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

Table 3 Gene–environment interactions in asthma; exposure to other occupational exposures.

Place, population (ref) Type of study Phenotype Genes, genotype (chromosome) Exposure Cases/controls Main results
Canada, workers (Horne, 2000)61 Case–control Occupational asthma HLAII‐DRB1: 27 alleles HLAII‐DQB1: 14 alleles (6p21,3) Western Red Cedar 56/63 DQB1*0603: OR = 2.9 p = 0.0484 DQB1*0302: OR = 4.9 p = 0.02 DQB1*0501: OR = 0.3 p = 0.0213 DRB1*0401‐DQB1*0302: OR = 10.33 p = 0.012 DRB1*0101‐DQB1*0501: OR = 0.27 p = 0.038
Platinum refinery workers exposed (Newman Taylor, 1999)64 Case–control Skin prick test positive to ACP HLAII‐DRB: 1 to 10 HLAII‐DPB: 1 to 10 HLAII‐DQA: 1 to 10 HLAII‐DQB: 1 to 10 (6p21,3) Ammonium hexachloroplatinate (ACP) 44/57 HLADR3: OR = 2.3 (1.0–5.6) HLADR6: OR = 0.4 (0.2–0.8) These associations varies with intensity of exposure
UK, workers (Jeal, 2003)62 Case–control Sensitisation to rat lipocalin HLAII‐DQB1: 5 alleles HLAII‐DRB1: 13 alleles (6p21,3) Rat lipocalin allergens 109/397 DR7: OR = 1.82 (1.12–2.97) sensitisation DR7: OR = 2.96 (1.64–5.37) work‐related chest symptoms DR7: OR = 3.81(1.90–7.65) sensitisation and work‐related chest symptoms DR3: OR = 0.55 (0.31–0.97) sensitisation
Sweden, workers (Sjostedt, 1996)63 Case–control Occupational allergy HLA‐A HLA‐BHLA‐C HLA‐DR (6p21,3) Laboratory animals 92/27 Frequency cases v controls: HLAII‐B16 0 v 30%
Austria and Germany, farmers children (Eder, 2004)86 Case–control Asthma Atopy: IgE level ⩾3.5kU/l TLR2: A‐16934T; C+596T;T+1349C (9q32–q33) TLR4: A‐6143G;T‐5724C; A+4434G;G+7263C; T+8469C (4q32) Farming endotoxin 237/387 Frequency in exposed v controls TLR2/−16934T: 3% v 16% p = 0.004 asthma 14% v 27% p = 0.023 atopy 3% v 14% p = 0.01 current hay fever