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Chen HY, Chen CL, Wu YH, Lin TK, Su YN, Guo YL, Lin SY, Lee CN. Neonatal Filaggrin Genetic Screening and Counseling to Prevent Atopic Dermatitis in High-Risk Infants. Dermatitis 2024. [PMID: 38563786 DOI: 10.1089/derm.2023.0233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Background: Mutations in filaggrin (FLG), the gene that codes for the skin barrier protein, have been shown to be associated with atopic dermatitis (AD). Objective: The objectives of this study were to determine the effects of genetic counseling and parental education on infants at a high risk of AD. Methods: We enrolled 7521 newborns in Taiwan from January 1, 2016, to March 30, 2020, and all of them received genetic testing encompassing 20 known FLG mutations. The genetic counseling and AD prevention and care team consisted of pediatricians, dermatologists, social workers, and genetic counselors. The counseling was arranged for at least 30 minutes within 45 days after delivery. Results: A total of 2963 high-risk infants (39.4%) were identified. Homozygous c.1432C>T was the most commonly identified mutation. A total of 418 neonates' parents were stratified into counseling and noncounseling groups, where the effect of parental education was evaluated. The genetically stratified parental education program was effective in preventing AD development by 63.3% in high-risk infants before 12 months of life (P < 0.0001). Conclusion: Genetic stratification and parental education are effective in preventing the development of AD in high-risk infants before 12 months of life.
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Affiliation(s)
- Han-Ying Chen
- From the Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan
- Program for Precision Health and Intelligent Medicine, Graduate School of Advanced Technology, National Taiwan University, Taipei, Taiwan
| | - Chih-Ling Chen
- Department of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan
| | - Yu-Hui Wu
- Institute of Molecular Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Tze-Kang Lin
- Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
- Sofiva Genomics Co., Ltd., Taipei, Taiwan
| | - Yi-Ning Su
- Dianthus Maternal Fetal Medicine Clinic, Taipei, Taiwan
- Sofiva Genomics Co., Ltd., Taipei, Taiwan
| | - Yue-Liang Guo
- Department of Environment and Occupational Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Shin-Yu Lin
- From the Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan
| | - Chien-Nan Lee
- From the Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan
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Sekiya A, Kono M, Tsujiuchi H, Kobayashi T, Nomura T, Kitakawa M, Suzuki N, Yamanaka K, Sueki H, McLean W, Shimizu H, Akiyama M. Compound heterozygotes for filaggrin gene mutations do not always show severe atopic dermatitis. J Eur Acad Dermatol Venereol 2016; 31:158-162. [DOI: 10.1111/jdv.13871] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2016] [Accepted: 06/16/2016] [Indexed: 12/24/2022]
Affiliation(s)
- A. Sekiya
- Department of Dermatology; Nagoya University Graduate School of Medicine; Nagoya Japan
| | - M. Kono
- Department of Dermatology; Nagoya University Graduate School of Medicine; Nagoya Japan
| | - H. Tsujiuchi
- Department of Dermatology; Nagoya University Graduate School of Medicine; Nagoya Japan
| | - T. Kobayashi
- Department of Dermatology; Nagoya University Graduate School of Medicine; Nagoya Japan
| | - T. Nomura
- Department of Dermatology; Hokkaido University Graduate School of Medicine; Sapporo Japan
| | - M. Kitakawa
- Department of Dermatology; Showa University School of Medicine; Tokyo Japan
| | - N. Suzuki
- Department of Dermatology; Toyohashi Municipal Hospital; Toyohashi Japan
| | - K. Yamanaka
- Department of Dermatology; Mie University School of Medicine; Tsu Japan
| | - H. Sueki
- Department of Dermatology; Showa University School of Medicine; Tokyo Japan
| | - W.H.I. McLean
- Centre for Dermatology and Genetic Medicine; College of Life Sciences and College of Medicine; Dentistry & Nursing; University of Dundee; Dundee UK
| | - H. Shimizu
- Department of Dermatology; Hokkaido University Graduate School of Medicine; Sapporo Japan
| | - M. Akiyama
- Department of Dermatology; Nagoya University Graduate School of Medicine; Nagoya Japan
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Park J, Jekarl DW, Kim Y, Kim J, Kim M, Park YM. NovelFLGnull mutations in Korean patients with atopic dermatitis and comparison of the mutational spectra in Asian populations. J Dermatol 2015; 42:867-73. [DOI: 10.1111/1346-8138.12935] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Accepted: 04/01/2015] [Indexed: 12/24/2022]
Affiliation(s)
- Joonhong Park
- Department of Laboratory Medicine; College of Medicine; The Catholic University of Korea; Seoul Korea
- Catholic Genetic Laboratory Center; College of Medicine; The Catholic University of Korea; Seoul Korea
| | - Dong Wook Jekarl
- Department of Laboratory Medicine; College of Medicine; The Catholic University of Korea; Seoul Korea
- Catholic Genetic Laboratory Center; College of Medicine; The Catholic University of Korea; Seoul Korea
| | - Yonggoo Kim
- Department of Laboratory Medicine; College of Medicine; The Catholic University of Korea; Seoul Korea
- Catholic Genetic Laboratory Center; College of Medicine; The Catholic University of Korea; Seoul Korea
| | - Jiyeon Kim
- Catholic Genetic Laboratory Center; College of Medicine; The Catholic University of Korea; Seoul Korea
| | - Myungshin Kim
- Department of Laboratory Medicine; College of Medicine; The Catholic University of Korea; Seoul Korea
- Catholic Genetic Laboratory Center; College of Medicine; The Catholic University of Korea; Seoul Korea
| | - Young Min Park
- Department of Dermatology; College of Medicine; The Catholic University of Korea; Seoul Korea
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