52) asthma OR = 0.18 (0.05–0.61) specific IgE GSTM3 AA: OR = 3.75(1.26–11.2) late reaction GSTP1val/val: OR = 5.46 (1.15–26.0) specific IgE GSTM1(–)+GSTM3 AA: OR = 0.09 (0.01–0.73) specific IgE OR = 11.0 (2.19–55.3) late reaction
Finland, workers (Wikman, 2002)52 Case–control Occupational asthma NAT1 and NAT2 slow acetylation genotypes (8p23.1–p21.3) Diisocyanates (MDI; TDI; HDI) 109/73 NAT1sa: OR = 2.54 (1.32–4.91) diisocyanate NAT1sa: OR = 7.77 (1.18–51.6) TDI NAT1sa+GSTM1null: OR = 4.20 (1.51–11.6) NAT2sa+NAT1sa: OR = 3.12 (1.11–8.78) NAT2sa+GSTM1null: OR = 4.53 (1.76–11.6)