Enhanced Allergic Inflammation of Der p 2 Affected by Polymorphisms of MD-2 Promoter.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.4168/aair.2015.7.5.497
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		En Chih LIAO
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Chia Wei HSIEH
			        		
			        		;
		        		
		        		
		        		
			        		Ching Yun CHANG
			        		
			        		;
		        		
		        		
		        		
			        		Sheng Jie YU
			        		
			        		;
		        		
		        		
		        		
			        		Meei Ling SHEU
			        		
			        		;
		        		
		        		
		        		
			        		Sheng Mao WU
			        		
			        		;
		        		
		        		
		        		
			        		Jaw Ji TSAI
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Center for Translational Medicine, Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Dermatophagoides pteronyssinus;
			        		
			        		
			        		
				        		Der p 2;
			        		
			        		
			        		
				        		myeloid differentiation-2;
			        		
			        		
			        		
				        		single nucleotide polymorphisms;
			        		
			        		
			        		
				        		allergy
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Cytokines;
				        		
			        		
				        		
					        		Dermatophagoides pteronyssinus;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Hypersensitivity;
				        		
			        		
				        		
					        		Immunoglobulin E;
				        		
			        		
				        		
					        		Immunoglobulins;
				        		
			        		
				        		
					        		Inflammation*;
				        		
			        		
				        		
					        		Interleukin-10;
				        		
			        		
				        		
					        		Interleukin-4;
				        		
			        		
				        		
					        		Interleukin-6;
				        		
			        		
				        		
					        		Interleukin-8;
				        		
			        		
				        		
					        		Interleukins;
				        		
			        		
				        		
					        		Phenotype;
				        		
			        		
				        		
					        		Polymorphism, Single Nucleotide;
				        		
			        		
				        		
					        		RNA, Messenger;
				        		
			        		
				        		
					        		Toll-Like Receptor 4;
				        		
			        		
				        		
					        		Tumor Necrosis Factor-alpha
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Allergy, Asthma & Immunology Research
	            		
	            		 2015;7(5):497-506
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	PURPOSE: Myeloid differentiation-2 (MD-2) has been associated with endotoxin and inflammatory disorders because it can recognize lipopolysaccharide (LPS) binding and attenuate Toll-like receptor 4 (TLR4)-mediated signaling. However, its role in allergic inflammation has yet to be clarified. We examined whether single nucleotide polymorphisms (SNPs) in MD-2 promoter can affect MD-2 expression and aimed to clarify the relationship between Der p 2 allergy and SNPs of MD-2 promoter. METHODS: The function of SNPs of MD-2 promoter and the effects of cytokines and immunoglobulin on the secretion and mRNA expression were investigated in 73 allergic subjects with different MD-2 gene promoter variants. Peripheral blood mononuclear cells were cultured with or without LPS in the presence of Dermatophagoides pteronyssinus group 2 allergen (Der p 2), followed by mRNA extraction and cytokine expression analysis. The culture supernatants were collected for cytokine measurement. RESULTS: Patients with the MD-2 promoter SNPs (rs1809441/rs1809442) had increased mRNA expressions of MD-2, epsilon heavy chain of IgE (Cepsilon), and interleukin (IL)-8; however, only MD-2 and IL-8 were further up-regulated after Der p 2 stimulation. Patients with SNPs of MD-2 promoter tended to have high levels of IL-1beta, IL-6, IL-8, IL-10, and tumor necrosis factor (TNF)-alpha after Der p 2 and LPS stimulation. Increased secretions of IL-6, IL-8, and IL-10 were found to be up-regulated by Der p 2 stimulation, and an increased secretion of IFN-gamma and decreased secretion of IL-4 were noted after LPS stimulation. CONCLUSIONS: The high levels of proinflammatory cytokines secreted by Der p 2 were predetermined by MD-2 promoter SNPs (rs1809441/rs1809442). Through cytokine secretion by Der p 2 and LPS, these SNPs may serve as an indicator of the pathological phenotype of Der p 2-induced allergic inflammation.